Table 6.

Sources of Stress as Reported by the Students in the Present Study

Item	Some Important Reported Causes of Stress by the Students		No. and Percentage
Modules	Number. Sequences, no interval period of rest in-between		253 (75%)
Modules’ contents	So condensed. Need more contact hours to learn		132 (39.1%)
Student-centered activities and other small group sessions	PBL, TBL, CBL	Structure of tutorial contents Facilitator role Interpersonal communication Preparation of my work Presentation Teamwork and group harmony Timing Personal student factors	162 (48%)
	Seminar	Language Objectives Preparation Presentation Resources and facilities Inter-tutor bias marking	117 (34.7%)
Assessments	Too many; at least 4 types of assessments per module in addition to the assessments of longitudinal modules within the horizontal modules Usually done at the end of module, without enough time to study OSPE/OSCE environment; number and timing of stations		287 (85.1%) 114 (33.8%)
Medical illness	Acute and chronic medical illness		12 (3.5%)
Social factors	Residence, distance from family (Alienation), financial support		18 (5.3%)