Depressive symptoms, burnout, and declining medical career interest among undergraduate premedical students

被引:29
作者
Grace, Matthew K. [1 ]
机构
[1] Hamilton Coll, Dept Sociol, Clinton, NY 13323 USA
来源
INTERNATIONAL JOURNAL OF MEDICAL EDUCATION | 2018年 / 9卷
基金
美国国家科学基金会;
关键词
Premedical education; mental health; medical career aspirations; depressive symptoms; burnout;
D O I
10.5116/ijme.5be5.8131
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Objectives: To investigate the relationship between mental health issues and medical career interest among undergraduate premedical students, and to explore whether this association varies by gender. Methods: A longitudinal survey of freshman and sophomore premedical students at Indiana University was conducted during the 2015-16 academic year. Survey data were collected from 390 respondents via an online questionnaire (response rate=14%) in September 2015, and 292 of these respondents participated in the follow-up survey in April 2016 (retention rate=75%). Multi-level regression models were used to estimate the associations among depressive symptoms, burnout, and medical career interest. Results: Respondents who experienced more depressive symptoms (beta = -.07, z =-2.49, p =.013) and higher levels of burnout (beta = -.50, z =-3.98, p <.001) reported significant reductions in medical career interest over the study period. These associations remained consistent after controlling for socio-demographic characteristics and prior academic achievement. Depressive symptoms were associated with steeper declines in medical career interest among women compared to men (beta = -.09, z =-2.01, p =.045), though the relationship between burnout and medical career interest did not significantly vary by gender. Conclusions: Results provide evidence that premeds who experience more depressive symptoms and higher levels of burnout become less interested in entering the medical profession. The negative association between depressive symptoms and medical career interest was even more pronounced among premedical women compared to men. Findings suggest that colleges and universities in the United States should implement programs aimed at safeguarding the mental health of premedical students.
引用
收藏
页码:302 / 308
页数:7
相关论文
共 32 条
  • [1] How Leaky Is the Health Career Pipeline? Minority Student Achievement in College Gateway Courses
    Alexander, Charles
    Chen, Eric
    Grumbach, Kevin
    [J]. ACADEMIC MEDICINE, 2009, 84 (06) : 797 - 802
  • [2] Association of American Medical Colleges, 2018, APPL 1 TIM APPL ACC
  • [3] Chemistry courses as the turning point for premedical students
    Barr, Donald A.
    Matsui, John
    Wanat, Stanley F.
    Gonzalez, Maria Elena
    [J]. ADVANCES IN HEALTH SCIENCES EDUCATION, 2010, 15 (01) : 45 - 54
  • [4] Barr Donald A, 2008, Acad Med, V83, P503, DOI 10.1097/ACM.0b013e31816bda16
  • [5] Boulis A., 2008, CHANGING FACE MED WO
  • [6] Assessment of depression and suicidal behaviour among medical students in Portugal
    Coentre, Ricardo
    Faravelli, Carlo
    Figueira, Maria Luisa
    [J]. INTERNATIONAL JOURNAL OF MEDICAL EDUCATION, 2016, 7 : 354 - 363
  • [8] Corp S., 2015, STATA STAT SOFTWARE
  • [9] Dall T, 2018, COMPLEXITIES PHYS SU
  • [10] Burnout Among U. S. Medical Students, Residents, and Early Career Physicians Relative to the General U. S. Population
    Dyrbye, Liselotte N.
    West, Colin P.
    Satele, Daniel
    Boone, Sonja
    Tan, Litjen
    Sloan, Jeff
    Shanafelt, Tait D.
    [J]. ACADEMIC MEDICINE, 2014, 89 (03) : 443 - 451