[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-435463-105":59,"doc-detail-435463-en":135},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":128,"head_meta":130,"extra_data":132,"updated_unix":134},105,"en","addressing-the-psychological-burden-the-case-for-resilience-in-medical-training","Addressing the psychological burden - the case for resilience in medical training","","Letter to the Editor arguing that medical students face significant psychological stress in Pakistan due to hard classes, intense rivalry, and societal expectations, and that focusing on “grit” alone may worsen outcomes such as burnout and unhealthy perfectionism. Resilience is presented as a more protective factor that helps students adapt, recover, and manage stress through perspective and seeking support. The letter highlights group differences in stress by gender and year, calls for institutional and curricular interventions, and recommends evidence-based wellbeing measures such as mindfulness training, peer support, and accessible mental health services.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/addressing-the-psychological-burden-the-case-for-resilience-in-medical-training/435463/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/addressing-the-psychological-burden-the-case-for-resilience-in-medical-training/435463.png","ImageObject",300,407,{"name":92,"@type":93},"Indoniesian Boy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"为什么医学生的心理压力会被认为是一个关键问题？","Question",{"text":113,"@type":114},"文中指出，在巴基斯坦医学生面临课程强度大、竞争激烈以及社会对成功的高期望等因素，导致学业压力普遍存在并可能影响心理健康。","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"作者认为“grit”强调过多可能带来什么后果？",{"text":118,"@type":114},"文中提到，较“grit”的学生可能设定过高目标，并在痛苦与疲劳中持续坚持直到出现倦怠；同时缺乏应对压力的技能也会让心理压力进一步加重。",{"name":120,"@type":111,"acceptedAnswer":121},"作者为什么主张用“resilience”来替代主要依赖“grit”？",{"text":122,"@type":114},"文中认为，resilience 能帮助人们在困难后调整并重新站稳，且对处于学业与临床高强度压力下的受训者具有心理保护作用。",{"name":124,"@type":111,"acceptedAnswer":125},"文中建议哪些干预或支持措施来缓解压力并促进福祉？",{"text":126,"@type":114},"文中建议在类似情境中已被证实有效的措施，包括正念训练、同伴支持小组，以及易于获得的心理健康服务，并强调需要由学校在制度与课程层面做出调整。","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},435463,1790816440,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":24,"preview_page_count":4},962090760608,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Letter to the Editor  \nAddressing the psychological burden: the case forresilience in medical training  \nZarmina Inayat, MBBSa , Fnu Shahzaib, MBBSb , Arifa Arifa, MBBSc , Aman Kumar Shah, MBBSd ,*  \nTo the Editor,  \nA lot of people know about the problem in Pakistan, but notmany people talk about it: medical students are under a lot ofpsychological stress. The hard classes, fierce rivalry, and high expec -tations from society all make academic stress common and evenrequired for success. Because of this, we need to look more closely atthe psychological features we search for in medical students. Peopleoften admire attributes like grit, but in a circumstance like this,where the stakes are great, their significance may be more compli -cated than we believe. This means we need to put more effort intomaking students stronger so that they can defend their health andthe healthcare system in the long run. This article is compliant withthe TITAN Guidelines 2025 governing the declaration and use ofartificial intelligence tools in research and publication[1] .  \nPeople frequently argue that having “grit,”which is having thedesire and tenacity to reach long-term goals, is a key to success. Butwhen it comes to medical education in Pakistan, putting too muchemphasis on grit could have bad outcomes that weren’t meant tohappen. Gritty students may set very high goals for themselves andkeep going through pain and fatigue until they reach the point ofburnout. This relentless desire, together with not having adequateskills to deal with stress, can make mental stress worse. New studiesreveal that grit can help people accomplish well, but it doesn’tnecessarily keep them from getting hurt mentally in a stressfulsituation. It can even be linked to unhealthy perfectionism attimes[2] . On the other hand, resilience seems to be a more crucialfeature that protects people. This means being able to change andget back on your feet after hard times. It’s not enough to only getthrough hard times; you also have to do it successfully. For medicalstudents, this involves learning how to handle stress, keep things inperspective, and ask for support when they need it. Studies have  \naDepartment of Psychiatry, Gujranwala Medical College, Gujranwala, Pakistan,  \nbDepartment of Psychiatry, Gujranwala Medical College, Gujranwala, Pakistan,cDepartment of Medicine, Bolan Medical College, Bolan, Pakistan and dDepartmentof Psychiatry, BP Koirala Institute of Health Sciences, Dharan, NepalSponsorships or competing interests that maybe relevant to content are disclosedatthe end of this article.  \n*Corresponding author. Address: Department of Psychiatry, BP Koirala Institute ofHealth Sciences, Dharan 56700, Nepal. Tel.: +977-9807626856.  \nE-mail: shahaman120@gmail.com (A.K. Shah).  \nCopyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. This is anopen access article distributed under the terms of the Creative CommonsAttribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where itispermissible to download and share the work provided itis properly cited. The workcannot be changed in any way or used commercially without permission from thejournal.  \nAnnals of Medicine & Surgery (2026) 88:945–946Received 22 October 2025; Accepted 27 October 2025Published online 11 November 2025http://dx.doi.org/10.1097/MS9.0000000000004280  \nshown time and time againthat trainees who are more resilient feelless stressed and do better mentally when they are under a lot ofacademic and clinical strain[3] . We shouldn’t strive to help studentsdeal with stress better. Instead, we should try to make them strongerso they can deal with itin a good way. It’s also vital to know thatstress doesn’t affect everyone in the same way. Studies generally findthat girls and students in their first and third years of school, whichare transitional years, feel more academic stress. This suggests thatthere are institutional and curricular issues that make things harderfor some groups[4] ","cbCaisGIEOIIXV1I","https://ap.wps.com/l/cbCaisGIEOIIXV1I","pdf",167170,"English","# Letter to the Editor\n## Psychological stress and limits of grit\n## Resilience as a protective factor\n## Targeted interventions and institutional adjustments\n## Ethics and disclosures\n## References","[{\"question\":\"为什么医学生的心理压力会被认为是一个关键问题？\",\"answer\":\"文中指出，在巴基斯坦医学生面临课程强度大、竞争激烈以及社会对成功的高期望等因素，导致学业压力普遍存在并可能影响心理健康。\"},{\"question\":\"作者认为“grit”强调过多可能带来什么后果？\",\"answer\":\"文中提到，较“grit”的学生可能设定过高目标，并在痛苦与疲劳中持续坚持直到出现倦怠；同时缺乏应对压力的技能也会让心理压力进一步加重。\"},{\"question\":\"作者为什么主张用“resilience”来替代主要依赖“grit”？\",\"answer\":\"文中认为，resilience 能帮助人们在困难后调整并重新站稳，且对处于学业与临床高强度压力下的受训者具有心理保护作用。\"},{\"question\":\"文中建议哪些干预或支持措施来缓解压力并促进福祉？\",\"answer\":\"文中建议在类似情境中已被证实有效的措施，包括正念训练、同伴支持小组，以及易于获得的心理健康服务，并强调需要由学校在制度与课程层面做出调整。\"}]","Addressing the psychological burden - the case for resilience in medical training | PDF",1790673750]