Exploring the perceptions of medical students about the effects of financial stresses in Pakistan.

Objective: To explore the perceptions of medical students about the effects of financial stresses. Method: A qualitative exploratory study was conducted in March - August of 2023. Data were taken from a purposive sample of twelve undergraduate medical students from various medical colleges in Peshawar. Semi-structured in-depth interviews were conducted using a validated interview guide to explore the effects of financial stress on medical students. The audio recordings of the interviews were transcribed. Because the data was sensitive, anonymity and confidentiality were guaranteed to the participants. Thematic analysis was then used and authors of the study agreed on themes and subthemes after a manual thematic analysis was completed. Results: This study reveals five themes about the effects of financial stress among medical students. The five themes include financial stressors in medical education, their effects on academic performance and achievement, future career choices, healthcare and well-being practices, and educational policies and interventions suggesting potential solutions to overcome the financial challenges. Conclusion: This study highlights the multifaceted nature of financial stress among medical students, its significant influence on academic achievement and career decisions, and the negative health implications it presents. It also explores potential strategies for alleviating this burden. In addition to the suggestions given by medical students, there is a need to adopt specific strategies for medical institutions, policymakers, and future research endeavors to deal with the financial challenges faced by medical students.