title: Perceived stress at transition to workplace: a qualitative interview study exploring final-year medical students' needs.
abstract: OBJECTIVE
  This study was designed to explore final-year medical students' stressors and coping strategies at the transition to the clinical workplace.
  
  
  METHODS
  In this qualitative study, semi-standardized interviews with eight final-year medical students (five male, three female; aged 25.9±1.4 years) were conducted during their internal medicine rotation. After verbatim transcription, a qualitative content analysis of students' impressions of stress provoking and easing factors during final-year education was performed.
  
  
  RESULTS
  Students' statements regarding burdens and dealing with stress were classified into four main categories: A) perceived stressors and provoking factors, B) stress-induced consequences, C) personal and external resources for preventing and dealing with stress, and D) final-year students' suggestions for workplace improvement.
  
  
  CONCLUSIONS
  Final-year medical students perceived different types of stress during their transition to medical wards, and reported both negative consequences and coping resources concerning perceived stress. As supervision, feedback, and coping strategies played an important role in the students' perception of stress, final-year medical education curricula development should focus on these specifically.
authors.affiliation: Department for General Internal and Psychosomatic Medicine, University Hospital of Heidelberg, Heidelberg, Germany; School of Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany.
authors.forename: Tobias R
authors.initials: TR
authors.lastname: Moczko
authors.affiliation: Department for General Internal and Psychosomatic Medicine, University Hospital of Heidelberg, Heidelberg, Germany.
authors.forename: Till J
authors.initials: TJ
authors.lastname: Bugaj
authors.affiliation: Department for General Internal and Psychosomatic Medicine, University Hospital of Heidelberg, Heidelberg, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Herzog
authors.affiliation: Department for General Internal and Psychosomatic Medicine, University Hospital of Heidelberg, Heidelberg, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Nikendei
keywords: final-year medical education; qualitative research; stress prevention; undergraduate medical education; workplace learning
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