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Revista Colombiana de Psiquiatría

Print version ISSN 0034-7450


VENGOECHEA, Jaime; RUIZ, Álvaro  and  MORENO, Socorro. Stress and Misconduct in Students of a Medical School in Bogotá. rev.colomb.psiquiatr. [online]. 2006, vol.35, n.3, pp.341-352. ISSN 0034-7450.

Introduction: Medical students are subject to many stressing events during their training. Previous studies have shown that they frequently engage in misconduct. The time spent in training as well as stress have been proposed as possible risk factors that favor misconduct. Objectives: This study seeks to establish through a logistic regression model a possible association between factors such as stress, sex, time spent in training and age, and misconduct among a group of medical students in a private university in Bogotá. Materials and Methods: This was a survey-based study. The survey was completed by 433 third to sixth year medical students. Results: The frequency of students that agree with (61.4%) and admit to have engaged frequently in misconduct (44.9%) is high. Stress (OR: 1.04; 95% CI: 1.01-1.06) and male sex (OR: 1.90; 95% CI: 1.27-2.84) are weak predictors of the chance of engaging in misconduct, indicating an association (goodness-of-fit: p>0.9 for lack of fit) but with uncertain importance (R2=0.03). In a subgroup of students between third and fifth year, time spent in training (OR: 1.27; 95% CI: 1.11-1.45), stress (OR: 1.04 95% CI: 1.01-1.07) and being male (OR: 2.06; 95% CI: 1.32-3.21) also weakly predict (goodness-of-fit: p>0.38 for lack of fit, R2=0,053) the frequency of misconduct. Conclusions: Besides stress and sex, other factors, such as a particular subculture among third world students, and students’ own personality, may explain the high tendency to transgress rules among surveyed medical students.

Keywords : Stress; medical students; discipline.

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