beyond undergraduate completion earned the highest median grade ( 90.5 %) compared to the 0-2 years and the 3-4 years post-undergraduate groups , though this difference did not achieve statistical significance .
STUDENT WELLNESS AND ACADEMIC CONFIDENCE
The initial portion of the survey evaluated wellbeing and academic confidence . Students were first asked whether they agreed with the statement , “ LECOM values and provides adequate mental health support for the students ,” using a five-point Likert scale . No difference was found when responses were compared to final grade ( H ( 4 ) = 1.373 , p = 0.7120 ). In contrast , when asked whether they were aware of the mental health resources our institution provides , students who responded “ no ” had a significantly higher median course grade ( 90 %) compared to those who answered “ yes ” ( 84 %) ( U ( 138 ) = 1089 , p < 0.0001 ). reported that they rarely worried about failing out of medical school had significantly higher final grades compared to those who frequently had such fears . Those who had fears of failing while taking exams also had significantly lower final grades compared to those who rarely had such fears . In contrast to the negative effects of fearing failure , students who reported that test anxiety was a “ somewhat typical ” experience achieved the highest final grade , though this difference did not reach statistical significance . Comfort admitting academic difficulties and seeking appropriate assistance were both associated with increased final grade . However , Tukey ’ s B post hoc analysis did not reveal significant differences between individual groups .
See Table 1 for statistical analysis of the remaining student wellness and academic confidence items . Increased overall life satisfaction and reporting a strong support system were both associated with higher final course grade . Additionally , selfperceived merit was evaluated when students were asked whether they deserved to be in medical school . Those who responded that it was “ very typical ” of them to feel they deserved a spot in medical school achieved significantly higher final grades than all other groups . Similarly , students who