Mental Health During Residency Training: Assessing the Barriers to Seeking Care

Aaronson, Alexandra; Backes, Katherine; Agarwal, Gaurava; Goldstein, Joshua; Anzia, Joan M.

doi:10.1007/s40596-017-0881-3

Cited by 51 publications

(30 citation statements)

References 11 publications

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“…However, a 2009 review in the United States of America found that 96% of the state medical licensing board applications reviewed required physician applicants to disclose any personal history of psychiatric illnesses [124] and some of the questions cast physician illnesses ‘in a punitive context’. There have been calls for the disclosure of the history of psychiatric illness to be non-compulsory as this is a barrier to medical students and residents seeking care for their mental health [125,126]. In addition, medical schools can provide confidential access to off-site mental health services for students, as it has been found that medical students desire confidentiality and privacy when seeking medical services [112].…”

Section: Discussionmentioning

confidence: 99%

The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis

Quek

Tam

Tran

et al. 2019

IJERPH

625

480

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: Anxiety, although as common and arguably as debilitating as depression, has garnered less attention, and is often undetected and undertreated in the general population. Similarly, anxiety among medical students warrants greater attention due to its significant implications. We aimed to study the global prevalence of anxiety among medical students and the associated factors predisposing medical students to anxiety. In February 2019, we carried out a systematic search for cross-sectional studies that examined the prevalence of anxiety among medical students. We computed the aggregate prevalence and pooled odds ratio (OR) using the random-effects model and used meta-regression analyses to explore the sources of heterogeneity. We pooled and analyzed data from sixty-nine studies comprising 40,348 medical students. The global prevalence rate of anxiety among medical students was 33.8% (95% Confidence Interval: 29.2–38.7%). Anxiety was most prevalent among medical students from the Middle East and Asia. Subgroup analyses by gender and year of study found no statistically significant differences in the prevalence of anxiety. About one in three medical students globally have anxiety—a prevalence rate which is substantially higher than the general population. Administrators and leaders of medical schools should take the lead in destigmatizing mental illnesses and promoting help-seeking behaviors when students are stressed and anxious. Further research is needed to identify risk factors of anxiety unique to medical students.

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Section: Discussionmentioning

confidence: 99%

The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis

Quek

Tam

Tran

et al. 2019

IJERPH

625

480

View full text Add to dashboard Cite

show abstract

“…75 Another study looking at residents found that only 24% of residents who felt they needed mental health care sought treatment. 76 Residents cited lack of time, concern of confidentiality, and cost as barriers to treatment. Encouragingly, studies looking at physicians who participated in either individual or group counseling with a trained professional showed a lasting reduction in EE for up to three years.…”

Section: Validated In Physician Populationsmentioning

confidence: 99%

WestJEM 21.2 March Issue

2020

WestJEM

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Emergency medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.

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“…21 These conflicts leave residents hesitant to disclose these issues or to request time off for fear of a lack of confidentiality, stigma, documentation on academic record, and downstream consequences for licensure and employment. [28][29][30][31][32] In addition, many well-meaning wellness initiatives disproportionately focus on individual factors without adequate attention to systematic contributors to burnout, despite research that points to the learning environment as a major driver of resident burnout. [33][34][35]…”

Section: Introductionmentioning

confidence: 99%

Wellness and Work: Mixed Messages in Residency Training

et al. 2019

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Resident physicians are at higher risk for depression, anxiety, and burnout when compared with same-age peers, resulting in substantive personal and professional consequences. Training programs across the country have acknowledged the gravity of this situation and many have implemented programs and curricula that address wellness and resilience, yet the benefits of such initiatives are still largely unknown. While the development of wellness programming is well intentioned, it is often incongruent with the residency training environment. The mixed messaging that occurs when wellness programs are implemented in environments that do not support self-care may unintentionally cause resident distress. Indeed, outside of the time dedicated to wellness curricula, residents are often rewarded for self-sacrifice. In this commentary, we describe how the complexities of the medical system and culture contribute to mixed messaging and we explore the potential impact on residents. We offer recommendations to strengthen wellness programs through efforts to promote structural change in the training environment.

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Mental Health During Residency Training: Assessing the Barriers to Seeking Care

Abstract: Despite feeling that they require mental health services, few trainees actually sought care. This study identifies an overall need for improved access to mental health providers and psychoeducation for medical housestaff.

Cited by 51 publications

References 11 publications

The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis

The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis

WestJEM 21.2 March Issue

Wellness and Work: Mixed Messages in Residency Training

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