TY  - JOUR
PY  - 2021//
TI  - Medical student coping and performance in simulated disasters
JO  - Anxiety, stress, and coping
A1  - Rusling, Matthew
A1  - Masin, Daniel
A1  - Voss, Marcus
A1  - Gottumukkala, Pooja
A1  - Keenan, Corey
A1  - Botten, Marijo
A1  - Chambers, Davis
A1  - Parrill, Chris
A1  - Dube, John
A1  - Tucker, Jeritt R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: Coping with the stress of real and simulated disasters is thought to be integral to the performance of emergency medicine providers. Yet, little is known about which coping strategies are employed in these scenarios and whether differential use of strategies predicts actual clinical and interpersonal performance. <br><br>METHODS: Thirty-four medical students were evaluated by trained simulated patients and physician observers across 111 clinical encounters during a simulated disaster. Linear Mixed Effects Modelling was used to test study hypotheses while accounting for demographic variables, psychological factors, and the dependency of multiple encounters for each participant. <br><br>RESULTS: Results indicated that multilevel modeling was necessary. Positive thinking positively predicted observed clinical performance whereas avoidant coping was a negative predictor. Anticipatory anxiety and positive affect, but not reported coping, positively predicted student interpersonal performance. <br><br>CONCLUSIONS: The present study indicates that the way medical students report managing the stress of disaster scenarios has clear links to their observed clinical performance above and beyond demographic and psychological factors. It further demonstrates the feasibility of empirically identifying specific coping strategies that may be important targets for disaster response training.<p />  <p>Language: en</p>
LA  - en
SN  - 1061-5806
UR  - http://dx.doi.org/10.1080/10615806.2021.1916481
ID  - ref1
ER  -