Duerr, Emily, BS

O’Brien, Kevin, MD

Thomas, Katryna, BS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksUSF-LVHN SELECTComparison of Grit, Depression, Anxiety andUSMLE Scores in the Civilian and MilitaryMedical Student PopulationsEmily Duerr BSUSF MCOM- LVHN Campus, Emily.Duerr@lvhn.orgKevin O’Brien MDUSF MCOM- LVHN CampusKatryna Thomas BSUSF MCOM- LVHN CampusFollow this and additional works at: https://scholarlyworks.lvhn.org/select-programPart of the Medical Education CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtDuerr, E. O’Brien, K. Thomas, K. (2019, March). Comparison of Grit, Depression, Anxiety and USMLE Scores in the Civilian and MilitaryMedical Student Populations. Poster Presented at: Poster Presented at: 2019 SELECT Capstone Posters and Presentations Day. KasychFamily Pavilon, Lehigh Valley Health Network, Allentown, PA..REFERENCES1. Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81(4), 354-373.2. Dyrbye, L. N., Thomas, M. R., Huschka, M. M., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2006, November). A multicenter study of burnout, depression, and quality of life in minority and nonminority US medicalstudents. In Mayo Clinic Proceedings (Vol. 81, No. 11, pp. 1435-1442). Elsevier.3. Wolf, T. M., Faucett, J. M., Randall, H. M., & Balson, P. M. (1988). Graduating medical students' ratings of stresses, pleasures, and coping strategies. Academic Medicine, 63(8), 636-42.4. Jacobson, I. G., Horton, J. L., LeardMann, C. A., Ryan, M. A., Boyko, E. J., Wells, T. S., ... & Smith, T. C. (2012).Posttraumatic stress disorder and depression among US military health care professionals deployed in support of operations in Iraq and Afghanistan. Journal of traumatic stress, 25(6), 616-623.5. Dickstein, B. D., Steenkamp, M. M., & Benson, T. A. (2010). Unit cohesion and PTSD symptom severity in Air Force medical personnel. Military medicine, 175(7), 482.6. Gibbons, S. W., Hickling, E. J., & Watts, D. D. (2012). Combat stressors and post-traumatic stress in deployed military healthcare professionals: An integrative review. Journal of advanced nursing, 68(1), 3-21.7. Oliver, L. W., Harman, J., Hoover, E., Hayes, S. M., & Pandhi, N.A. (1999). A quantitative integration of the militarycohesion literature.8. Maguen, S., Turcotte, D. M., Peterson, A. L., Dremsa, T. L., Garb, H. N., McNally, R. J., & Litz, B. T. (2008). Description  of risk and resilience factors among military medical personnel before deployment to Iraq. Military medicine, 173(1), 1- 9.9. Griffith, J. (2002). Multilevel analysis of cohesion's relation to stress, well-being, identification, disintegration, andperceived combat readiness. Military Psychology, 14(3), 217.10. Kroenke, K., Strine, TW., Spitzer, RL., Williams, JB., Berry, JT., Mokdad, AH. (2009). The PHQ-8 as a measure of current depression in the general population. J Affect Disorder, 114(1-3), 163-73.11. Jordan, P., Shedden-Mora, M., Lowe, B. (2017). Psychometric analysis of the Generalized Anxiety Disorder scale (GAD-7) in primary care using modern item response theory. PLoS One, 12(8).12. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.13. Duckworth, A. L., Peterson, C., Matthews, M. D., & Kelly, D. R. (2007). Grit: Perseverance and passion for long-termgoals. Journal of Personality and Social Psychology, 92(6), 1087-1101.© 2018 Lehigh Valley Health NetworkComparison of Grit, Depression, Anxiety and USMLE Scores in the Civilian and Military Medical Student PopulationsEmily Duerr, BS; Kevin O’Brien, MD; Katryna Thomas, BSUniversity of South Florida Morsani College of MedicineLehigh Valley Health Network, Allentown, Pennsylvania• While there were higher percentages of no or minimal depression or anxiety in the military group when compared to their civilian counterparts, there was no significant difference.• Future studies should examine the differences between military medical students before and after their military training in a larger sample to determine a true difference.• There were 135 civilian responses and 24 military responses to the administered Qualtrics survey. This resulted in a response rate of 19.8% for the civilian subgroup and 72.7% for the military subgroup. The mean, range, and median of each QoL survey is seen in Table 1.• There were only 74 civilian responses and 17 military responses to the self-reporting of USMLE scores, with the majority of both groups reporting their Step 1 score between 231-250. The distribution of scores can be seen in Figures 1 & 2.• Figure 3 displays the percentage of each GRIT score.• No significant differences between populations. Civilian shows higher percentage reporting depression/anxiety with the Military group showing higher percentage reporting increased GRIT.• Study limited by small sample size of 35 military students. It did not examine the direct effects of training by comparing military before and after training.• Future implications would include examining a greater sample of military students or comparing military students before and after training with regard to QoL scores.• SELECT Influence, Leadership:– Resilience is a key component of leadership, team success– Hypothesized that military training can teach resiliency while it teaches leadership– Taught resiliency can help these students becomebetter leaders– More representative sample needed to determine if military training can have an impact• SELECT Influence, Health Systems:– Key players in the healthcare hierarchy are working at their best, most efficient selves– Crucial to address the mental health of those caring for patients• IRB approved, cross-sectional study collected data through an emailed online anonymous Qualtrics study. The survey was administered during the spring semester of 2017-2018.The classes of 2018, 2019, 2020, and 2021 were included totaling 680 civilian studentsand 35 military.• Outcome measures: Patient Health Questionnaire Depression Scale 8 (PHQ8), Generalized Anxiety Disorder-7 (GAD7), 8 Item Grit Scale (GRIT), and Perceived Self Stress (PSS) scale10-13 as well as self-reported USMLE Step 1 and 2 exam scores.• Scores from the QoL Surveys and USMLE Step 1 and Step 2 were analyzed via t test.BackgroundMethodsResults DiscussionConclusion• Medical student distress can affect Quality of Life (QoL) and physician outcomes. Meta-analysis have demonstrated that distress negatively impacts medical student QoL attrition, and academic performance.1,2,3• Resilience is defined simply as “the ability to bounce back.” Resilience has been shown to positively correlate with QoL & empathy scores & decreases in burnout, anxiety, & depression.4• The incidence of psychological distress in military healthcare providers was equal to or less than their non-medical military peers.5-9 Similar to medical school QoL studies, it has been shown that resiliency factors that were protective againstdeveloping psychological stress included socialsupport.6• Officer Training could foster resilience and help combat the stress of medical school affecting QoL.• The goal of this research study is to determine if there is a difference in Quality of Life measurements and academic performance onUSMLE exams between military medical students and their civilian counterparts.QoLMeasurement Mean Range MedianToolp ValueCivilian PHQ8 5.25 24 3.00.339Military PHQ8 4.08 22 3.0Civilian GAD7 4.95 21 3.00.639Military GAD7 4.46 21 2.5Civilian PSS 14.47 36 14.00.2015%60% 63%10%20%13%13%0% 0%16%54%27%0%52%35%26% 27%24%8%6%3%0%24%35%Military PSS 12.48 23 12.0Civilian GRIT 3.66 3 3.63Military GRIT 3.89 2 4.0Table 10.1150% 0% 0% 0%5%0%13%194-200       201-210       211-220       221-230       231-240       241-250       251-260       261-270CIVILIAN VS MILITARY USMLE STEP 2 SCORESCivilian Military2%1%4%9%NOT AT ALL GRITTYSOMEWHAT          MILDLY GRITTY        MODERATELY GRITTY GRITTYEXTREMELY GRITTYCIVILIAN VS MILITARY PERCENTAGE GRITSCORESCivilianMilitary3%6%7%18%9%0%6%194-200      201-210      211-220      221-230      231-240      241-250      251-260      261-270CIVILIAN VS MILITARY USMLE STEP 1 SCORESCivilianMilitaryFigure 1Figure 2Figure 3Problem Statement

Comparison of Grit, Depression, Anxiety and USMLE Scores in the Civilian and Military Medical Student Populations

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1249&context=select-program

Comparison of Grit, Depression, Anxiety and USMLE Scores in the Civilian and Military Medical Student Populations

Abstract

Similar works

Full text

Available Versions

Lehigh Valley Health Network: LVHN Scholarly Works