Psychiatric Studies in Medical Education

Strecker, Edward A.; Appel, Kenneth E.; Palmer, Harold D.; Braceland, Francis J.

doi:10.1176/ajp.93.5.1197

Cited by 17 publications

(6 citation statements)

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“…For decades, educators have recognized that the stress of medical school is a significant problem. 1 – 5 The effects of this stress on the mental health and well-being of medical students across the four years of medical school have been well documented. Medical students consistently demonstrate depression rates that are significantly higher than those in the same age cohort in the general population.…”

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confidence: 99%

“…In a recent multi-institutional study, 11.2% of medical students reported experiencing suicidal ideation in the previous year. 12 Medical students also display high levels of anxiety 1 , 3 , 4 , 13 – 15 and burnout. 6 , 12 , 16 , 17 Collectively, these findings are alarming, especially given the high rates of burnout, depression, and suicide among physicians.…”

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confidence: 99%

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Medical Student Mental Health 3.0

2014

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Medical education can have significant negative effects on the well-being of medical students. To date, efforts to improve student mental health have focused largely on improving access to mental health providers, reducing the stigma and other barriers to mental health treatment, and implementing ancillary wellness programs. Still, new and innovative models that build on these efforts by directly addressing the root causes of stress that lie within the curriculum itself are needed to properly promote student wellness. In this article, the authors present a new paradigm for improving medical student mental health, by describing an integrated, multifaceted, preclinical curricular change program implemented through the Office of Curricular Affairs at the Saint Louis University School of Medicine starting in the 2009–2010 academic year. The authors found that significant but efficient changes to course content, contact hours, scheduling, grading, electives, learning communities, and required resilience/mindfulness experiences were associated with significantly lower levels of depression symptoms, anxiety symptoms, and stress, and significantly higher levels of community cohesion, in medical students who participated in the expanded wellness program compared with those who preceded its implementation. The authors discuss the utility and relevance of such curricular changes as an overlooked component of change models for improving medical student mental health.

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confidence: 99%

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confidence: 99%

Medical Student Mental Health 3.0

2014

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“…For at least the past 35 years, it has been a rather general assumption that it is relatively high. Some data follow: in 1937, Strecker, Appel, Palmer and Braceland [49] found more than 46 percent of senior students at the University of Pennsylvania Medical School to be suffering from neurotic handicaps of a major character. Pitts et al [SO] in a random sample of 40 sophomore medical students found 15 percent were psychiatrically ill, including diagnoses of manic-depression, anxiety neurosis, and chronic alcoholism.…”

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confidence: 99%

Suicide among Physicians

Ross

1971

Psychiatry in Medicine

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A review of the international literature of the past 75 years of suicide among physicians indicates that (1) suicide among physicians is high, (2) suicide among female physicians is higher than among male physicians, (3) physician suicide varies from country to country, with the highest rate among the Danes, the next among British and the next among U.S.A. physicians, (4) there is a high incidence of psychiatric morbidity, alcoholism and drug addiction among physicians who suicide, (5) as in suicides among other groups, there are significant variable correlates of age, gender, medical school affiliation, geographic residence, type of medical practice and specialty, the state of physical and emotional health, the use of alcohol and drugs, and professional and psychosocial factors, and (6) preventive action is both possible and desirable.

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“…Bspw. zeigen Studierende mit höheren Neurotizismus-Scores eine herabgesetzte Stressresistenz[11,25]. Während des Studiums "erleben" die Studierenden dann in unterschiedlichem Maße negativen und positiven Input, also das Reservoir entleerende und das Reservoir auffüllende Einflüsse.…”

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Ansatzpunkte für Resilienzförderung im Medizinstudium – Was hält angehende Ärztinnen und Ärzte gesund?

Kötter

2019

Aktuel Urol

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ZusammenfassungDie Entwicklung hin zu einer verminderten Stressresilienz und beeinträchtigten psychosozialen Gesundheit, die wir in der Ärzteschaft beobachten können, beginnt bereits früh im Medizinstudium. Eigene Ergebnisse bestätigen die international beobachtete negative Entwicklung der Gesundheit von Medizinstudierenden. Studierende, die gleichzeitig ein hohes Perfektionsstreben und eine geringe Distanzierungsfähigkeit aufweisen und nicht regelmäßig körperlich aktiv sind, scheinen eine besondere Risikogruppe darzustellen. Es erscheint daher sinnvoll, möglichst früh im Studium Interventionen zu implementieren, die dieser Entwicklung durch Stärkung von individuellen Ressourcen und Vermeidung schädigender Einflüsse durch das Studium selbst entgegenwirken können. Interventionen sollten sowohl auf die individuellen Verhaltens- und Erlebensmuster der Studierenden abzielen als auch auf das Setting. Von den Studierenden selbst wird das medizinische Curriculum selbst als prioritärer Ansatzpunkt für resilienzfördernde Interventionen angesehen. Es sollte daher das Interesse aller Beteiligten sein, möglichst allen Studierenden ein Studium bei guter Gesundheit zu ermöglichen und sie darüber hinaus für das Berufsleben mit Ressourcen wie einer guten Resilienz auszustatten, die sich nachhaltig positiv auf die Qualität der Patientenversorgung auswirken. Die Evidenzlage sowohl hinsichtlich protektiver Faktoren für die Gesundheit von Medizinstudierenden als auch wirksamer resilienzfördernder Interventionen ist bislang quantitativ und qualitativ unzureichend. Gerade aus dem deutschen Sprachraum gibt es nur wenige aussagekräftige Studien. Eigene Studien zeigen, dass die Teilnahmebereitschaft an solchen Angeboten trotz des zusätzlichen Zeitaufwandes hoch ist, die Studierenden erachten diese als hilfreich. Interventionen nach den Konzepten der Mind-Body-Medizin erscheinen im Kontext Medizinstudium dabei besonders vielversprechend.

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Psychiatric Studies in Medical Education

Cited by 17 publications

References 0 publications

Medical Student Mental Health 3.0

Medical Student Mental Health 3.0

Suicide among Physicians

Ansatzpunkte für Resilienzförderung im Medizinstudium – Was hält angehende Ärztinnen und Ärzte gesund?

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