Assessing Student Burnout, Treatment Acquisition, and Barriers to Care to Prompt Changes in a Student Mental Healthcare Program.

Autor: Collins C; University of Michigan Medical School, Ann Arbor, Michigan, USA., Pichan C; University of Michigan Medical School, Ann Arbor, Michigan, USA. cmpichan@umich.edu., McGee L; University of Michigan Medical School, Ann Arbor, Michigan, USA., Siden JY; University of Michigan Medical School, Ann Arbor, Michigan, USA., Brower K; University of Michigan Medical School, Ann Arbor, Michigan, USA.
Jazyk: angličtina
Zdroj: Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry [Acad Psychiatry] 2023 Apr; Vol. 47 (2), pp. 164-168. Date of Electronic Publication: 2022 Jul 25.
DOI: 10.1007/s40596-022-01685-2
Abstrakt: Objective: Medical students demonstrate disproportionately higher levels of burnout and depression than their non-medical age-matched peers. Few studies have been conducted about rates of treatment acquisition and the barriers to care among students with mental health concerns. This study further characterizes rates of burnout, obstacles to treatment, and program preference for medical students at The University of Michigan.
Methods: In June 2020, a 31-question survey eliciting information regarding student burnout, well-being, barriers to care, and improvements to overcome such barriers was sent to 588 current and recently graduated medical students at The University of Michigan. Participation was anonymous and voluntary, with optional response to each question.
Results: Ultimately, 312 (53%) students responded. Pre-clinical and core clinical students were significantly more burned out than clinical elective students, with pre-clinical students' odds ratio (OR) of 2.45 and core clinical students' OR of 2.48. Most participants (81%) reported concerns regarding their emotional well-being. Two-thirds (66%) indicated a new or previously diagnosed mental health concern, with 37% of these students never having sought treatment. Commonly reported barriers to care and suggested improvement to mental health services are outlined. Commonly reported barriers to care were financial concerns, time constraints, and stigma-related fear of career-ending consequences.
Conclusions: This study showed stratification of the high levels of burnout among medical students. Student-driven feedback and survey results can help prompt medical schools to develop more robust mental healthcare models and drive much-needed structural changes.
(© 2022. The Author(s), under exclusive licence to American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry and Association of Directors of Medical Student Education in Psychiatry.)
Databáze: MEDLINE
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