Early Post-implementation Analysis of a Medical Student Mental Health Program.

IF 2.8 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Robyn Bernstein, Kasey Cox, Claire Collins, Sujatha Changolkar, Kirk Brower, Erin McKean
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引用次数: 0

Abstract

Objective: Mental health and burnout are major concerns among medical students, yet poor utilization of care persists. Barriers to care for medical students were identified in a previous study. Following this, a no-cost, confidential Medical Student Mental Health Program (MSMHP) was established to address common barriers to care. This study provides an analysis 1 year following the implementation of the MSMHP as well as a comparison to student attitudes and service utilization with the pre-implementation survey.

Methods: In early 2023, a survey eliciting information regarding student burnout, barriers to care, and resource utilization and satisfaction was sent to 780 current medical students. Participation was anonymous and voluntary, with optional responses to each question.

Results: Ultimately, 387 (50%) medical students responded. Burnout remained at similar levels between years (2020, 2.60; 2023, 2.59), as well as students reporting either a new or previously perceived mental health concern (2020, 67%; 2023, 65%). Satisfaction with the availability of mental health resources for medical students significantly increased since MSMHP implementation; 74% were "very" or "somewhat" satisfied in 2023, compared with 39% in 2020. While we found that the program addressed the barrier of access, barriers of stigma, time, fear of future disclosure, and cost remained.

Conclusion: This study demonstrated that following the implementation of a MSMHP, a greater proportion of medical students obtained mental health care. Despite this, student burnout and concern over mental health and emotional well-being remained high. This may be explained by persistent systemic issues and barriers to care within the medical school experience.

医学生心理健康项目实施后早期分析。
目的:心理健康和职业倦怠是医学生关注的主要问题,但医学生对医疗服务的利用率却很低。在之前的一项研究中发现了照顾医学生的障碍。在此之后,建立了一个免费、保密的医学生心理健康计划(MSMHP),以解决常见的护理障碍。本研究提供了MSMHP实施一年后的分析,并与实施前的调查比较了学生的态度和服务利用率。方法:于2023年初对780名在校医学生进行职业倦怠、护理障碍、资源利用及满意度调查。参与是匿名和自愿的,每个问题都有可选的回答。结果:最终有387名(50%)医学生回应。倦怠在各年之间保持相似水平(2020年,2.60;2023年,2.59),以及学生报告新的或以前认为的心理健康问题(2020年,67%;2023年,65%)。实施MSMHP后,医学生对心理健康资源的满意度显著提高;2023年,74%的受访者表示“非常”或“比较”满意,而2020年这一比例为39%。虽然我们发现该项目解决了获取的障碍,但耻辱感、时间、对未来披露的恐惧和成本的障碍仍然存在。结论:本研究显示,医学生在实施MSMHP后,获得心理健康照护的比例较高。尽管如此,学生的倦怠和对心理健康和情感健康的担忧仍然很高。这可能是由持续的系统问题和医学院经验中的护理障碍来解释的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.60
自引率
20.00%
发文量
157
期刊介绍: Academic Psychiatry is the international journal of the 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. Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy. The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.
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