Simpson Victoria, Halpin Laura, Chalmers Kirk, Joynes Viktoria
School of Medicine, University of Liverpool, Liverpool, UK.
Clin Teach. 2019 Aug;16(4):356-361. doi: 10.1111/tct.13080. Epub 2019 Jul 30.
Mental illness in young people is a major public health challenge, with a higher prevalence amongst medical students. This study explores the perspectives of both students and staff in relation to the provision of well-being support within one medical school in the United Kingdom.
A total of 17 second-year medical students and five members of academic and well-being staff at Liverpool Medical School participated in one-to-one semi-structured interviews. Staff and students were asked for their views on existing support services, exploring challenges and ideas for development. Interviews were recorded, transcribed and analysed thematically to identify common themes amongst both students and staff.
Students wanted to have more obvious support during their transition from sixth form to undergraduate studies. Perceived stigma surrounding mental health continues to prevent students seeking help over concerns this might have upon academic progress. Staff reported concerns that student expectations did not always match with what could realistically be provided by the medical school well-being service.
The provision of opportunities for students to 'check-in' with staff, and the introduction of well-being topics within the curriculum, were perceived by students and staff as being of potential benefit to the mental health of students. Such interventions may also help to build rapport and encourage students to engage with medical school support services. All well-being support services are increasingly in demand amongst medical students, showing a need for them to expand and well-being to be further incorporated into the course.
年轻人的精神疾病是一项重大的公共卫生挑战,在医学生中患病率更高。本研究探讨了英国一所医学院的学生和教职员工在提供幸福支持方面的观点。
利物浦医学院共有17名二年级医学生以及5名学术和幸福方面的教职员工参与了一对一的半结构化访谈。向教职员工和学生询问了他们对现有支持服务的看法,探讨了发展面临的挑战和想法。访谈进行了录音、转录并进行了主题分析,以确定学生和教职员工中的共同主题。
学生们希望在从高中过渡到本科学习期间能得到更明显的支持。围绕心理健康的感知污名仍然阻碍着学生寻求帮助,因为他们担心这可能会对学业进展产生影响。教职员工表示担心学生的期望并不总是与医学院幸福服务实际能提供的相匹配。
学生和教职员工都认为,为学生提供与教职员工“交流”的机会以及在课程中引入幸福主题,可能对学生的心理健康有益。此类干预措施也可能有助于建立融洽关系,并鼓励学生使用医学院的支持服务。所有幸福支持服务在医学生中的需求都在日益增加,这表明需要扩大这些服务并将幸福进一步纳入课程。