Matthew Garr, Alexander Requarth, Zane Kaiser, Chris Wiesen, Kurt Gilliland
{"title":"Life Log: A Pilot Study Exploring The Relationship of Hourly Time Expenditure on Medical Student Happiness.","authors":"Matthew Garr, Alexander Requarth, Zane Kaiser, Chris Wiesen, Kurt Gilliland","doi":"10.1007/s40670-026-02758-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Medical students face intense academic demands that often compromise well-being and increase burnout. Understanding the relationship between time allocation, happiness, and academic performance can inform strategies to improve medical student wellness.</p><p><strong>Methods: </strong>This prospective study enrolled 26% (n = 49) of the second-year medical students at the University of North Carolina at Chapel Hill from September to December 2023. Participants logged their hourly activities into 29 predefined categories (e.g., sleep, exercise, studying, socializing, etc.…) and rated their happiness (1-100, where 1 = lowest, 100 = highest) at the end of each day. Demographics and examination schedules were collected. Data were analyzed using SAS to determine correlations between time expenditure, happiness, and curriculum structure.</p><p><strong>Results: </strong>Multiple daily activities significantly correlated with happiness. At least one hour of exercise (76.08 vs. 74.49, <i>p</i> = 0.0055), family time (77.48 vs. 74.49, <i>p</i> < 0.0001), or socializing at home (76.54 vs. 74.32, <i>p</i> = 0.0001) correlated positively with higher happiness scores. Conversely, spending at least one hour studying (74.74 vs. 76.64, <i>p</i> = 0.0045), research (73.24 vs. 75.40, <i>p</i> = 0.0297), or TV/video games (74.54 vs. 76.97, <i>p</i> = 0.0002) were associated with decreased happiness. Test weeks showed significantly lower happiness ratings (73.9 ± 1.44) compared to non-test weeks (76.0 ± 1.35, <i>p</i> = 0.0138). Midterms and finals did not significantly impact end-of-day happiness, though slight decreases were noted before exams.</p><p><strong>Conclusions: </strong>This study highlights the critical role of exercise, family time, and socializing in promoting happiness among medical students, while increasing academic workload detracts from well-being. The findings underscore the need for institutional interventions, including structured mental health days, curriculum adjustments, and wellness initiatives, to balance academic success and student happiness. Future studies should further explore these relationships to guide sustainable reforms in medical education.</p>","PeriodicalId":37113,"journal":{"name":"Medical Science Educator","volume":"36 4","pages":"1871-1884"},"PeriodicalIF":1.8000,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582777/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Science Educator","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40670-026-02758-9","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/8/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Medical students face intense academic demands that often compromise well-being and increase burnout. Understanding the relationship between time allocation, happiness, and academic performance can inform strategies to improve medical student wellness.
Methods: This prospective study enrolled 26% (n = 49) of the second-year medical students at the University of North Carolina at Chapel Hill from September to December 2023. Participants logged their hourly activities into 29 predefined categories (e.g., sleep, exercise, studying, socializing, etc.…) and rated their happiness (1-100, where 1 = lowest, 100 = highest) at the end of each day. Demographics and examination schedules were collected. Data were analyzed using SAS to determine correlations between time expenditure, happiness, and curriculum structure.
Results: Multiple daily activities significantly correlated with happiness. At least one hour of exercise (76.08 vs. 74.49, p = 0.0055), family time (77.48 vs. 74.49, p < 0.0001), or socializing at home (76.54 vs. 74.32, p = 0.0001) correlated positively with higher happiness scores. Conversely, spending at least one hour studying (74.74 vs. 76.64, p = 0.0045), research (73.24 vs. 75.40, p = 0.0297), or TV/video games (74.54 vs. 76.97, p = 0.0002) were associated with decreased happiness. Test weeks showed significantly lower happiness ratings (73.9 ± 1.44) compared to non-test weeks (76.0 ± 1.35, p = 0.0138). Midterms and finals did not significantly impact end-of-day happiness, though slight decreases were noted before exams.
Conclusions: This study highlights the critical role of exercise, family time, and socializing in promoting happiness among medical students, while increasing academic workload detracts from well-being. The findings underscore the need for institutional interventions, including structured mental health days, curriculum adjustments, and wellness initiatives, to balance academic success and student happiness. Future studies should further explore these relationships to guide sustainable reforms in medical education.
期刊介绍:
Medical Science Educator is the successor of the journal JIAMSE. It is the peer-reviewed publication of the International Association of Medical Science Educators (IAMSE). The Journal offers all who teach in healthcare the most current information to succeed in their task by publishing scholarly activities, opinions, and resources in medical science education. Published articles focus on teaching the sciences fundamental to modern medicine and health, and include basic science education, clinical teaching, and the use of modern education technologies. The Journal provides the readership a better understanding of teaching and learning techniques in order to advance medical science education.