A cluster randomised crossover trial of single resilience and professionalism tutorials among undergraduate medical students

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Publicado no:Medical Education Online vol. 30, no. 1 (Dec 2025)
Autor principal: Byrne, David
Outros Autores: Hickey, Anne, Harkin, Denis, Ryan, Aine, Moran, Catherine, Boland, Fiona, Illing, Jan, Staines, Lorna, Abdelnasser, Mohamed, Mellon, Lisa, Kelleher, Caroline, Doyle, Frank
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Taylor & Francis Ltd.
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022 |a 1087-2981 
024 7 |a 10.1080/10872981.2025.2529964  |2 doi 
035 |a 3284643048 
045 2 |b d20251201  |b d20251231 
084 |a 211033  |2 nlm 
100 1 |a Byrne, David  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
245 1 |a A cluster randomised crossover trial of single resilience and professionalism tutorials among undergraduate medical students 
260 |b Taylor & Francis Ltd.  |c Dec 2025 
513 |a Journal Article 
520 3 |a ABSTRACT Background Evidence suggests that targeted interventions can improve medical students’ perceptions of professionalism and professional identity formation, resilience and coping skills. However, it is unclear how many educational sessions are required for a meaningful impact. We aimed to determine the impact of single resilience/professionalism tutorials on Year 1 medical students’ coping self-efficacy and resilience and perceptions of professionalism and professional identity formation. We also conducted a qualitative process evaluation. Methods A cluster crossover design was used to evaluate tutorials. Student groups were randomly allocated to ‘resilience first’ and ‘professionalism first’ classes, followed immediately by the alternative tutorial. Students (n = 106) completed the Coping Self-Efficacy Scale (CSES) and Penn State Questionnaire on Professionalism (PSCOM) before the first tutorial, between tutorials, and after the second tutorial. Differences in CSES and PSCOM scores between groups were assessed using multivariate analysis of variance. Findings were presented to students (n=6) and focus group data were analysed using reflective thematic analysis. Results Within-group effects showed significant increases in scores for CSES and PSCOM, but irrespective of original group allocation. Qualitative results suggested three themes: positive aspects, limitations, and improving training. Several logistical issues were identified that may have inhibited tutorial efficacy. Conclusion While we found increased self-efficacy and professionalism scores, these could not be related to the efficacy of respective single tutorials, suggesting that multiple tutorials are required to impact these outcomes. While cross-over designs are feasible to implement, logistical issues may detract from their efficacy. Tutorials could potentially be improved by introducing more interactive learning methods. 
653 |a Identity formation 
653 |a Perceptions 
653 |a Coping 
653 |a College students 
653 |a Coping strategies 
653 |a Professionalism 
653 |a Evaluation 
653 |a Self concept 
653 |a Professional identity 
653 |a Medical students 
653 |a Resilience 
653 |a Self-efficacy 
653 |a Variance analysis 
653 |a Tutorials 
653 |a Work skills 
653 |a Multivariate analysis 
653 |a Students 
653 |a Groups 
653 |a Alternative approaches 
700 1 |a Hickey, Anne  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Harkin, Denis  |u Centre for Professionalism in Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Ryan, Aine  |u Centre for Professionalism in Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Moran, Catherine  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Boland, Fiona  |u Data Science Centre, Royal College of Surgeons in Ireland , Dublin , Ireland 
700 1 |a Illing, Jan  |u Health Professions Education Centre, Royal College of Surgeons in Ireland , Dublin , Ireland 
700 1 |a Staines, Lorna  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Abdelnasser, Mohamed  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Mellon, Lisa  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Kelleher, Caroline  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
700 1 |a Doyle, Frank  |u Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland 
773 0 |t Medical Education Online  |g vol. 30, no. 1 (Dec 2025) 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3284643048/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3284643048/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch