Distress among matriculating medical students relative to the general population

Chantal M L R Brazeau, Tait Shanafelt, Steven J. Durning, F. Stanford Massie, Anne Eacker, Christine Moutier, Daniel V. Satele, Jeff A Sloan, Liselotte (Lotte) Dyrbye

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Method: In 2012 all MMSs at six U.S. medical schools were invited to participate in a survey during orientation. The research team surveyed a probability-based sample of U.S. individuals using the same questions in 2011. Individuals from the population sample who completed a four-year college degree and matched within the appropriate age strata (< 30, 31-35, 36-40, > 40) were compared with MMSs. Surveys included demographics and validated instruments to measure burnout; depression symptoms; and mental, emotional, physical, and overall of quality of life (QOL).

Purpose: Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a probability-based sample of the general U.S. population.

Results: Demographic characteristics of the 582/938 (62%) responding MMSs were similar to U.S. MMSs. Relative to 546 agesimilar college graduates, MMSs had lower rates of burnout (27.3% versus 37.3%, P < .001) and depression symptoms (26.2% versus 42.4%, P < .0001) and higher scores across the four QOL domains assessed relative to controls (all P < .0001). These findings persisted on multivariate analysis after adjusting for age, sex, relationship status, and race/ethnicity.

Conclusions: These findings, along with high rates of distress reported in medical students and residents, support concerns that the training process and environment contribute to the deterioration of mental health in developing physicians.

Original languageEnglish (US)
Pages (from-to)1520-1525
Number of pages6
JournalAcademic Medicine
Volume89
Issue number11
DOIs
StatePublished - 2014

Fingerprint

Medical Students
medical student
Population
Sampling Studies
Mental Health
mental health
burnout
Medical Schools
quality of life
Quality of Life
Demography
Depression
Training Support
social stratum
multivariate analysis
school
Multivariate Analysis
ethnicity
well-being
physician

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Brazeau, C. M. L. R., Shanafelt, T., Durning, S. J., Massie, F. S., Eacker, A., Moutier, C., ... Dyrbye, L. L. (2014). Distress among matriculating medical students relative to the general population. Academic Medicine, 89(11), 1520-1525. https://doi.org/10.1097/ACM.0000000000000482

Distress among matriculating medical students relative to the general population. / Brazeau, Chantal M L R; Shanafelt, Tait; Durning, Steven J.; Massie, F. Stanford; Eacker, Anne; Moutier, Christine; Satele, Daniel V.; Sloan, Jeff A; Dyrbye, Liselotte (Lotte).

In: Academic Medicine, Vol. 89, No. 11, 2014, p. 1520-1525.

Research output: Contribution to journalArticle

Brazeau, CMLR, Shanafelt, T, Durning, SJ, Massie, FS, Eacker, A, Moutier, C, Satele, DV, Sloan, JA & Dyrbye, LL 2014, 'Distress among matriculating medical students relative to the general population', Academic Medicine, vol. 89, no. 11, pp. 1520-1525. https://doi.org/10.1097/ACM.0000000000000482
Brazeau CMLR, Shanafelt T, Durning SJ, Massie FS, Eacker A, Moutier C et al. Distress among matriculating medical students relative to the general population. Academic Medicine. 2014;89(11):1520-1525. https://doi.org/10.1097/ACM.0000000000000482
Brazeau, Chantal M L R ; Shanafelt, Tait ; Durning, Steven J. ; Massie, F. Stanford ; Eacker, Anne ; Moutier, Christine ; Satele, Daniel V. ; Sloan, Jeff A ; Dyrbye, Liselotte (Lotte). / Distress among matriculating medical students relative to the general population. In: Academic Medicine. 2014 ; Vol. 89, No. 11. pp. 1520-1525.
@article{d6f78f520bb64bddac4d199e9b42c7cb,
title = "Distress among matriculating medical students relative to the general population",
abstract = "Method: In 2012 all MMSs at six U.S. medical schools were invited to participate in a survey during orientation. The research team surveyed a probability-based sample of U.S. individuals using the same questions in 2011. Individuals from the population sample who completed a four-year college degree and matched within the appropriate age strata (< 30, 31-35, 36-40, > 40) were compared with MMSs. Surveys included demographics and validated instruments to measure burnout; depression symptoms; and mental, emotional, physical, and overall of quality of life (QOL).Purpose: Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a probability-based sample of the general U.S. population.Results: Demographic characteristics of the 582/938 (62{\%}) responding MMSs were similar to U.S. MMSs. Relative to 546 agesimilar college graduates, MMSs had lower rates of burnout (27.3{\%} versus 37.3{\%}, P < .001) and depression symptoms (26.2{\%} versus 42.4{\%}, P < .0001) and higher scores across the four QOL domains assessed relative to controls (all P < .0001). These findings persisted on multivariate analysis after adjusting for age, sex, relationship status, and race/ethnicity.Conclusions: These findings, along with high rates of distress reported in medical students and residents, support concerns that the training process and environment contribute to the deterioration of mental health in developing physicians.",
author = "Brazeau, {Chantal M L R} and Tait Shanafelt and Durning, {Steven J.} and Massie, {F. Stanford} and Anne Eacker and Christine Moutier and Satele, {Daniel V.} and Sloan, {Jeff A} and Dyrbye, {Liselotte (Lotte)}",
year = "2014",
doi = "10.1097/ACM.0000000000000482",
language = "English (US)",
volume = "89",
pages = "1520--1525",
journal = "Academic Medicine",
issn = "1040-2446",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - Distress among matriculating medical students relative to the general population

AU - Brazeau, Chantal M L R

AU - Shanafelt, Tait

AU - Durning, Steven J.

AU - Massie, F. Stanford

AU - Eacker, Anne

AU - Moutier, Christine

AU - Satele, Daniel V.

AU - Sloan, Jeff A

AU - Dyrbye, Liselotte (Lotte)

PY - 2014

Y1 - 2014

N2 - Method: In 2012 all MMSs at six U.S. medical schools were invited to participate in a survey during orientation. The research team surveyed a probability-based sample of U.S. individuals using the same questions in 2011. Individuals from the population sample who completed a four-year college degree and matched within the appropriate age strata (< 30, 31-35, 36-40, > 40) were compared with MMSs. Surveys included demographics and validated instruments to measure burnout; depression symptoms; and mental, emotional, physical, and overall of quality of life (QOL).Purpose: Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a probability-based sample of the general U.S. population.Results: Demographic characteristics of the 582/938 (62%) responding MMSs were similar to U.S. MMSs. Relative to 546 agesimilar college graduates, MMSs had lower rates of burnout (27.3% versus 37.3%, P < .001) and depression symptoms (26.2% versus 42.4%, P < .0001) and higher scores across the four QOL domains assessed relative to controls (all P < .0001). These findings persisted on multivariate analysis after adjusting for age, sex, relationship status, and race/ethnicity.Conclusions: These findings, along with high rates of distress reported in medical students and residents, support concerns that the training process and environment contribute to the deterioration of mental health in developing physicians.

AB - Method: In 2012 all MMSs at six U.S. medical schools were invited to participate in a survey during orientation. The research team surveyed a probability-based sample of U.S. individuals using the same questions in 2011. Individuals from the population sample who completed a four-year college degree and matched within the appropriate age strata (< 30, 31-35, 36-40, > 40) were compared with MMSs. Surveys included demographics and validated instruments to measure burnout; depression symptoms; and mental, emotional, physical, and overall of quality of life (QOL).Purpose: Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a probability-based sample of the general U.S. population.Results: Demographic characteristics of the 582/938 (62%) responding MMSs were similar to U.S. MMSs. Relative to 546 agesimilar college graduates, MMSs had lower rates of burnout (27.3% versus 37.3%, P < .001) and depression symptoms (26.2% versus 42.4%, P < .0001) and higher scores across the four QOL domains assessed relative to controls (all P < .0001). These findings persisted on multivariate analysis after adjusting for age, sex, relationship status, and race/ethnicity.Conclusions: These findings, along with high rates of distress reported in medical students and residents, support concerns that the training process and environment contribute to the deterioration of mental health in developing physicians.

UR - http://www.scopus.com/inward/record.url?scp=84914095717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84914095717&partnerID=8YFLogxK

U2 - 10.1097/ACM.0000000000000482

DO - 10.1097/ACM.0000000000000482

M3 - Article

C2 - 25250752

AN - SCOPUS:84914095717

VL - 89

SP - 1520

EP - 1525

JO - Academic Medicine

JF - Academic Medicine

SN - 1040-2446

IS - 11

ER -