Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Exploring the Psychosocial Characteristics and Systematic Support of Academically Maladjusted Students

의과대학 학업부적응 학생의 심리사회적 특성과 체계적 지원방안에 대한 탐색

  • Park, Young-Soon (Department of Medical Education, Konyang University College of Medicine) ;
  • Chun, Kyunghee (Department of Medical Education, Konyang University College of Medicine) ;
  • Lee, Tae Hee (Division of Gastroenterology, Department of Internal Medicine, Konyang University College of Medicine)
  • 박영순 (건양대학교 의과대학 의학교육학교실) ;
  • 천경희 (건양대학교 의과대학 의학교육학교실) ;
  • 이태희 (건양대학교 의과대학 소화기내과학교실)
  • Received : 2022.08.22
  • Accepted : 2022.10.17
  • Published : 2022.10.31
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Abstract

The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

Keywords

Acknowledgement

민감 자료가 포함될 수 있어 구체적인 소속과 성명을 밝히지 않으나 본 연구를 위해 인터뷰에 응해 주신 10명의 의학교육 전문가들께 감사의 말씀을 전한다.

References

  1. Yoo HJ, Hwang SH, Han OS, Hong CG. Reviews on the psychological variables concerning the successful adjustment in medical colleges. Korean J Med Educ. 1998;10(2):323-35.
  2. Kim SH, Jeon WT. The failure experiences of medical school students: a qualitative study. Korean J Med Educ. 2008;20(4):351-62. https://doi.org/10.3946/kjme.2008.20.4.351
  3. Chun KH, Park WK, Park YS, Kang E, Lee SS. A study on the educational climate, self-directed learning and creative thinking in medical school. Korean J Think Dev. 2010;6(1):179-200.
  4. Park KH, Park JH, Kim S, Rhee JA, Kim JH, Ahn YJ, et al. Students' perception of the educational environment of medical schools in Korea: findings from a nationwide survey. Korean J Med Educ. 2015;27(2):117-30. https://doi.org/10.3946/kjme.2015.27.2.117
  5. Lee DH. Development and application of programs that support learning for students on academic probation and groups likely to receive academic probation: focusing on the learning support program based on d university's 3-step learning special management system. J Learn Cent Curr Instr. 2021;21(12):275-94.
  6. Korean Institute of Medical Education and Evaluation. Accreditation standards of KIMEE 2019. Seoul: Korean Institute of Medical Education and Evaluation; 2021.
  7. Kim EJ. Needs analysis of medical student support system in medical school [master's thesis]. Seoul: Seoul National University; 2016.
  8. Chung EK, Chay KO, Han ER. A case study on approaches to supporting medical students with burnout experience. Korean Med Educ Rev. 2014;16(2):88-91. https://doi.org/10.17496/kmer.2014.16.2.088
  9. Yoon TH, Yune SJ, Yoon S, Lee SH, Jeong IS, Park BK, et al. Comparison of students' characteristics and perceptions before and after introduction into graduate medical school system. Korean J Med Educ. 2007;19(3):251-5. https://doi.org/10.3946/kjme.2007.19.3.251
  10. Koh E, Cho M, Park J, Seo YS. A validation study of the School Attitude Assessment Scale-revised for Korean college students. Korean J Youth Stud. 2010;17(6):103-27.
  11. Fong CJ, Krause JM. Lost confidence and potential: a mixed methods study of underachieving college students' sources of self-efficacy. Soc Psychol Educ. 2014;17(2):249-68. https://doi.org/10.1007/s11218-013-9239-1
  12. Shim UB. A meta-analysis of school maladjustment: focused on related triggering variables and the protective variables [dissertation]. Seoul: Korea University; 2015.
  13. Lim IR, Oh I. Exploration of psychological, academic competence, and environmental/support factors influencing college students' academic achievements. Asian J Educ. 2016;17(4):285-309. https://doi.org/10.15753/aje.2016.12.17.4.285
  14. Klassen RM, Krawchuk LL, Rajani S. Academic procrastination of undergraduates: low self-efficacy to self-regulate predicts higher levels of procrastination. Contemp Educ Psychol. 2008;33(4):915-31. https://doi.org/10.1016/j.cedpsych.2007.07.001
  15. Kim MS, Choi YH, Suk BO, Baek KY, Lee DG. The clusters of multidimensional perfectionism and self-determination, and their differences in academic procrastination. Korean J Soc Personal Psychol. 2009;23(3):39-56.
  16. Steel P. The nature of procrastination: a meta-analytic and theoretical review of quintessential self-regulatory failure. Psychol Bull. 2007;133(1):65-94. https://doi.org/10.1037/0033-2909.133.1.65
  17. Lee JK. Analysis of structural relations among college students' stress, school maladjustment, academic achievement, and latent dropout intention. J Soc Sci. 2018;34(3):1-24.
  18. Teddlie C, Tashakkori A. Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences. Thousand Oaks (CA): Sage Publication; 2009.
  19. Merriam SB. Qualitative research: a guide to design and implementation. 3rd ed. San Francisco (CA): Jossey-Bass; 2009.
  20. Reynolds CR, Kamphaus RW. BASC: Behavior Assessment System for Children: manual. Circle Pines (MN): American Guidance Service; 1992.
  21. Ahn MH. User guide: KBASC-2 (Korean Behavior Assessment System for Children-2). Seoul: Insight Psychology; 2015.
  22. Kim SY. Expert guide: College Student Adaptability Test. Seoul: Insight Psychology; 2016.
  23. Bang H, Petersson BH, Agergaard M, Risor T, Eriksen TR. Is it time to reevaluate the entrance requirements for medical studies? Ugeskr Laeger. 2006;168(18):1753-5.
  24. Ruban PU, Petersen MG, Moller-Madsen B. More than half of the medical students who apply for a dispensation drop out and need focused counselling. Dan Med J. 2013;60(7):A4663.
  25. Cho DY. Clinical behavioral science: general hospital psychiatry. Seoul: Iljogag; 1985.
  26. Jeon WT. A new search for medical student learning and life guidance: based on student counseling cases in 2005. Korean Med Educ Rev. 2006;8(1):23-33.
  27. Vitaliano PP, Russo J, Carr JE, Heerwagen JH. Medical school pressures and their relationship to anxiety. J Nerv Ment Dis. 1984;172(12):730-6. https://doi.org/10.1097/00005053-198412000-00006
  28. Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ. 1995;29(5):337-41. https://doi.org/10.1111/j.1365-2923.1995.tb00022.x
  29. Imperato PJ, Nayeri K. First year medical student experiences with being discouraged from entering medical school. N Y State J Med. 1991;91(6):243-4.
  30. Miller PM. The first year at medical school: some findings and student perceptions. Med Educ. 1994;28(1):5-7. https://doi.org/10.1111/j.1365-2923.1994.tb02678.x
  31. Woods SM, Natterson J, Silverman J. Medical students' disease: hypochondriasis in medical education. J Med Educ. 1966;41(8):785-90.
  32. Han ER, Chung EK, Oh SA, Chay KO, Woo YJ. Medical students' failure experiences and their related factors. Korean J Med Educ. 2012;24(3):233-40. https://doi.org/10.3946/kjme.2012.24.3.233
  33. Doherty EM, Nugent E. Personality factors and medical training: a review of the literature. Med Educ. 2011;45(2):132-40. https://doi.org/10.1111/j.1365-2923.2010.03760.x
  34. Lievens F, Coetsier P, De Fruyt F, De Maeseneer J. Medical students' personality characteristics and academic performance: a five-factor model perspective. Med Educ. 2002;36(11):1050-6. https://doi.org/10.1046/j.1365-2923.2002.01328.x
  35. Sayer M, Chaput De Saintonge M, Evans D, Wood D. Support for students with academic difficulties. Med Educ. 2002;36(7):643-50. https://doi.org/10.1046/j.1365-2923.2002.01259.x
  36. Cleland J, Arnold R, Chesser A. Failing finals is often a surprise for the student but not the teacher: identifying difficulties and supporting students with academic difficulties. Med Teach. 2005;27(6):504-8. https://doi.org/10.1080/01421590500156269
  37. Sobral DT. What kind of motivation drives medical students' learning quests? Med Educ. 2004;38(9):950-7. https://doi.org/10.1111/j.1365-2929.2004.01913.x
  38. Malik S. Students, tutors and relationships: the ingredients of a successful student support scheme. Med Educ. 2000;34(8):635-41. https://doi.org/10.1046/j.1365-2923.2000.00541.x
  39. Arulampalam W, Naylor R, Smith J. Factors affecting the probability of first year medical student dropout in the UK: a logistic analysis for the intake cohorts of 1980-92. Med Educ. 2004;38(5):492-503. https://doi.org/10.1046/j.1365-2929.2004.01815.x
  40. Lee SO, Lee SY, Baek S, Woo JS, Im SJ, Yune SJ, et al. Two-and-a-half year follow-up study of strategy factors in successful learning to predict academic achievements in medical education. Korean J Med Educ. 2015;27(2):99-105. https://doi.org/10.3946/kjme.2015.27.2.99
  41. Jeon HJ. A study on students at top-ranked universities who received repeated academic probations [dissertation]. Seoul: Seoul National University; 2017.
  42. Kim EK, Baek S, Woo JS, Im SJ, Lee SH, Kam B, et al. Group counseling for medical students with drop-out experiences. Korean J Med Educ. 2013;25(1):23-8. https://doi.org/10.3946/kjme.2013.25.1.23