Competency-based medical education (CBME) curriculum and its effect on prevalence of anxiety, depression and stress amongst medical undergraduates

Goel, Ashish, Sethi, Yashendra, Moinuddin, Arsalan ORCID: 0000-0002-4242-1714, Deepak, Desh and Gupta, Priyanka (2022) Competency-based medical education (CBME) curriculum and its effect on prevalence of anxiety, depression and stress amongst medical undergraduates. Journal of Education and Health Promotion, 11 (1). Art 380. doi:10.4103/jehp.jehp_564_22

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Text 12241Goel, Ashish, Sethi, Yashendra, Moinuddin, Arsalan, Deepak, Desh and Gupta, Priyanka (2022) Competency-based medical education (CB.pdf - Published Version Available under License Creative Commons Attribution Non-commercial Share Alike 4.0. Download (722kB) | Preview

Abstract

BACKGROUND: A growing body of literature now identifies higher levels of anxiety, depression, and stress among medical students as a distinct mental health domain. The competency-based medical education (CBME) curriculum was introduced to revamp the existing curriculum with an aim to garner constructive impact on the mental health of undergraduate medical students. As such, we sought to draw comparisons between the mental health of medical students, studying the old (2018 batch) and the new (2019 batch) medical education systems in India. MATERIALS AND METHODS: We designed a survey that contained structured questions pertained to anxiety (HAM-A, GAD-7), depression (HAM-D, BDI), and stress (PSS) amongst medical undergraduate students of 2018 and 2019 batches at the Government Doon Medical College (GDMC), Dehradun, India. RESULTS: Contrasting the 2018 and 2019 batches, the introduction of CBME resulted in a significant two-fold decrease in moderate anxiety, as exhibited by both HAM-A (6.0 vs 3.0, P = 0.016) and GAD-7 (3.5 vs 1.0, P = 0.037) scales, although no significant change in mild and severe anxiety, and overall depression (BDI: P = 0.05, HAM-D: P = 0.05) or stress (PSS: P = 0.86) was found. CONCLUSION: The CBME system has made a significant impact on the mental health of undergraduate medical students for anxiety, albeit its effect on depression and stress remains equivocal. Future studies are warranted to compare the effect of CBME in other undergraduate and postgraduate courses across the country to help predict the psychological impact of the newfangled CBME education system.

Item Type:	Article
Article Type:	Article
Uncontrolled Keywords:	Anxiety; Competency-based medical education (CBME); Depression; Medical students; Stress
Subjects:	L Education > LB Theory and practice of education > LB2300 Higher Education
Divisions:	Schools and Research Institutes > School of Education and Science
Depositing User:	Susan Turner
Date Deposited:	06 Jan 2023 17:07
Last Modified:	31 Aug 2023 09:06
URI:	https://eprints.glos.ac.uk/id/eprint/12241

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