Educational Environment and Mental Wellbeing of Medical and Surgical Postgraduate Residents in Medellin, Colombia

Rev Colomb Psiquiatr. 2021 Apr 17;S0034-7450(21)00040-8. doi: 10.1016/j.rcp.2021.02.003. Online ahead of print.
[Article in English, Spanish]

Abstract

Introduction: One of the most important moments in a doctor's life occurs when they do a medical residency. This period imposes stress and academic demands, which, together with the educational environment, allows for greater or lesser mental wellbeing. The objective of this study was to determine how the educational environment and mental wellbeing of medical residents are related.

Methods: Analytical cross-sectional study, in residents of clinical-surgical specialties. The educational environment was assessed using the Postgraduate Hospital Educational Environment Measure (PHEEM), and mental wellbeing was assessed with the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Pearson's linear correlation was determined. Informed consent and approval by the university ethics committee were obtained.

Results: The study population comprised 131 students, 43.8% male, with a median age of 28 years (interquartile range 4). In total, 87.9% of residents answered the survey. Of these, 65.9% were doing medical residencies and 34.1% surgical residencies. The mean PHEEM score was 107.96±18.88, the positive emotions subscale was 29.32±5.18 and positive functioning 23.61±3.57, with a mean total mental wellbeing of 52.96±8.44. A positive and moderate correlation was found between the total PHEEM score and each of the two mental wellbeing subscales (p <0.001).

Conclusions: A positive correlation was found between a better perception of the educational environment and mental wellbeing by residents of clinical and surgical specialties with greater mental wellbeing.

Keywords: Ambiente; Bienestar mental; Educación médica; Environment; Estudiantes; Health promotion; Medical education; Mental health; Mental wellbeing; Promoción de la salud; Salud mental; Students.