Main Article Content
Objective: To study 1) the effects of academic stress on grit and 2) the association among grit, medical professionalism and academic achievement
Method: A cross-sectional survey study in the fourth- and sixth-year medical students of 2 medical schools was conducted in academic year 2020. The measurements consisted of questionnaire about 1) personal factors, 2) the grit, 3) the academic stress factors and 4) the medical professionalism. Data were analyzed by descriptive statistics and analytic statistic (Pearson’s chi-square, t-test, and simple linear logistic regression).
Results: There are 302 participants in this study. One hundred and sixty-six of them are female and one hundred and seventy-two are sixth year medical students. Academic stress factors cannot predict grit in medical students. However, the self-decide to study can predict their grit. The grit is found to be positively correlated with the medical professionalism (r = .142), subscale of accountability (r = .164) and excellence (r = .175) and academic achievement (r = .179).
Conclusion: The self-decide to study is an important factor in predicting grit which has an emphasis on both the medical professionalism and academic achievement. It is important to organize activities to promote grit, especially in medical students who do not decide to study on their own.
Keywords: medical student, grit, medical professionalism, academic achievement, academic stress
บทความที่ส่งมาลงตีพิมพ์ในวารสารสมาคมจิตแพทย์ ต้องไม่เคยตีพิมพ์หรือได้รับการตอบรับให้ตีพิมพ์ในวารสารฉบับอื่น และต้องไม่อยู่ระหว่างการส่งไปตีพิมพ์ในวารสารอื่น
2. Heckman James J, Stixrud J, Urzua S. The Effects of Cognitive and Noncognitive Abilities on Labor Market Outcomes and Social Behavior. J Labor Econ. 2006;24(3):411-82.
3. Duckworth A, Peterson C, D Matthews M, R Kelly D. Grit: Perseverance and Passion for Long-Term Goals. J Pers Soc Psychol. 2007;92:1087-101.
4. Posamak T, Sariwat L. Developing a model to enhance grit on College of Dramatic Arts Students, Bunditpatanasilpa Institute, Ministry of culture. Ratchaphruek Journal. 2019;17(1):59-65.
5. Shih AF, Maroongroge S. The importance of grit in medical training. The Accreditation Council for Graduate Medical Education; 2017.
6. Bendapudi NM, Berry LL, Frey KA, Parish JT, Rayburn WL, editors. Patients' perspectives on ideal physician behaviors. Mayo Clinic Proceedings; 2006: Elsevier.
7. Von Culin KR, Tsukayama E, Duckworth AL. Unpacking grit: Motivational correlates of perseverance and passion for long-term goals. J Posit Psychol. 2014;9(4):306-12.
8. Howard JM, Nicholson BC, Chesnut SR. Relationships between positive parenting, overparenting, grit, and academic success. J Coll Stud Dev. 2019;60(2):189-202.
9. Dyrbye LN, Thomas MR, Harper W, Massie Jr FS, Power DV, Eacker A, et al. The learning environment and medical student burnout: a multicentre study. J Med Educ. 2009;43(3):274-82.
10. Kolkijkovin V, Phutathum S, Chatromyen P, Jantratikul A, Pattrayutawat M, Surinrat T, et al. A study of prevalence and associated factors of stress in the third-year medical students at faculty of medicine Vajira Hospital, Navamindradhiraj University. Journal of Urban Medicine. 2017;61(1):9-21.
11. Cross TM. The Gritty: Grit and Non-traditional Doctoral Student Success. JEO. 2014;11(3):n3.
12. Jongjumruspun M. THE ASSOCIATION BETWEEN HOPE AND FLOURISH : THE MODERATING ROLES OF GRIT AND STRESS: Chulalongkorn University; 2559.
13. Sumalrot T, Supparerkchaisakul N, Ngamthipwatthana T. Medical Professionalism: Development and Validation of Medical Professionalism Scale (MPS). JBSD. 2017;10(1):126-45.
14. Chotitham S. A causal model of achievement of northern undergraduate students with grit as a mediator. Journal of Education Naresuan University 2018;20 (4):230-9.
15. Thai University Central Admission System. Highest-Lowest Score of The Past Selection Applications Thailand: Thai University Central Admission System; 2020 [Available from: https://www.mytcas.com/.
16. Anderson E. Utilizing the Growth Mindset to Boost Perseverance and Academic Achievement: Concordia University, St. Paul; 2020.
17. Cross TM. Staying the course: Grit, academic success, and non-traditional doctoral students: Pepperdine University; 2013.
18. Baum JR, Locke EA. The relationship of entrepreneurial traits, skill, and motivation to subsequent venture growth. J Appl Psychol. 2004;89(4):587.
19. Chen X-P, Yao X, Kotha S. Entrepreneur passion and preparedness in business plan presentations: a persuasion analysis of venture capitalists' funding decisions. Acad Manag Ann. 2009;52(1):199-214.
20. Smilor RW. Entrepreneurship: Reflections on a subversive activity. Journal of Business venturing. 1997;12(5):341-6.
21. Vallerand RJ, Blanchard C, Mageau GA, Koestner R, Ratelle C, Léonard M, et al. Les passions de l'ame: on obsessive and harmonious passion. Journal of personality and social psychology. 2003;85(4):756.
22. Huéscar Hernández E, Moreno-Murcia JA, Cid L, Monteiro D, Rodrigues F. Passion or perseverance? The effect of perceived autonomy support and grit on academic performance in college students. INT J ENV RES PUB HE. 2020;17(6):2143.
23. Wangrungkij P. Development of indicators and program for enhancing academic engagement for undergraduate students as mediated by persocal beat goal: Srinakharinwirot University; 2018.
24. Schroder HS, Moran TP, Donnellan MB, Moser JS. Mindset induction effects on cognitive control: A neurobehavioral investigation. Biol Psychol. 2014;103:27-37.
25. Isenberg G, Brown A, DeSantis J, Veloski J, Hojat M. The relationship between grit and selected personality measures in medical students. Int J Med Educ. 2020;11:25-30.
26. Sherina M, Rampal L, Kaneson N. Psychological stress among undergraduate medical students. Med J Malaysia. 2004;59(2):207-11.
27. Duckworth A, Duckworth A. Grit: The power of passion and perseverance: Scribner New York, NY; 2016.
28. Bloom B. So Good They Can't Ignore You: Why Skills Trump Passion in the Quest for Work We Love. Career Planning and Adult Development Journal. 2015;31(1):43.
29. Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ. 2003;37(1):32-8.
30. Kelly DR, Matthews MD, Bartone PT. Grit and hardiness as predictors of performance among West Point cadets. Military Psychology. 2014;26(4):327-42.
31. Feldman DB, Davidson OB, Margalit M. Personal resources, hope, and achievement among college students: The conservation of resources perspective. J Happiness Stud. 2015;16(3):543-60.
32. Wolters CA, Hussain M. Investigating grit and its relations with college students’ self-regulated learning and academic achievement. Metacogn Learn. 2015;10(3):293-311.