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The effects of diverse fidelity scenarios on stress in medical students when taking patients' medical histories: A longitudinal study

Taking patients' medical history correctly is the basis of diagnosis and therapy. Medical students as a vulnerable group may perceive patient-physician interactions as stressful. This study examines stress among medical students in different degrees of fidelity when taking a patient's medi...

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Bibliographic Details
Main Authors: Herrmann-Werner, Anne (Author) , Erschens, Rebecca (Author) , Fries, Maximilian (Author) , Wehner, Hannah (Author) , Zipfel, Stephan (Author) , Festl-Wietek, Teresa (Author)
Format: Article (Journal)
Language:English
Published: August 2023
In: Stress and health
Year: 2023, Volume: 39, Issue: 3, Pages: 553-561
ISSN:1532-2998
DOI:10.1002/smi.3206
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1002/smi.3206
Verlag, kostenfrei, Volltext: http://onlinelibrary.wiley.com/doi/abs/10.1002/smi.3206
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Author Notes:Anne Herrmann-Werner, Rebecca Erschens, Maximilian Fries, Hannah Wehner, Stephan Zipfel, Teresa Festl-Wietek
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Summary:Taking patients' medical history correctly is the basis of diagnosis and therapy. Medical students as a vulnerable group may perceive patient-physician interactions as stressful. This study examines stress among medical students in different degrees of fidelity when taking a patient's medical history. In this longitudinal study, students' stress levels were assessed during scenarios with different degrees of fidelity (role-play, simulated patient encounters and real patient encounters) using standardised questionnaires (State-Trait Anxiety Inventory and a distress scale) and the physiological measurement of heart rate variability. The stress level of participating medical students (N = 128) was expected to significantly increase during scenarios of increasing fidelity (Mroleplay = 2.08 ± 0.92; SPEs: Msimulatedpatient = 2.68 ± 1.08; RPEs: Mrealpatient = 3.35 ± 1.08; p < 0.001). Whereas physiological stress was significantly higher with real patients (N = 106), psychological stress was not affected by the fidelity of the scenarios (N = 85). Medical students experienced stress when taking patients' medical history. Medical students might be unaware of their perceived stress based on the results. Thus, they should know how to cope with stress in such situations.
Item Description:Erstmals veröffentlicht: 26. Oktober 2022
Gesehen am 25.06.2024
Physical Description:Online Resource
ISSN:1532-2998
DOI:10.1002/smi.3206

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