Pressure to perform weighs on medical students, 77% of those surveyed stressed

Pressure to perform weighs on medical students, 77% of those surveyed stressed 

Anuja.Jaiswal@timesofindia.com 07.10.2026

New Delhi: The pressure to perform, fear of poor marks and the worry about not being able to answer teachers weigh heavily on the minds of medical students, 77% of whom have shown moderate to high stress in a New Delhi study. The study comes amid growing regulatory focus on student well-being. 

In Aug, the National Medical Commission (NMC) directed medical colleges to comply with Supreme Court directions on reporting student suicides and unnatural deaths and maintain updated institutional records. Published in the Indian Heart Journal, the study assessed 406 MBBS students across all four years at a govt medical college in New Delhi. 

Of them, 54.43% reported moderate stress and 22.66% high stress. The research involved teams from GB Pant Institute of Postgraduate Medical Education and Research, Maulana Azad Medical College and IIIT-Delhi. “What was revealing was that more than three-fourths of the students had moderate-to-high stress. Asking a student whether they are stressed is not enough. We need to systematically assess stress and build strategies into medical education to help students deal with it,” said Dr Mohit Gupta, lead author of the study. 

He added that a more inclusive, practical and balanced curriculum, with scope for recreation, could help reduce academic stress. The pressure to do well was the biggest source of stress. Students also reported worrying about not being able to answer teachers’ questions, poor marks and the vast coursework. Many said they felt their efforts were not recognised or that they were not good enough. The findings also echo recommendations of NMC’s national task force on mental health and well-being of medical students, which called for accessible counselling, crisis intervention, mental-health services and greater institutional support. 

“We need to make our students intellectually strong, but we also need to make them emotionally stable. Our education system cannot focus only on academic achievement. We also need to create an environment where students can seek help, manage stress and remain emotionally resilient,” Gupta said. 

Second-year students had the highest proportion of high stress, at 30.11%, though researchers said this could reflect differences between batches. Overall, heart-rate variability (HRV) did not differ significantly between students with mild, moderate and high stress. Final-year students had 29.1% lower RMSSD, an HRV measure, than second-year students after adjustment, but the pattern was inconsistent across years and does not show progressive changes in cardiac autonomic function. 

The researchers said regular monitoring of student stress and structured institutional support are needed, particularly around academic and teaching-learning pressures. They also called for longer-term studies to understand how stress and cardiac autonomic measures change during medical education. The study was conducted between May and Nov 2025 among students aged 18-25 years. As a single-centre, cross-sectional study, it cannot establish causation or represent all medical students in India.