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During training, they are expected to develop strategies for dealing with stress. This study investigated factors medical students perceived as draining and replenishing during COVID-19, using the \u2018coping reservoir\u2019 model of wellbeing.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In synchronous interactive pre-recorded webinars, 78 fourth-year medical students in the UK responded to reflective prompts. Participants wrote open-text comments on a Padlet site. Responses were analysed using reflexive thematic analysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Analysis identified five themes. COVID-19 exacerbated academic pressures, while reducing the strategies available to cope with stress. Relational connections with family and friends were affected by the pandemic, leading to isolation and reliance on housemates for informal support. Relationships with patients were adversely affected by masks and telephone consultations, however attending placement was protective for some students\u2019 wellbeing. Experiences of formal support were generally positive, but some students experienced attitudinal and practical barriers.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study used a novel methodology to elicit medical students\u2019 reflections on their mental wellbeing during COVID-19. Our findings reinforce and extend the \u2018coping reservoir\u2019 model, increasing our understanding of factors that contribute to resilience or burnout. Many stressors that medical students typically face were exacerbated during COVID-19, and their access to coping strategies and support were restricted. The changes to relationships with family, friends, patients, and staff resulted in reduced support and isolation. Recognising the importance of relational connections upon medical students\u2019 mental wellbeing can inform future support.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40359-024-01618-8","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T16:02:31Z","timestamp":1711641751000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Medical student wellbeing during COVID-19: a qualitative study of challenges, coping strategies, and sources of support"],"prefix":"10.1186","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8712-5890","authenticated-orcid":false,"given":"Helen M","family":"West","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7296-6304","authenticated-orcid":false,"given":"Luke","family":"Flain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rowan M","family":"Davies","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Shelley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5298-9402","authenticated-orcid":false,"given":"Oscar T","family":"Edginton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"issue":"21","key":"1618_CR1","doi-asserted-by":"publisher","first-page":"2214","DOI":"10.1001\/jama.2016.17324","volume":"316","author":"LS Rotenstein","year":"2016","unstructured":"Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. 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Students were fully informed about the study prior to the workshop and had an opportunity to ask questions. Participants provided informed consent, completing an electronic consent form before responding to prompts. The study was conducted in accordance with relevant guidelines and regulations, including the University of Liverpool Research Ethics and Research Data Management Policies, and the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"179"}}