Barriers to accessing mental health resources as perceived by surgical compared to medical trainees.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-12-25 DOI:10.1016/j.amjsurg.2024.116141

Jamaica A Westfall-Snyder, Hope A Feldman, Erin Walker, Michelle Thompson, Rebecca L Hoffman

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引用次数: 0

Abstract

Introduction: Despite myriad wellness programs, training demands restrict resident access. This study aimed to evaluate barriers to accessing mental health resources(MHR) and determine if differences exist between medical(MT) and surgical trainees(ST).

Methods: A cross-sectional survey was performed in one health system assessing awareness of and barriers to accessing MHR. Subjects were either ST(general surgery/surgical subspecialty) or MT(internal medicine/specialty). Descriptive and univariate statistics were performed.

Results: There were 87 responders(19 %); 55(63.2 %)MT and 32(36.8 %)ST, with a median age of 30 years(IQR29-33). Women comprised (44)55 %. Most trainees(62; 71 %) perceive availability of time as the biggest barrier to accessing MHR(27(85 %) ST vs 35(64 %) MT; p = 0.04), and (20)63%ST couldn't find additional weekly time regardless of their mental/emotional state(vs 19(35 %)) MT, p = 0.01). Trainees don't share vulnerable emotions to avoid appearing weak (54(51 %)). They demonstrate statistically significant poor self-compassion regarding MHR utilization.

Conclusions: Trainees' lack of time, internal stigma, and poor self-compassion are significant barriers to accessing MHR. More than MT, ST would not schedule counseling despite their emotional state. Understanding the barriers keeping residents from pursuing MHR provides direction for targeted wellness initiatives.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.