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We Burn Out, We Break, We Die

Medical Schools Must Change Their Culture to Preserve Medical Student Mental Health

Bibliographic Data

ID21615500
AuthorsChristopher Thomas Veal (0000-0001-6408-7713, C.T. Vealis a fourth-year medical student, University of Vermont Larner College of Medicine, Burlington, Vermont; ORCID:., corresponding author)
Year2021
Volume96
Issue5
Pages629-631
Publication date2021-05-01
Open AccessNo
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0000000000003991
PMID33570856
OpenAlexW3128942101
LanguageEN
Citations received11
References cited8

The author explores medical student depression and suicide through the lens of the author’s personal struggle during the first 2 years of medical school. While the author’s story is unique, other medical students have also faced challenges that have led them to consider a permanent solution to a temporary problem. Although resources are available, stigma represents a significant barrier for students as they decide whether to seek help. Students fear that showing the slightest hint of vulnerability or imperfection will be used against them in an advancement committee, a course evaluation, or the dean’s letter for residency applications. This difficulty asking for help and the subsequent suppression of feelings can lead to burnout and ultimately to increased risk of suicide. The author calls for medical schools to make changes to their culture to preserve medical student mental health. These include committing to helping students who are struggling academically or psychologically, implementing an institution-wide program to screen for individuals at risk for suicide, educating members of the institution’s community about depression to destigmatize seeking help for mental health, and ensuring confidential mental health services are readily available to those who need them. But, most importantly, medical schools must create a culture that normalizes the need for self-care and includes vulnerability as part of training in professionalism

Burnout · Confidentiality · Feeling · Institution · Medical education · Medical emergency · Mental health · Poison control · Political science · Psychiatry · Sociology · Suicidal ideation · Suicide prevention · Clinical Psychology · Healthcare professionals’ stress and burnout · Innovations in Medical Education · Medical Education and Admissions · Medicine · Nursing · Psychology · Social Psychology

  • Gender differences in attitudes towards psychological help-seeking among chinese medical students

    Open Access•Lei Qiu, Hengyi Xu et al.•BMC Public Health•2024

  • Graduação em medicina e as Práticas Integrativas e Complementares em Saúde

    Open Access•Ana Clara De Andrade Freitas Martins, Renata Roseghini et al.•PSI UNISC•2023

  • First Aid for Mental Health

    Open Access•Hardeep Singh Kandola, Sonica Minha•Academic Medicine•2022

  • Signs, Sources, Coping Strategies, and Suggested Interventions for Burnout Among Preclerkship Students at a U.S. Medical School

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  • In Reply to Kandola and Minhas

    Christopher Thomas Veal•Academic Medicine•2022

  • Breaking the Silence

    Open Access•Louisa Dru Brenner, Helen Wei et al.•Academic Medicine•2023

  • Courage and Mental Health

    John Coverdale, Colin P West et al.•Academic Medicine•2021

  • Learner Experiences of Preceptor Self-Disclosure of Personal Illness in Medical Education

    Open Access•Ioana Cezara Ene, Etri Kocaqi et al.•Academic Medicine•2024

  • Making space for disability studies within a structurally competent medical curriculum

    Open Access•Joanne Hunt•Medical Humanities•2022

  • Predictors of personal depression stigma in medical students in China

    Open Access•Lei Qiu, Yawen Feng et al.•Medical Education Online•2022

  • The role of arts-based curricula in professional identity formation

    Open Access•James Aluri, Joyce Jiexin Ker et al.•Medical Education Online•2022

  • Depression, Stigma, and Suicidal Ideation in Medical Students

    Thomas L Schwenk, Lindsay Davis et al.•JAMA•2010

  • Medical Student Mental Health 3.0

    Stuart J Slavin, Stuart Slavin et al.•Academic Medicine•2014

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    Lisa S Rotenstein, Marco Antonio Ramos et al.•JAMA•2016

  • Burnout in medical students before residency

    Open Access•Ariel Frajerman, Yannick Morvan et al.•European Psychiatry•2019

Citations per year2.2
Citation span2021 - 2024 (4)
Highly citedNo

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