Webb Jadon R, Thomas John W, Valasek Mark A
Medical Scientist Training Program, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Perspect Biol Med. 2010 Spring;53(2):200-14. doi: 10.1353/pbm.0.0154.
Medical school and residency can be stressful times, involving years of intensive academic study and pressure to earn high grades. Students and residents must learn to care for the sick, a task requiring long work hours and sleep deprivation. In such an environment, it is important to monitor the mental health of trainees and the factors that influence it. This essay examines a relatively unexplored facet of physician mental health: the use of pharmacological stimulants by students and residents to study better, earn higher grades, stay awake longer, and take better care of patients. Practical and ethical considerations of stimulant use in the medical profession, along with future directions for medical student mental health, are discussed.
医学院校学习和住院医师实习阶段可能压力巨大，需要进行多年高强度的学术学习，并面临取得高分的压力。医学生和住院医师必须学会照料病人，这项任务需要长时间工作且睡眠不足。在这样的环境下，监测实习生的心理健康及其影响因素至关重要。本文探讨了医师心理健康中一个相对未被充分研究的方面：医学生和住院医师使用药物兴奋剂以更好地学习、取得更高分数、更长时间保持清醒以及更好地照料病人。文中还讨论了在医学专业中使用兴奋剂的实际和伦理考量，以及医学生心理健康的未来发展方向。
