Potential Risks and Benefits of Mental Health Screening of Physicians

Goldman, Matthew L.; Bernstein, Carol A.; Summers, Richard F.

doi:10.1001/jama.2018.18403

Cited by 12 publications

(5 citation statements)

References 9 publications

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“…21 Those who did seek help felt negatively judged by their supervisors (OR = 2.06, 95% CI 1.25 to 3.39) and were more likely to have their peers reveal their mental health issues to others (OR = 1.63, 95% CI 1.08 to 2.47). Goldman et al 22 identified concerns around loss of confidentiality, negative effects on licensure, and risk of losing staffing privileging as potential barriers for physicians seeking treatment of mental health issues. In the United States, a third of states have medical licensure application questions specifically concerning mental health disorders.…”

Section: Barriers To Seeking Mental Health Treatmentmentioning

confidence: 99%

Orthopaedic Surgeons Have a High Prevalence of Burnout, Depression, and Suicide: Review of Factors Which Contribute or Reduce Further Harm

Gold

Nellans

Boraiah

2022

J Am Acad Orthop Surg

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Orthopaedic surgeons have the highest prevalence of death by suicide among all surgical subspecialties, comprising 28.2% of surgeon suicides from 2003 to 2017. There is a continuum of burnout, depression, and other mental health illnesses likely contributing to these numbers in our profession. Stigmatization in terms of medical licensing and professional development are currently barriers to seeking mental health treatment. Education on the risk and treatment of burnout, depression, and suicidal ideations should begin early in a surgeon's career. This review documents the issue of physician burnout and depression and makes recommendations regarding necessary changes to counteract mental illness in orthopaedic surgeons. Mental health issues have recently gained attention in all aspects of society including the medical profession and professional sports. Burnout, depression, and suicide occur in many professions; however, this has largely been overlooked in the orthopaedic literature. [1][2][3] In this review, we study suicide, burnout, and depression with a focus specifically on orthopaedic surgeons. We also analyze the barriers to seek mental health help and discuss particular areas of improvement to enhance our institutional support and ultimately the life of orthopaedic surgeons. Although these are presented individually (ie, burnout, depression, and suicide), it is important for the reader to understand that these can be a continuum on the mental health spectrum. Why Orthopaedic Surgeons?We have all been socialized into an orthopaedic profession rich in history and innovative solutions for treating patients with musculoskeletal issues. As we strive for excellence, many orthopaedic surgeons define their identity in perfection and efficiency at all costs. We must reflect on the burden of this cost though. We have been taught to be tough and push through challenges without

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Section: Barriers To Seeking Mental Health Treatmentmentioning

confidence: 99%

Orthopaedic Surgeons Have a High Prevalence of Burnout, Depression, and Suicide: Review of Factors Which Contribute or Reduce Further Harm

Gold

Nellans

Boraiah

2022

J Am Acad Orthop Surg

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“…For example, detecting when mental health is deteriorating and using Just-in-Time adaptive interventions to provide support, promote behavioural change (Lind et al, 2018; Nahum-Shani et al, 2017) or prompt early help seeking behaviour (Gärtner et al, 2013) can be of enormous value. However, while this passive mobile sensing approach has many advantages (unobtrusive, individualised and scalable), it is not without challenges as this approach can be costly, involve risks (Goldman et al, 2018) and raises privacy and security concerns, such as who is in control of the data, particularly in the workplace. Thus, to conduct this much-needed research, there also needs to be clear processes around informed consent, how the data is managed, how data is shared and what action flows from it.…”

Section: Looking Forward: Research Implications and Recommendationsmentioning

confidence: 99%

A review and agenda for examining how technology-driven changes at work will impact workplace mental health and employee well-being

Johnson¹,

Dey²,

Nguyen

et al. 2020

Australian Journal of Management

115

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The mental health and well-being of employees is an increasingly important issue, both in terms of the financial costs to the Australian economy and human costs to society. This review examines two major technology-driven trends in the workplace and presents evidence for their impact on mental health, both positive and negative. First, we consider how we work, with a focus on changes which have been driven by automation and advanced technology in the workplace. Next, we consider where and when we work, with a focus on flexible work arrangements afforded by changes in telecommunication technology. Finally, we look forward with a critical lens to examine the implications for future research and for industry, government and education. JEL Classification: I31

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“…Medical students experience high rates of distress, burnout, anxiety, depression and suicidal ideation [1][2][3][4], and yet they are reluctant to seek mental health services [1,5,6,[7][8][9][10][11]. Barriers to help-seeking include concerns about confidentiality, time, cost, perceived stigma, potential repercussions, and unwanted interventions [12,13].…”

Section: Introductionmentioning

confidence: 99%

An exploration of medical student attitudes towards disclosure of mental illness

Fletcher

Castle

Scarpa

et al. 2020

Medical Education Online

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Background: Medical students are reluctant to access mental health services, despite having high rates of anxiety and depression. This reluctance persists through residency and into practice. Physicians and trainees who are unwell deliver lower quality patient care, behave less professionally, communicate less effectively and are at an increased risk for burnout and suicide. Little is known about whether students would disclose a mental health diagnosis on a state board medical license application. Objectives: The objectives of this study were to determine whether University of New Mexico School of Medicine (UNM SOM) students would be willing to disclose a mental health diagnosis on a medical licensing application if prompted to do so, and, if not, to identify the reasons for their unwillingness to do so. Design: We electronically invited all UNM SOM students enrolled in the Classes of 2019, 2020, 2021, and 2022 to participate in a confidential RedCap survey about mental health diagnoses and treatment. Four e-mail invitations and reminders were sent to students over a one-month period. Results: Response rate was 50.1%. Thirty-six percent of all respondents considered themselves to have had a mental health condition prior to medical school, and 47% of all respondents perceived a decline in mental health during medical school. The majority of respondents who perceived they had a mental health diagnosis (51%) stated they would not disclose this information on a New Mexico Medical Board (NMMB) license application. Fear of stigmatization, fear of repercussions, and a belief that such disclosure was irrelevant were the top reasons for non-disclosure. Conclusion: Students who perceive themselves to have mental health diagnoses are unlikely to disclose their mental health status on state medical board licensing applications when asked to do so. Addressing barriers to disclosure of mental health diagnoses is necessary for building a healthier physician workforce.

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Potential Risks and Benefits of Mental Health Screening of Physicians

Cited by 12 publications

References 9 publications

Orthopaedic Surgeons Have a High Prevalence of Burnout, Depression, and Suicide: Review of Factors Which Contribute or Reduce Further Harm

Orthopaedic Surgeons Have a High Prevalence of Burnout, Depression, and Suicide: Review of Factors Which Contribute or Reduce Further Harm

A review and agenda for examining how technology-driven changes at work will impact workplace mental health and employee well-being

An exploration of medical student attitudes towards disclosure of mental illness

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