Medical students in distress: a mixed methods approach to understanding the impact of debt on well-being
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| Publicado en: | BMC Medical Education vol. 24 (2024), p. 1 |
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| Autor principal: | |
| Otros Autores: | , , , , |
| Publicado: |
Springer Nature B.V.
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| Acceso en línea: | Citation/Abstract Full Text Full Text - PDF |
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| 001 | 3102481444 | ||
| 003 | UK-CbPIL | ||
| 022 | |a 1472-6920 | ||
| 024 | 7 | |a 10.1186/s12909-024-05927-9 |2 doi | |
| 035 | |a 3102481444 | ||
| 045 | 2 | |b d20240101 |b d20241231 | |
| 084 | |a 58506 |2 nlm | ||
| 100 | 1 | |a Yang, Adrienne | |
| 245 | 1 | |a Medical students in distress: a mixed methods approach to understanding the impact of debt on well-being | |
| 260 | |b Springer Nature B.V. |c 2024 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a BackgroundNearly three in four U.S. medical students graduate with debt in six-figure dollar amounts which impairs students emotionally and academically and impacts their career choices and lives long after graduation. Schools have yet to develop systems-level solutions to address the impact of debt on students’ well-being. The objectives of this study were to identify students at highest risk for debt-related stress, define the impact on medical students’ well-being, and to identify opportunities for intervention.MethodsThis was a mixed methods, cross-sectional study that used quantitative survey analysis and human-centered design (HCD). We performed a secondary analysis on a national multi-institutional survey on medical student wellbeing, including univariate and multivariate logistic regression, a comparison of logistic regression models with interaction terms, and analysis of free text responses. We also conducted semi-structured interviews with a sample of medical student respondents and non-student stakeholders to develop insights and design opportunities.ResultsIndependent risk factors for high debt-related stress included pre-clinical year (OR 1.75), underrepresented minority (OR 1.40), debt $20–100 K (OR 4.85), debt >$100K (OR 13.22), private school (OR 1.45), West Coast region (OR 1.57), and consideration of a leave of absence for wellbeing (OR 1.48). Mental health resource utilization (p = 0.968) and counselors (p = 0.640) were not protective factors against debt-related stress. HCD analysis produced 6 key insights providing additional context to the quantitative findings, and associated opportunities for intervention.ConclusionsWe used an innovative combination of quantitative survey analysis and in-depth HCD exploration to develop a multi-dimensional understanding of debt-related stress among medical students. This approach allowed us to identify significant risk factors impacting medical students experiencing debt-related stress, while providing context through stakeholder voices to identify opportunities for system-level solutions. | |
| 651 | 4 | |a United States--US | |
| 653 | |a Mixed methods research | ||
| 653 | |a Medical education | ||
| 653 | |a Mindfulness | ||
| 653 | |a Tuition | ||
| 653 | |a Likert scale | ||
| 653 | |a Medical students | ||
| 653 | |a Medical schools | ||
| 653 | |a Student loans | ||
| 653 | |a Stress | ||
| 653 | |a Debt restructuring | ||
| 653 | |a Variables | ||
| 653 | |a Mental health | ||
| 653 | |a Well being | ||
| 653 | |a Physicians | ||
| 653 | |a Economic Factors | ||
| 653 | |a Self Efficacy | ||
| 653 | |a Likert Scales | ||
| 653 | |a Academic Achievement | ||
| 653 | |a Meetings | ||
| 653 | |a Interviews | ||
| 653 | |a Debt (Financial) | ||
| 653 | |a Licensing Examinations (Professions) | ||
| 653 | |a Competition | ||
| 653 | |a Feedback (Response) | ||
| 653 | |a Student Surveys | ||
| 653 | |a Alaska Natives | ||
| 653 | |a Data Analysis | ||
| 653 | |a Private Schools | ||
| 653 | |a Validated Programs | ||
| 700 | 1 | |a Langness, Simone | |
| 700 | 1 | |a Chehab, Lara | |
| 700 | 1 | |a Rajapuram, Nikhil | |
| 700 | 1 | |a Zhang, Li | |
| 700 | 1 | |a Sammann, Amanda | |
| 773 | 0 | |t BMC Medical Education |g vol. 24 (2024), p. 1 | |
| 786 | 0 | |d ProQuest |t Healthcare Administration Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3102481444/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3102481444/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3102481444/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch |