HOW DO MEDICAL STUDENTS' CHRONOBIOLOGICAL TENDENCIES AND STUDY APPROACHES AFFECT ACADEMIC PERFORMANCE?

Authors

DOI:

https://doi.org/10.20535/2410-8286.256136

Keywords:

academic performance, choronobiology, medical student, medical education, study approaches

Abstract

Academic performance scores of medical students have been associated with many variables. Students' sociodemographic characteristics, study times and approaches may affect academic performance separately. Examining academic performance by considering all these variables together can improve medical education. The aim of this study is to determine whether there is a significant difference between the academic performance of medical faculty students in terms of study approaches, chronobiological patterns and socio-demographic features. In this cross-sectional study, data were collected from medical students. As data collection tools, Sociodemographic Data Form, The Revised Two Factor Study Process Questionnaire (R-SPQ2F) and Morning-Evening Questionnaire (MEQ) were used. A total of 163 sixth-year students (n=90) male and (n=73) female were included in the study. There was no significant difference between the gender of the students and their academic performance scores (p=0.880). Academic performance scores of morning type students were significantly higher than those of evening type students (p<0.05). There is a correlation of 0.521 in the same direction between the deep approach and the academic performance score, and this relationship is statistically significant (p<0.001). There is a negative correlation of 0.608 between the superficial approach and the academic performance score, and this relationship is statistically significant. While developing the program and curriculum in medical education, students’ sociodemographic characteristics study approaches and chronobiological patterns should be taken into consideration.

Author Biographies

Zerrin Gamsızkan, Duzce University

M.D., Department of Medical Education and Informatics, School of Medicine

Ipek Gönüllü, Ankara University

Dr, Department of Medical Education and Informatics, School of Medicine

References

Adan, A., Archer, S.N., Hidalgo, M.P., Di Milia, L., Natale, V., & Randler, C. (2012). Circadian typology: a comprehensive review. Chronobiol Int., 29(9), 1153-1175. https://doi.org/10.3109/07420528.2012.719971

Akram, N., Khan, N., Ameen, M., Mahmood S, Shamim K, Amin M, & Rana, Q. U. (2018). Morningness-eveningness preferences, learning approach and academic achievement of undergraduate medical students. Chronobiology International, 15, 1-7. https://doi.org/10.1080/07420528.2018.1474473

Alfayez, S.F., Strand, D.A., Carline, J.D. (1990). Academic, social and cultural factors influencing medical school grade performance. Med Educ, 24, 230-238. https://doi.org/10.1111/j.1365-2923.1990.tb00006.x

Al-Khani, A.M., Sarhandi, M., Zaghloul, M., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC research notes, 12(1), 665. https://doi.org/10.1186/s13104-019-4713-2

Bahammam, A.S., Alaseem, A.M., Alzakri, A.A., Almeneessier, A.S., & Sharif, M.M. (2012). The relationship between sleep and wake habits and academic performance in medical students: a cross-sectional study. BMC Med Educ, 12, 61. https://doi.org/10.1186/1472-6920-12-61

Basner, M., Dinges, D.F., Shea, J.A., Small, D.S., Zhu, J., Norton, L., Ecker, A.J., Novak, C., Bellini, L.M., & Volpp, K.G. (2017). Sleep and Alertness in Medical Interns and Residents: An Observational Study on the Role of Extended Shifts. Sleep, 40, zsx027. https://doi.org/10.1093/sleep/zsx027

Bickerdike, A., O'deasmhunaigh, C., O'flynn, S., & O'tuathaigh, C. (2016). Learning strategies, study habits and social networking activity of undergraduate medical students. Int J Med Educ, 7, 230-236. https://doi.org/10.5116/ijme.576f.d074

Biggs, J., Kember, D., Leung, & D.Y. (2001). The revised two-factor study process questionnaire: R- SPQ-2F. British Journal of Educational Phsycology, 71, 133-149. https://doi.org/10.1348/000709901158433

Casey, P.M., Goepfert, A.R., Espey, E.L., Hammoud, M.M., Kaczmarczyk, J.M., Katz, N.T., Neutens, J.J., Nuthalapaty, F.S., & Peskin, E. (2009). Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. To the point: reviews in medical education--the Objective Structured Clinical Examination. Am J Obstet Gynecol, 200(1), 25-34. https://doi.org/10.1016/j.ajog.2008.09.878

Džubur, A., Lisica, D., Abdulahović, D., & Ejubović, M. (2020). Impact of social and psychological factors on academic achievement of university students. Med Glas (Zenica), 17, 234-238. https://doi.org/10.17392/1080-20

Enright, T., & Refinetti, R. (2017). Chronotype, class times, and academic achievement of university students. Chronobiology International, 34(4), 445–450. https://doi.org/10.1080/07420528.2017.1281287

Gedefaw, A., Tilahun, B., Asefa, A. (2015). Predictors of self-reported academic performance among undergraduate medical students of Hawassa University, Ethiopia. Adv Med Educ Pract, 6, 305-315. https://doi.org/10.2147/amep.s78604

Gentry, N.W., Ashbrook, L.H., Fu, Y.H., & Ptáček, L.J. (2021). Human circadian variations. J Clin Invest, 131(16), e148282. https://doi.org/10.1172/jci148282

Goel, N., Basner, M., Rao, H., & Dinges, D.F. (2013). Circadian rhythms, sleep deprivation, and human performance. Prog Mol Biol Transl Sci, 119, 155-90. https://doi.org/10.1016/b978-0-12-396971-2.00007-5

Gallego-Gómez, J.I., González-Moro, M.T.R., González-Moro, J.M.R., Vera-Catalán, T., Balanza, S., Simonelli-Muñoz, A.J., & Rivera-Caravaca, J.M. (2021). Relationship between sleep habits and academic performance in university Nursing students. BMC Nurs, 20, 100. https://doi.org/10.1186/s12912-021-00635-x

Horne, J.A., Ostberg, O. (1976). A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol, 4, 97-110. https://pubmed.ncbi.nlm.nih.gov/1027738/

Julius, A.A., Yin, J., Wen, J.T. (2019). Time optimal entrainment control for circadian rhythm. PLoS One, 14, e0225988. https://dx.doi.org/10.1371%2Fjournal.pone.0225988

Kiran, F., Javaid, A. (2020). Students' perceptions of factors for academic failure in pre-clinical years of a medical school. J Pak Med Assoc, 70, 803-808. https://doi.org/10.5455/jpma.19548

Kuhlman, S.J., Craig, L.M., & Duffy, J.F. (2018). Introduction to Chronobiology. Cold Spring Harb Perspect Biol, 10, a033613. https://doi.org/10.1101/cshperspect.a033613

López-Otín, C., & Kroemer, G. 2021. Hallmarks of Health. Cell, 184(1),33-63. https://doi.org/10.1016/j.cell.2020.11.034

Mirghani, H.O. (2017). The effect of chronotype (morningness/eveningness) on medical students' academic achievement in Sudan. J Taibah Univ Med Sci, 12, 512-516. https://dx.doi.org/10.1016%2Fj.jtumed.2017.03.007

Nabizadeh, S., Hajian, S., Sheikhan, Z,. & Rafiei, F. (2019). Prediction of academic achievement based on learning strategies and outcome expectations among medical students. BMC Med Educ, 19, 99. https://doi.org/10.1186/s12909-019-1527-9

Nijhawan, A., Kam, J., Martin, J, Forrester, L, Thenabadu S, & Aziz, S. (2021). Medical student the pre-hospital environment – An untapped resource for undergraduate acute care interprofessional education. Med Teach, 1, 1-8. https://doi.org/10.1080/0142159x.2021.1994536

Panjeh, S., Pompeia, S., & Cogo-Moreira, H. (2022). Probing different aspects of short and ill-timed sleep in adolescents using the Morningness-Eveningness Scale for Children. Chronobiol Int, 39, 333-345. https://doi.org/10.1080/07420528.2021.1998104

Piumatti, G., Abbiati, M., Gerbase, M.W., & Baroffio, A. (2021). Patterns of Change in Approaches to Learning and Their Impact on Academic Performance Among Medical Students: Longitudinal Analysis. Teach Learn Med, 33(2), 173-183. https://doi.org/10.1080/10401334.2020.1814295

Potter, G.D., Skene, D.J., Arendt, J., Cade, J.E., Grant, P.J., & Hardie, L.J. (2016). Circadian Rhythm and Sleep Disruption: Causes, Metabolic Consequences, and Countermeasures. Endocr Rev, 37(6), 584-608. https://doi.org/10.1210/er.2016-1083

Rehman, R., Ahmed, K., Rehan, R., Hassan, F., & Syed, F. (2016). Learning approaches and performance of medical students. J Pak Med Assoc, 66, 198-202. https://pubmed.ncbi.nlm.nih.gov/26819168/

Reid, W.A., Duvall, E., & Evans, P. (2005). Can we influence medical students' approaches to learning? Med Teach, 27, 401-417. https://doi.org/10.1080/01421590500136410

Reinberg, A., Ashkenazi, I. (2003). Concepts in human biological rhythms. Dialogues Clin Neurosci, 5, 327-42. https://doi.org/10.31887/dcns.2003.5.4/areinberg

Roenneberg, T., Chua, E.J., Bernardo, R., & Mendoza, E. (2008). Modelling biological rhythms. Curr. Biol, 18, R826–R835. https://doi.org/10.1016/j.cub.2008.07.017

Salih, S., Fageehi, M., Hakami, S,, Ateya, E,. Hakami, M., Hakami, H., Ghazwani, B., Alabdalali, Y., Mustafa, M. (2021). Academic Difficulties Among Medical Students at Jazan University: A Case-Control Study. Adv Med Educ Pract, 12, 723-729. https://doi.org/10.2147/amep.s307554

Shah, D.K., Piryani, S., Piryani, R.M., Islam, M.N., Jha, R.K., & Deo, G.P. (2019). Medical students' perceptions of their learning environment during clinical years at Chitwan Medical College in Nepal. Adv Med Educ Pract, 10, 555-562. https://doi.org/10.2147/amep.s203377

Shaik, S.A., Almarzuqi, A., Almogheer, R., Alharbi, O., Jalal, A., & Alorainy, M. (2017). Assessing Saudi medical students learning approach using the revised two-factor study process questionnaire. Int J Med Educ, 8, 292-296. https://doi.org/10.5116/ijme.5974.7a06

Smith, M.R., Fogg, L.F., & Eastman, C.I. (2009). Practical interventions to promote circadian adaptation to permanent night shift work: study 4. J Biol Rhythms, 24(2), 161-172. https://doi.org/10.1177/0748730409332068

Stegers-Jager, K.M., Cohen-Schotanus, J., Themmen, A.P. (2012). Motivation, learning strategies, participation and medical school performance. Med Educ, 46, 678-688. https://doi.org/10.1111/j.1365-2923.2012.04284.x

Valdez, P. (2019). Homeostatic and circadian regulation of cognitive performance. Biological Rhythm Research, 50, 85-93. https://doi.org/10.1080/09291016.2018.1491271.

Vermunt, J.D. (2005). Relations between student learning patterns and personal and contextual factors and academic performance. High Educ, 49, 205. https://doi.org/10.1007/s10734-004-6664-2

Tonetti, L., Natale, V., & Randler, C. (2015). Association between circadian preference and academic achievement: A systematic review and meta-analysis. Chronobiol Int, 32, 792-801. https://doi.org/10.3109/07420528.2015.1049271

Walker, W.H. 2nd, Walton, J.C., DeVries, A.C., & Nelson, R.J. 2020. Circadian rhythm disruption and mental health. Transl Psychiatry, 10(1), 28. https://doi.org/10.1038/s41398-020-0694-0

Yılmaz, M.B., Orhan, F. (2011). The Validity and Reliability Study of the Turkish Version of the Study Process Questionnaire. Education and Science, 36, 69-83. https://avesis.yildiz.edu.tr/yayin/aee735e9-baf6-401c-846f-e6dd2a92bcbc/the-validity-and-reliability-study-of-the-turkish-version-of-the-study-process-questionnaire

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Published

2022-12-29

How to Cite

Gamsızkan, Z., & Gönüllü, I. . (2022). HOW DO MEDICAL STUDENTS’ CHRONOBIOLOGICAL TENDENCIES AND STUDY APPROACHES AFFECT ACADEMIC PERFORMANCE?. Advanced Education, 9(21), 55–67. https://doi.org/10.20535/2410-8286.256136

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