Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study

Abstract Background Structured peer-led tutorial courses are widespread and indispensable teaching methods that relieve teaching staff and contribute to the development of students’ competencies. Nevertheless, despite high general stress levels in medical students and associated increases in psychop...

Full description

Bibliographic Details
Main Authors: Jan Hundertmark, Simone Alvarez, Svetla Loukanova, Jobst-Hendrik Schultz
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-019-1521-2
_version_ 1818997250846621696
author Jan Hundertmark
Simone Alvarez
Svetla Loukanova
Jobst-Hendrik Schultz
author_facet Jan Hundertmark
Simone Alvarez
Svetla Loukanova
Jobst-Hendrik Schultz
author_sort Jan Hundertmark
collection DOAJ
description Abstract Background Structured peer-led tutorial courses are widespread and indispensable teaching methods that relieve teaching staff and contribute to the development of students’ competencies. Nevertheless, despite high general stress levels in medical students and associated increases in psychopathology, specific knowledge of peer tutors’ additional burdens is very limited. Methods Sixty student near-peer tutors from two structured peer-teaching programmes volunteered to participate. On multiple occasions in three different course sessions, we assessed tutors’ subjective stress, affective state, heart rate variability, and salivary cortisol. Additionally, tutors named everyday and course-specific stressors, which were evaluated by means of content analyses. Results The study participation rate was high (63% of all active tutors). The participating tutors are socially well adapted and resilient individuals. They report a variety of stressors such as time pressure, participant characteristics, teacher role demands, and study requirements, but nevertheless display only moderate psychological and physiological stress that decreases over sessions. Tutors’ negative affect in sessions is low; their positive affect is consistently high for senior as well as novice tutors. Tutors rate their courses’ quality as high and quickly recover after sessions. Conclusions Tutors successfully cope with teaching-associated and everyday life demands. The results corroborate the viability and success of current peer-teaching programmes from the tutors’ perspective. This study is the first to comprehensively quantify tutors’ stress and describe frequent stressors, thus contributing to the development of better peer teaching programmes and tutor qualification training.
first_indexed 2024-12-20T21:42:39Z
format Article
id doaj.art-aa29316a74df42be898ae178100536de
institution Directory Open Access Journal
issn 1472-6920
language English
last_indexed 2024-12-20T21:42:39Z
publishDate 2019-04-01
publisher BMC
record_format Article
series BMC Medical Education
spelling doaj.art-aa29316a74df42be898ae178100536de2022-12-21T19:25:45ZengBMCBMC Medical Education1472-69202019-04-0119111610.1186/s12909-019-1521-2Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods studyJan Hundertmark0Simone Alvarez1Svetla Loukanova2Jobst-Hendrik Schultz3Clinic for General Internal Medicine and Psychosomatics, University Hospital HeidelbergClinic for General Internal Medicine and Psychosomatics, University Hospital HeidelbergDepartment of General Practice and Health Services Research, University Hospital HeidelbergClinic for General Internal Medicine and Psychosomatics, University Hospital HeidelbergAbstract Background Structured peer-led tutorial courses are widespread and indispensable teaching methods that relieve teaching staff and contribute to the development of students’ competencies. Nevertheless, despite high general stress levels in medical students and associated increases in psychopathology, specific knowledge of peer tutors’ additional burdens is very limited. Methods Sixty student near-peer tutors from two structured peer-teaching programmes volunteered to participate. On multiple occasions in three different course sessions, we assessed tutors’ subjective stress, affective state, heart rate variability, and salivary cortisol. Additionally, tutors named everyday and course-specific stressors, which were evaluated by means of content analyses. Results The study participation rate was high (63% of all active tutors). The participating tutors are socially well adapted and resilient individuals. They report a variety of stressors such as time pressure, participant characteristics, teacher role demands, and study requirements, but nevertheless display only moderate psychological and physiological stress that decreases over sessions. Tutors’ negative affect in sessions is low; their positive affect is consistently high for senior as well as novice tutors. Tutors rate their courses’ quality as high and quickly recover after sessions. Conclusions Tutors successfully cope with teaching-associated and everyday life demands. The results corroborate the viability and success of current peer-teaching programmes from the tutors’ perspective. This study is the first to comprehensively quantify tutors’ stress and describe frequent stressors, thus contributing to the development of better peer teaching programmes and tutor qualification training.http://link.springer.com/article/10.1186/s12909-019-1521-2Peer assisted learningPeer teachingTutorsStressMedical studentsCortisol
spellingShingle Jan Hundertmark
Simone Alvarez
Svetla Loukanova
Jobst-Hendrik Schultz
Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
BMC Medical Education
Peer assisted learning
Peer teaching
Tutors
Stress
Medical students
Cortisol
title Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
title_full Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
title_fullStr Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
title_full_unstemmed Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
title_short Stress and stressors of medical student near-peer tutors during courses: a psychophysiological mixed methods study
title_sort stress and stressors of medical student near peer tutors during courses a psychophysiological mixed methods study
topic Peer assisted learning
Peer teaching
Tutors
Stress
Medical students
Cortisol
url http://link.springer.com/article/10.1186/s12909-019-1521-2
work_keys_str_mv AT janhundertmark stressandstressorsofmedicalstudentnearpeertutorsduringcoursesapsychophysiologicalmixedmethodsstudy
AT simonealvarez stressandstressorsofmedicalstudentnearpeertutorsduringcoursesapsychophysiologicalmixedmethodsstudy
AT svetlaloukanova stressandstressorsofmedicalstudentnearpeertutorsduringcoursesapsychophysiologicalmixedmethodsstudy
AT jobsthendrikschultz stressandstressorsofmedicalstudentnearpeertutorsduringcoursesapsychophysiologicalmixedmethodsstudy