PROMESS – Preventive Remediation for Optimal MEdical StudentS

Themes: Personal factors / Mixed method / Health of the healthcare professional / Medical pedagogy
Funding: Contribution to student and campus life - CVEC - Université Claude Bernard Lyon 1
Project manager : Sophie Schlatter
Project co-leaders: Angèle Métais (MCU), Marc Lilot (MCU), Gilles Rode (Professor, Dean)
Collaborators : -        Health professionals/researchers : Antoine Duclos, Jean-Baptiste Fassier, Jean-Christophe Lifante, Julie Haesebaert, Amélie Henry (SSU). -        Researchers: Guillaume Bodet, Etienne Gouraud, Christophe Hautier, Baptiste Morel-prieur, Mathilde Mura, Vincent Pialoux. -        Research engineers: Bérénice Valero. -         Medicine theses: Mélina Aouidat, Léa Besnard, Alexia Gleich, Olivier Loisel, Evrard-Florentin Ndiki Mayi, Mohammad Omarjee, Axelle Ruet. -        Medicine internships: Lise Jaboulet, Justine Magaud, Aya Mekki. -        IADE internships: Guylain Delacôte, Barbara Levesque, Alexandre Maillia, Béatrice Milli, Samantha Rosand. -        IBODE internships: Louis Durieux, Kévin Lemays. -        Public health internship: Steven Clocuh. -        Social psychology internship: Marina Le Pen.
Manager : Claude Bernard Lyon 1 University
Project description :  The performance of healthcare professionals defines their ability to offer the best possible care to patients. Because the medical curriculum is highly competitive and long, students must develop their abilities to regulate their emotions and manage their own health. A student who possesses these skills is expected to succeed in his/her studies and acquire an adequate level of expertise to provide the best care to patients. This project offers a long-term perspective on improving healthcare through a better understanding of the influences of stress, sleep, and physical activity on learning and performance.

PROMESS: Preventive Remediation for Optimal Medical StudentS

Medical students are under great competitive pressure throughout their curriculum. This project will evaluate the hypothesis that an improvement in well-being will allow students to best express their talents during their studies. 

Project’s steps:

- Study 1: Identification of students' needs (focus groups) and co-construction of the intervention with medical students and professionals.

- Study 2: Randomized controlled trial.

• Design: Controlled, randomized, single-center trial.

• Population : Student volunteers enrolled in the 4th and/or 5th year at the Lyon-Est medical school.

• Intervention : Complex intervention based on stress management, improving sleep and promoting physical activity.

• Judgment criterion(s) : Burnout, Level of physical activity, Academic performance, Quality of life, Quality of sleep, Sedentary lifestyle, Psychophysiological stress, School dropout rate.

- Study 3: Identification of the benefits of the project for the various stakeholders.

Keywords: Physical activity, student, performance, quality of life, sedentary lifestyle, stress, sleep.

Publications:

1.     Implementing biofeedback as a proactive coping strategy: Psychological and physiological effects on anticipatory stress, Schlatter S, Schmidt L, Lilot M, Guillot A, Debarnot U. Behavior Research & Therapy, 103834, (2021).     

2.     Personality traits affect anticipatory stress vulnerability and coping effectiveness in occupational critical care situations, Schlatter S, Louisy S, Canada B, Therond C, Duclos A, Blakeley C, Lehot JJ, Rimmelé T, Guillot A, Lilot M, Debarnot U. Scientific Reports, 12, 20965, (2022).   

3.     Effects of relaxing breathing paired with cardiac biofeedback on performance and relaxation during critical simulated situations: A prospective randomized controlled trial, Schlatter S, Therond C, Guillot A, Louisy S, Duclos A, Lehot JJ, Rimmelé T, Debarnot U, Lilot M. BMC Medical Education, 22, 422, (2022).

4.     OSCEs for ranking medical students. Cortet, M., Lilot, M., & Rode, G. Medical Teacher, 44(12), 1424–1425. (2022)   

5.     Association of Personality Traits With the Efficacy of Stress Management Interventions for Medical Students Taking Objective Structured Clinical Examinations. Le Saux O, Canada B, Debarnot U, Haouhache Nour, Lehot JJ, Binay M, Cortet M, Rimmelé T, Duclos A, Gilles R, Lilot M, Schlatter S. Academic Medicine 99(7):p 784-793, July 2024. 

6.     Associations of coping and health-related behaviors with medical students’ well-being and performance during objective structured clinical examination. Barret, N., Guillaumée, T., Rimmelé, T. Cortet M, Mazza S, Duclos A, Rode G, Lilot M, Schlatter S. Sci Rep 14, 11298 (2024).  

Congrès / communication orale :

1.     PROMESS's Project – Preventive Remediation for Optimal MEdical Students : participatory aspect. SoFraSims Congress (Francophone Society for Health Simulation) June 1-3, 2023. Nice, France. Mekki A, Haesebaert J, Duclos A, Rode G, Rimmelé T, Fassier JB, Lilot M, Schlatter S à Prize for the best research project

2.     Personality traits and efficacy of stress management interventions for medical students. A randomized controlled trial. 5th World Congress of Personality, Willemstad, Curaçao. 2-5 Avril 2024. Canada B, LeSaux O, Debarnot U, El Houda Haouhache N, Lehot JJ, Binay M, Cortet M, Rimmelé T, Duclos A, Rode G, Lilot M, Schlatter S.

3.     Evaluation of Physical Activity, Sedentary Behaviour and Fitness levels in Medical Students:  An Alarming Situation. Congrès ECSS, Glasgow. 3-5 Juillet 2024. Mura M, Metais A, Pialoux V, Hautier C, Aouidat M, Loisel O, Bodet G, Rode G, Schlatter S. – oral communication