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Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure

Objective: The concept of perfectionism comprises high standards of performance as needed in medicine, but also concerns about making mistakes and dealing with social reactions about not being perfect. Perfectionism is associated with motivation and deep learning strategies but high expression of pe...

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Autores principales: Vogel, Daniela, Seeliger, Helen, Harendza, Sigrid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737256/
https://www.ncbi.nlm.nih.gov/pubmed/31544144
http://dx.doi.org/10.3205/zma001252
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author Vogel, Daniela
Seeliger, Helen
Harendza, Sigrid
author_facet Vogel, Daniela
Seeliger, Helen
Harendza, Sigrid
author_sort Vogel, Daniela
collection PubMed
description Objective: The concept of perfectionism comprises high standards of performance as needed in medicine, but also concerns about making mistakes and dealing with social reactions about not being perfect. Perfectionism is associated with motivation and deep learning strategies but high expression of perfectionism has been found to be associated with symptoms of stress and anxiety in students. We aim to gain insights into the longitudinal development of different dimensions of perfectionism in medical students with respect to their way of medical school admission. Methods: At the Medical Faculty of Hamburg University, 167 undergraduate medical students completed validated questionnaires (MPS-H and MPS-F) of different dimensions of perfectionism and sociodemographic data including medical school admission procedures, personality traits (BSI-10 and GSE), and symptoms of depression and anxiety (PHQ-9 and GAD-7) at the start of their first year and at half term of their second year. Results: On average, after controlling for baseline and age, a significant decrease (p≤0.05) in Self-Oriented Perfectionism was found during the first two years in students who were admitted after a waiting period (M: -12.57; 95% CI: [-21.94 – -3.35]), by other ways of medical school entrance (M: -6.36; 95% CI: [-12.71 – -0.02]), by multiple mini-interviews (HAM-Int) (M: -5.52; 95% CI: [-9.90 – -1.14]), and by a natural science test (HAM-Nat) (M: -3.41; 95% CI: [-6.71 – -0.11]. Waiting period students also showed a significant longitudinal decline in the scale Personal Standards (M: -4.62; 95% CI: [-8.04 – -1.21]. Conclusions: Since medical students from all admission groups except from the high school degree group showed a significant longitudinal decrease in Self-Oriented Perfectionism, high levels of aspects of perfectionism associated with intrinsic motivation or deep learning strategies could be included medical school admission processes. Additionally, particular attention needs to be paid not to induce a loss of intrinsic motivation or deep learning strategies during undergraduate medical education.
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spelling pubmed-67372562019-09-20 Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure Vogel, Daniela Seeliger, Helen Harendza, Sigrid GMS J Med Educ Article Objective: The concept of perfectionism comprises high standards of performance as needed in medicine, but also concerns about making mistakes and dealing with social reactions about not being perfect. Perfectionism is associated with motivation and deep learning strategies but high expression of perfectionism has been found to be associated with symptoms of stress and anxiety in students. We aim to gain insights into the longitudinal development of different dimensions of perfectionism in medical students with respect to their way of medical school admission. Methods: At the Medical Faculty of Hamburg University, 167 undergraduate medical students completed validated questionnaires (MPS-H and MPS-F) of different dimensions of perfectionism and sociodemographic data including medical school admission procedures, personality traits (BSI-10 and GSE), and symptoms of depression and anxiety (PHQ-9 and GAD-7) at the start of their first year and at half term of their second year. Results: On average, after controlling for baseline and age, a significant decrease (p≤0.05) in Self-Oriented Perfectionism was found during the first two years in students who were admitted after a waiting period (M: -12.57; 95% CI: [-21.94 – -3.35]), by other ways of medical school entrance (M: -6.36; 95% CI: [-12.71 – -0.02]), by multiple mini-interviews (HAM-Int) (M: -5.52; 95% CI: [-9.90 – -1.14]), and by a natural science test (HAM-Nat) (M: -3.41; 95% CI: [-6.71 – -0.11]. Waiting period students also showed a significant longitudinal decline in the scale Personal Standards (M: -4.62; 95% CI: [-8.04 – -1.21]. Conclusions: Since medical students from all admission groups except from the high school degree group showed a significant longitudinal decrease in Self-Oriented Perfectionism, high levels of aspects of perfectionism associated with intrinsic motivation or deep learning strategies could be included medical school admission processes. Additionally, particular attention needs to be paid not to induce a loss of intrinsic motivation or deep learning strategies during undergraduate medical education. German Medical Science GMS Publishing House 2019-07-15 /pmc/articles/PMC6737256/ /pubmed/31544144 http://dx.doi.org/10.3205/zma001252 Text en Copyright © 2019 Vogel et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Vogel, Daniela
Seeliger, Helen
Harendza, Sigrid
Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title_full Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title_fullStr Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title_full_unstemmed Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title_short Longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
title_sort longitudinal development of different dimensions of perfectionism in undergraduate medical students with respect to their medical school admission procedure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737256/
https://www.ncbi.nlm.nih.gov/pubmed/31544144
http://dx.doi.org/10.3205/zma001252
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