Reflections of First-Year Medical Students: Supports and Challenges in Studying
DOI:
https://doi.org/10.59188/jurnalsostech.v5i7.32330Keywords:
first-year medical student, student reflection, academic achievement, undergraduate, supportAbstract
The first year of medical school is often perceived as stressful and demands adaptive learning strategies. This study aims to explore factors influencing learning outcomes among first-year students after completing the first module in the second semester. We analyzed reflective essays containing ten open-ended questions written by first-year students. A total of 60 first-year medical students were selected using total sampling. The main variables examined include students' satisfaction with learning outcomes, learning process, motivation, and stress levels, measured using a 5-point Likert scale embedded within the reflective task. The average scores were learning outcomes satisfaction (3.4), satisfaction with the learning process (4.0), motivation to continue studies (4.8), and stress level (4.1). Thematic analysis revealed key positive factors: ability to manage study time, family support, and senior assistance in learning are perceived. Conversely, excessive lecture content, less communicative lecturers, and procrastination are perceived as challenging factors. Overall, first-year students reported satisfactory learning experiences. Enhancing time management skills and providing structured support systems from family and seniors may improve student success. Faculty should consider adjusting academic workload and instructional strategies to support first-year medical students' achievement.
References
Picton A, Greenfield S, Parry J. Why do students struggle in their first year of medical school? A qualitative study of student voices. BMC Med Educ. 2022 Dec 1;22(1).
Nebhinani N, Kuppili PP, Mamta. Stress, Burnout, and Coping among First-Year Medical Undergraduates. J Neurosci Rural Pract. 2021 Jul 1;12(3):483–9.
Lisiswanti R, Indah sari M, Swastyardi D. FACTORS AFFECTING LOW ACADEMIC ACHIEVEMENT OF UNDERGRADUATE MEDICAL STUDENTS: STUDENT EXPERIENCE. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education. 2022 Mar 22;11(1):108.
Cahyono A, Sajuni S. MEDICAL STUDENT’S ACADEMIC ACHIEVEMENT BETWEEN FIRST AND SECOND YEAR: A SINGLE-INSTITUTION CASE REPORT. Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education. 2022 Mar 22;11(1):74.
Hayat AA, Jahanian M, Bazrafcan L, Shokrpour N. Prevalence of academic procrastination among medical students and its relationship with their academic achievement. Shiraz E Medical Journal. 2020 Jul 1;21(7):1–7.
Jacqueline Kloos Emily Simon ASSEN, Bazella C. Neglect as an undefined and overlooked aspect of medical student mistreatment: A systematic review of the literature. Med Teach [Internet]. 2023;45(12):1395–403. Available from: https://doi.org/10.1080/0142159X.2023.2218982
Elisabeth Boileau CSO, Audétat MC. Is there a way for clinical teachers to assist struggling learners? A synthetic review of the literature. Adv Med Educ Pract [Internet]. 2017;8:89–97. Available from: https://www.tandfonline.com/doi/abs/10.2147/AMEP.S123410
Fokkens-Bruinsma M, Vermue C, Deinum JF, van Rooij E. First-year academic achievement: the role of academic self-efficacy, self-regulated learning and beyond classroom engagement. Assess Eval High Educ. 2021;46(7):1115–26.
Chung EK, Yun H, Yang JH, Shin MH, Han ER. Factors associated with academic performance among medical students at a medical school in South Korea: A retrospective cohort study. PLoS One. 2024 Feb 1;19(2 February).
Abdolalipour S, Namdar-Areshtanab H, Ghaffarifar S, Ghaffari R, Mirghafourvand M. Exploring the experiences of medical students regarding the factors affecting academic achievement: a qualitative study. BMC Med Educ. 2024 Dec 1;24(1):1292.
Watari T, Nagai N, Kono K, Onigata K. Background factors associated with academic motivation for attending medical school immediately after admission in Japan: A single-center study. J Gen Fam Med. 2022 May 1;23(3):164–71.
Roy T, Basu R, Chaudhary R, Khatoon T, Paul S, Ghosh D. Academic Achievement of First-year Medical Students using Self-directed Learning with Formative Assessment vs Conventional Teaching Method: A Longitudinal Study. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. 2024;
Nowreen N, Ahad F. Sources of stress among first-year medical students. Int J Med Sci Public Health. 2019;(0):1.
Isnayanti D, Harahap N. PROCEEDINGS-International Conference Internationalization of Islamic Higher Education Institutions Toward Global Competitiveness Stress Levels and Stressors of First Year Students in Faculty of Medicine, University of Muhammmadiyah Sumatera Utara. Medan; 2019 Sep.
Salgar S. Stress in first year medical students. International Journal of Biomedical and Advance Research. 2014 Jan 30;5(1):05.
Panja S, Dhali A, Avinash B, Chattopadhyay M, Bhowmick K, Biswas J. Psychological Stress Experienced by First-Year Medical Undergraduates: A Cross-Sectional Study From Eastern India. Cureus. 2023 Oct 9;
Heinen I, Bullinger M, Kocalevent RD. Perceived stress in first year medical students - associations with personal resources and emotional distress. BMC Med Educ. 2017 Jan 6;17(1):1–14.
Ebrahim OS, Sayed HA, Rabei S, Hegazy N. Perceived stress and anxiety among medical students at Helwan University: A cross-sectional study. J Public Health Res. 2024 Jan 1;13(1).
Karakose T. The relationship between medical students’ time management skills and academic achievement. Studies on Ethno-Medicine. 2015 Apr 1;9(1):19–24.
Kulkarni M. Time management skills among medical students. Vol. 11, Indian Journal of Public Health Research & Development. 2020.
Naik B, Rangasamy S, Vrushabhendra H. Time management among undergraduate medical students: A study from a tertiary health-care teaching institution in Puducherry. Journal of Integrated Health Sciences. 2019;7(2):39.
Pintér Z, Kardos D, Varga P, Kopjár E, Kovács A, Than P, et al. Effectivity of near-peer teaching in training of basic surgical skills – a randomized controlled trial. BMC Med Educ. 2021 Dec 1;21(1).
Jessica Tater Tony Zaharic WG, Cornwall J. How much is too much? Medical students’ perceptions of evaluation and research requests, and suggestions for practice. Assess Eval High Educ [Internet]. 2024;49(1):117–28. Available from: https://doi.org/10.1080/02602938.2023.2187330
Verma A, Patyal A, Meena JK, Mathur M, Mathur N. Interactive teaching in medical education: Experiences and barriers. Adesh University Journal of Medical Sciences & Research. 2021 Aug 21;3:69–73.
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