Comparison of Quality of Life of Medical Students in Annual and Modular System in Public Sector Medical Colleges in Karachi, Pakistan
DOI:
https://doi.org/10.5195/ijms.2022.1028Keywords:
WHOQOL-BREF, Medical students, Quality of lifeAbstract
Background: Curriculum structure in medical education in Pakistan includes an annual system which is based on subject wise learning and clinical rotations, and a modular system, with the basic and clinical sciences taught cohesively. The effect of curriculum designs in the quality of life (QoL) of medical students has not been assessed in Pakistan. We aimed to compare these two curriculum structures focused on QoL.
Methods: Cross-sectional study of medical students from three different medical schools in Karachi, Pakistan, comparing QoL based on their curriculums. QoL was measured using the WHOQOL-BREF questionnaire. Through random sampling students from each year (1st-5th year) in each institution were selected. Kruskal Wallis test and Mann-Whitney U test were used to compare scores among different years of medical training and between curricular systems.
Results: Response rate was 85%. Out of 404 participants, 81.3% were females, and age average was 21±1 years. According to the year of study, significant differences were observed in physical health and overall QoL domain, with 3rd-year students having the highest scores. Overall QoL of students in clinical years was found to be significantly higher than those in preclinical years. The modular system was found to have a better but not significantly higher QoL when compared to the annual system (mean 83.34±11.41 vs. 82.32±10.27, respectively).
Conclusion: Overall QoL in the modular system was slightly higher than the annual system, but a significant difference was noted only in the environmental domain. QoL of students in clinical years was higher than preclinical years.
Metrics
References
Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students: A cross-sectional study at a college of Medicine in Saudi Arabia. J Health Popul Nutr 2011; 29:516-22.
Sohail N. Stress and academic performance among medical students. J Coll Physicians Surg Pak 2013; 23(1): 67-71.
Qamar K, Khan NS, Bashir Kiani MR. Factors associated with stress among medical students. J Pak Med Assoc 2015; 65(7): 753-5.
WHOQOL Group. Measuring quality of life. Available from: https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/. Last updated March 11, 2020; cited June 17, 2020.
Rocha IC, Arcinas MM. Quality of life of Filipino caregivers of children in need of special protection: correlations with their role overload and role distress. Journal of Caring Sciences. 2020 Dec;9(4):173.
Li K, Kay NS, Nokkaew N. The performance of the World Health Organization’s WHOQOL-BREF in assessing the quality of life of Thai college students. Soc Indic Res 2009; 90:489–501.
Naseem S, Orooj F, Ghazanfar H, Ghazanfar A. Quality of life of Pakistani medical students studying in a private institution. J Pak Med Assoc 2016; 66:579-83.
Akhtar M, Herwig BK, Faize FA. Depression and Anxiety among International Medical Students in Germany: The Predictive Role of Coping Styles J Pak Med Assoc 2019; 69(2): 230-4.
Jadoon NA, Yaqoob R, Raza A, Shehzad MA, Zeshan SC. Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc 2010; 60: 699-702.
Dow University of Health Sciences. Integrated modular medical curriculum. Available from: https://www.duhs.edu.pk/download/Final%20Module%20Book-20160514.pdf. Last updated December 29, 2019; cited June 17, 2020.
Sindh Medical College, Jinnah Sindh Medical University. Study guide-MBBS/Modules. Available from: http://www.jsmu.edu.pk/institute-smc-mbbs-study-guide.html. Last updated May 19, 2020; cited June 17, 2020.
Karachi Medical and Dental College. The curriculum of MBBS. Available from: https://kmdc.edu.pk/the-curriculum-of-mbbs/. Last updated June 10, 2020; cited June 17, 2020.
Zhang Y, Qu B, Lun S, Wang D, Guo Y, Liu J. Quality of life of medical students in China: a study using the WHOQOL-BREF. PLoS One 2012; 7:e49714. doi: 10.1371/journal.pone.0049714.
Mazaheri M. Overall and specific life satisfaction domains: preliminary Iranian students norms. Iran J Public Health 2010; 39:89-94
Cherkil S, Gardens SJ, Deepak KS. Perceived stressors as determinants of quality of life among the undergraduates in medical education. The International Journal of Indian Psychology 2019; 7: 519-28.
Paro HB, Morales NM, Silva CH, Rezende CH, Pinto RM, Morales RR, et al. Health-related quality of life of medical students. Med Educ 2010; 44: 227-35
Mazaheri M. Overall and specific life satisfaction domains: preliminary Iranian students norms. Iran J Public Health 2010; 39:89-94
Ghazanfar H, Hameed S, Bhatti JRA, HaqIu, Saeed R, Shafi MS, et al. Stressors and coping strategies for stress among Pakistani medical students. RMJ 2015; 40: 228-32.
Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep disturbances among medical students: a global perspective. J Clin Sleep Med 2015; 11:69-74.
Rao CR, Darshan BB, Das N, Rajan V, Bhogun M, Gupta A. Practice of physical activity among future doctors: A cross sectional analysis. Int J Prev Med 2012; 3:365-9.
Yune SJ, Jung JS. Changes of academic performance by integration between basic and clinical medicine in pre-clerkship medical education. Korean J Med Educ 2018; 30:209–18.
Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: improving student wellness through curricular changes. Acad Med 2014; 89(4): 573-7.
Andre A, Pierre GC, McAndrew M. Quality of life among dental students: A survey study. J Dent Educ 2017; 81:1164-70.
Brajša-Žganec A, Merkaš M, Šverko I. Quality of life and leisure activities: How do leisure activities contribute to subjective well-being?. Soc Indic Res 2011; 102:81-91.
Liénard A, Merckaert I, Libert Y, Bragard I, Delvaux N, Etienne A, et al. Transfer of communication skills to the workplace during clinical rounds: impact of a program for residents. PLoS One 2010; 5:e12426.
Worobetz A, Retief PJ, Loughran S, Walsh J, Casey M, Hayes P, et al. A feasibility study of an exercise intervention to educate and promote health and well-being among medical students: the ‘MED-WELL’programme. BMC Med Educ 2020; 20(1): 183
Published
Versions
- 2022-10-21 (3)
- 2022-09-28 (2)
How to Cite
License
Copyright (c) 2022 Ayema Haque, Sobia Mansoor, Farheen Malik, Jawad Ahmed, Zeba Haque
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org