Author: Murtaza Khambhati, OMS II, VCOM – Louisiana
Editors: Sneha Polam and Samantha Licciardi
Updated: February 22, 2024
Burnout is a significant challenge for medical students preparing for the Comprehensive Osteopathic Medical Licensing Examination (COMLEX). The intense study schedules, the pressure to perform, and the high stakes of the exam can lead to stress, anxiety, and ultimately, burnout. However, with the right strategies and mindset, it is possible to manage these pressures and maintain your well-being. Here are some tips and strategies to help you tackle COMLEX burnout.
Establish a Balanced Study Schedule
Create a study plan that includes regular breaks and time for relaxation. Avoid marathon study sessions that can lead to fatigue and decreased efficiency. Healthy coping mechanisms, such as humor, mindfulness, relaxation, meditation, volunteering, etc., are all adaptive and can help you through difficult times. Setting achievable daily and weekly goals can help maintain motivation and a sense of progress. Avoid setting overly ambitious targets that can lead to disappointment and stress.
Stay Physically Active
Regular physical activity can reduce stress, improve mood, and enhance cognitive function. Try to prioritize eating balanced and well-rounded meals and scheduling light to moderate exercise. It can be something as simple as going for a walk for 15-20 minutes. Also, when you schedule time for studying, you should schedule time to step away from it. It can be overwhelming, trying to learn so much information, hence the saying that medical school is like trying to drink from a fire hose. Schedule time for breaks, and also for things you like to do.
Prioritize Sleep
Adequate sleep is crucial for memory consolidation and emotional regulation. Aim for 7-9 hours of quality sleep per night to support your study efforts and well-being. You should be aiming for the same bedtime and wake time every day—yes, even on the weekends. This regulates your body’s sleep-wake cycle to help you fall asleep and stay asleep. Sleep usually begins when the body’s temperature drops, so a colder room will encourage sleep faster. Aim for between 60-67 degrees Fahrenheit to decrease sleep latency.
Seek Social Support
Staying connected with friends, family, and peers can provide emotional support and reduce feelings of isolation. Consider joining a study group or reaching out to a mentor for guidance. Finding what works for you may be trial and error, but seeking mentorship and support from others is helpful. Having a mentor whom you can confide in and share your fears or stresses with can make a world of difference. They may also be able to offer tips on resources that helped them. Having a therapist is also amazing, especially if you are fortunate enough to receive one through your school. By diversifying your social activities and making a concerted effort to connect with others, you not only enrich your own life but also contribute to the well-being of those around you. Many schools and workplaces host social events, workshops, and seminars that can serve as excellent opportunities to connect with peers and mentors. Attend these events whenever possible, as they can be a goldmine for networking and finding individuals who can offer guidance and support.
Practice Mindfulness and Relaxation Techniques
Practices like meditation, deep breathing, and yoga not only help in managing stress but also improve focus, enhance emotional resilience, and promote a sense of peace. To help you get started with these practices, here are some resources and suggestions, including ways to combine these activities with social support:
Headspace App: Headspace offers guided meditation sessions for beginners and advanced practitioners alike. It covers a wide range of topics, including stress, sleep, and focus. The app is designed to make meditation accessible and engaging, with sessions varying in length to fit your schedule.
Calm App: Calm is another popular app that provides meditation exercises, sleep stories, and breathing techniques designed to help reduce anxiety and improve the quality of sleep. It’s an excellent resource for beginners to learn the basics of mindfulness.
YouTube Channels: YouTube is a treasure trove of free resources for meditation and deep breathing exercises. Channels like “The Honest Guys,” “Goodful,” and “Michael Sealey” offer guided meditations with varying focuses and durations. These can be a great way to explore different styles of meditation to find what works best for you.
Limit Caffeine and Sugar Intake
While caffeine and sugar can offer a temporary energy boost, they can also lead to crashes and increased anxiety. Try to moderate your intake and opt for healthier snacks and drinks. Healthy snacks can include fresh fruit, greek yogurt, nuts and seeds. Opt for snacks high in protein to maintain satiety and stable energy levels. Healthier drink options include herbal teas, smoothies, and matcha. These drinks can give you a more sustained energy boost throughout the day.
Seek Professional Help if Needed
If you’re struggling to manage stress and burnout on your own, consider seeking support from a mental health professional. They can provide strategies and resources to help you cope. Some of us can experience symptoms of conditions such as generalized anxiety disorder (GAD), which are isolated and transient and related to an identified stressor (such as feeling anxious around the time of COMLEX-USA). This is normal! Anxiety can be helpful, as it can keep us safe in certain situations. But you don’t want to be in a state where anxiety is constantly plaguing you and is out of proportion to the stressor. This can significantly impact your day-to-day functioning. If you think the latter might be the case, please seek help from some of the many resources available.
Research suggests that the pandemic has exacerbated the already high rates of anxiety, depression, and burnout among physicians, residents and medical students in particular; fortunately, there are many resources that may help.
One such initiative, ACGME AWARE, is designed to promote well-being among residents, faculty members, and others in the GME community.
ACGME AWARE seeks to develop materials which can teach residents how to recognize stressors and reactivity to those stressors, and then manage those mindsets or thought processes that contribute to distress.
For more information: https://dl.acgme.org/
References
Candidate Wellness – Great tips for managing your stress and anxiety as a COM student. NBOME. (n.d.). https://www.nbome.org/rtdol/wellness/