ArticleHealthcare (Basel, Switzerland)2025
The Association Between Doctor-Patient Conflict and Uncertainty Stress During Clinical Internships Among Medical Students: A Panel Study.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- The Effect of Negative Perfectionism on Hollow Syndrome in Medical Students: Serial Mediation of Self-Esteem and Achievement Motivation and Moderating Role of Subjective Well-Being.Psychology research and behavior management · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND/
objectivesMedical students experience significant mental stress during clinical internships. This study aimed to assess the levels of uncertainty stress among medical interns, evaluate its temporal changes and associations with doctor-patient conflict and reference norm, and provide insights for stress-alleviating policies and educational initiatives.
methodsA prospective longitudinal panel study was conducted; 131 medical students preparing for clinical internships were recruited via WeChat social media groups from June 2023 to June 2024. Data were collected at three time points using an online survey on Wenjuanxing: before the internship, three months into the internship, and after the internship. Variables such as uncertainty stress, doctor-patient conflict, and reference norm were measured, and data were analyzed using GEE and the GLMM program.
resultsA total of 122 students completed all three waves of the study. Uncertainty stress decreased over the internship period (W = 7.25,
conclusionsAlthough uncertainty stress reduces as internships progress, doctor-patient conflict rises. A supportive learning environment, especially from teachers, is crucial for mitigating stress. Medical schools and hospitals should implement comprehensive strategies to address individual stressors and institutional factors, considering the associations between uncertainty stress, doctor-patient conflict, and reference norm. However, the study has limitations such as a small sample size and reliance on self-reported measures, indicating a need for further research.
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