#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Three pain points of medical schools – time for change


Authors: Kristýna Pospíšilová 1;  Josef Vošmik 1;  Romana Marková Volejníčková 1;  Martin Zielina 2
Authors‘ workplace: Sociologický ústav AV ČR, v. v. i., Praha 1;  2. lékařská fakulta UK v Praze 2
Published in: Čas. Lék. čes. 2025; 164: 333-345
Category: Original Article

Overview

The article presents selected findings from the research project KULTIMED –⁠ Cultivation of Medicine (relationships, environment, and conditions). It is a multidisciplinary project supported by the Technology Agency of the Czech Republic (TA CR) within the Sigma program, carried out by the Institute of Sociology of the Czech Academy of Sciences (IS CAS) in cooperation primarily with the First and Second Faculties of Medicine of Charles University.

The article introduces the most important findings from a survey conducted at the beginning of 2025 at almost all medical faculties in the Czech Republic. The aim of the survey was to map the environment of medical faculties, study conditions, and the most pressing problems currently faced by medical students in the Czech context.

Three key problems include 1) organizational shortcomings of studies, 2) students’ psychological distress, 3) a very high prevalence of inappropriate behavior by teachers and other persons in the educational process toward students.

KULTIMED pursues awareness-raising, cultivation, and educational goals, which are also briefly introduced in the article. In conclusion, the article offers an overview of recommendations for each of the three identified problem areas.

Keywords:

KULTIMED – cultivating the medical environment – organizational deficiencies in medical education – students’ mental well-being – prevalence of inappropriate behavior at medical faculties


Sources
  1. Palička M, Rybář M, Mechúrová B et al. The influence of excessive stress on medical students in the Czech Republic –⁠ national sample. BMC Med Educ 2023; 23 : 168.
  2. Šlegerová L, Michenka P, Kočí M. Medici 2022 –⁠ kompetence a preference. Dostupné na: https://mladilekari.cz/wp-content/uploads/2023/05/medici-2022-kompetence-a-preference.pdf
  3. Palička M, Rybář M, Al Masani A a kol. Kvalita výuky na českých lékařských fakultách: hodnocení klinické připravenosti studentů a absolventů medicíny v ČR a benchmarking kvality výuky. Dostupné na: www.pomedine.cz/kvalita-vyuky
  4. Knoster K, Goodboy A, Martin M, Thomay A. What matters most? A prioritization of medical students’ preferences for effective teaching. Commun Educ 2021; 70 : 183–200.
  5. Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ 2016; 50 : 456–468.
  6. Kaur G, Peng K, Urwin R et al. Is there a relationship between medical student mistreatment and specialty choice and career intentions? A systematic review. Med Sci Educ 2025; 35 : 1–10.
  7. Dyrbye LN, Shanafelt TD. A narrative review on burnout among medical students. Acad Med 2016; 91 : 358–373.
  8. Wasson LT, Cusmano A, Meli L et al. Association between learning environment interventions and medical student well-being: a systematic review. JAMA 2020; 323 : 2052–2066.
  9. Bennett-Weston A, Keshtkar L, Jones M et al. Interventions to promote medical student well-being: an overview of systematic reviews. BMJ Open 2024; 14: e082910.
  10. Pospíšilová K, Marková Volejníčková R. Vysokoškolské prostředí očima studentů a studentek: výsledky mezioborového srovnání. KULTIMED, 2024. Dostupné na: https://kultimed.soc.cas.cz/sites/kultimed.soc.cas.cz/files/2024-09/tz-2024-09-11-vysokoskolske-prostredi-ocima-studentu-a-studentek.pdf
  11. Výkonové ukazatele –⁠ F2: studenti. Odbor školské statistiky a analýz MŠMT. Dostupné na: https://dsia.msmt.cz/vystupy/vu_vs_f2.html
  12. Becker R. Gender and survey participation: an event history analysis of the gender effects of survey participation in a probability-based multi-wave panel study with a sequential mixed-mode design. Methods Data Anal 2022; 16 : 3–32.
  13. Azim SR, Yusoff MSB, Roslan NS. Mapping the multidimensional factors of medical student resilience development: a scoping review. BMC Med Educ 2025; 25 : 744.
  14. Kolobaric N, Milone B, Salman M et al. Effectiveness of wellness program interventions to improve physician wellness: a systematic review. BMC Health Serv Res 2025; 25 : 908.
  15. Gilligan C, Powell M, Lynagh MC et al. Interventions for improving medical students' interpersonal communication in medical consultations. Cochrane Database Syst Rev 2021; 2: CD013620.
  16. Erickson SM, Rockwern B, Koltov M, McLean RM. Putting patients first by reducing administrative tasks in health care: a position paper of the American College of Physicians. Ann Intern Med 2017; 166 : 659–661.
  17. Boone A, Braeckman L, Michels N et al. Burnout in medical education: interventions from a co-creation process. BMC Med Educ 2025; 25 : 230.
  18. Bell A, Cavanagh A, Connelly CE et al. Why do few medical students report their experiences of mistreatment to administration? Med Educ 2021; 55 : 462–470.
  19. Třísková H. Postavení žen v české vědě: monitorovací zpráva za rok 2022. SOÚ AV ČR, v. v. i., Národní kontaktní centrum –⁠ gender a věda (NKC), Praha, 2022. Dostupné na: https://genderaveda.cz/wp-content/uploads/2024/10/Postaveni-zen-v-ceske-vede-2022-CZ.pdf
  20. Venkataraman S, Nguyen M, Chaudhry SI et al. Gender discrimination and medical student development. medRxiv 2025 : 2025.02.06.25321787.
  21. Vanstone M, Cavanagh A, Molinaro M et al. How medical learners and educators decide what counts as mistreatment: a qualitative study. Med Educ 2023; 57 : 910–920.
  22. Cayres Ribeiro LM, de Carvalho Filho MA. Exploring untested feasibilities: critical pedagogy’s approach to addressing abuse and oppression in medical education. Teach Learn Med 2025; 37 : 273–282.
  23. McClain TS, Kammer-Kerwick M, Wood L et al. Sexual harassment among medical students: prevalence, prediction, and correlated outcomes. Workplace Health Saf 2021; 69 : 257–267.
  24. Zákon č. 198/2009 Sb., o rovném zacházení a o právních prostředcích ochrany před diskriminací a o změně některých zákonů (antidiskriminační zákon).
  25. Zákon č. 111/1998 Sb., o vysokých školách.
  26. Donovalová A, Andreska Z, Linková M. Sexuální a genderově podmíněné obtěžování na vysokých školách. NKC –⁠ gender a věda, Praha, 2023.
  27. Homfray Š. Právní analýza problematiky genderově podmíněného násilí ve veřejných výzkumných institucích. Sociologický ústav AV ČR, Praha, 2024.
  28. Dyrbye LN, Satele D, West CP. Association of characteristics of the learning environment and US medical student burnout, empathy, and career regret. JAMA Netw Open 2021; 4: e2119110.
       
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Article was published in

Journal of Czech Physicians

Issue 7–8

2025 Issue 7–8
Popular this week
Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#