Beginning Medical School: Determinants of Male and Female Emotional Reactions1

Abstract

With the knowledge that medical students experience a variety of academic pressures as well as interpersonal stress during medical school, an assessment was made of emotional reactions among male and female students during the initial months of medical training. Questionnaires were completed at the start of school and 4 months later for the incidence of positive and negative emotions and tension‐related symptoms. Students also estimated their midterm grade point average (GPA) and rated the friendliness of their peers and their experience of sex discrimination. By midterm, all students experienced negative emotions and symptoms more frequently and positive emotions less frequently than at the beginning of the school year. Additionally, women students reported more negative affect and physical symptoms at both time points than men. Women also reported a greater decrease in positive emotions and perceived peer friendliness than men. Higher anticipated GPA was associated with more frequent experience of positive emotions and less frequent negative emotions and physical symptoms in both sexes, but this pattern was stronger for women than for men. The implications of these findings are discussed.