{"title":"医学生心理健康项目实施后早期分析。","authors":"Robyn Bernstein, Kasey Cox, Claire Collins, Sujatha Changolkar, Kirk Brower, Erin McKean","doi":"10.1007/s40596-025-02193-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early Post-implementation Analysis of a Medical Student Mental Health Program.\",\"authors\":\"Robyn Bernstein, Kasey Cox, Claire Collins, Sujatha Changolkar, Kirk Brower, Erin McKean\",\"doi\":\"10.1007/s40596-025-02193-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":7069,\"journal\":{\"name\":\"Academic Psychiatry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-09-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Academic Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40596-025-02193-9\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Academic Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40596-025-02193-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
Early Post-implementation Analysis of a Medical Student Mental Health Program.
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.
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.