Vaa Stelling Brianna E, West Colin P
B.E. Vaa Stelling is assistant professor of medicine, Division of Community Internal Medicine, Mayo Clinic, Rochester, Minnesota; ORCID: https://orcid.org/0000-0002-3018-2517 .
C.P. West is professor of medicine, medical education, and biostatistics, Divisions of General Internal Medicine and Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota; ORCID: https://orcid.org/0000-0003-1628-5023 .
Acad Med. 2021 May 1;96(5):682-685. doi: 10.1097/ACM.0000000000003941.
Distress, depression, and burnout are common during medical training. Stigma surrounding seeking help for mental illness during medical training may involve fear of negative peer perceptions, academic jeopardy, and adverse future career consequences. Faculty disclosure of personal mental health illness may reduce stigma surrounding mental health disorders and reassure and encourage trainees to seek help when needed.
The authors aimed to assess the impact of faculty disclosure of mental health issues on stigma toward help-seeking during training, self-reflection about mental health, and resident physician awareness of mental health resources. Three self-selected faculty members shared their personal experiences with depression and mental health during a confidential noon conference intended for internal medicine residents at Mayo Clinic Rochester as part of their core curriculum in December 2016. Institutional and community mental health resources were provided. After the conference, attendees completed an anonymous survey assessing self-reported knowledge, attitudes, and behaviors surrounding mental health during medical training.
One hundred percent of residents (39/39) agreed that they enjoyed the conference. Thirty-five of 39 (89.7%) respondents agreed that their knowledge of available mental health resources increased and 33/39 (84.6%) agreed they were more likely to pursue mental health resources after attending the conference. Thirty-eight of 39 (97.4%) residents agreed that faculty sharing their personal struggles destigmatizes mental health issues during training, and the same percentage reported engaging in postconference self-reflection regarding their own mental health and well-being.
Resident conference sessions during which faculty self-disclose personal mental health experiences may help decrease the stigma of mental health issues during medical training and increase the likelihood residents will seek assistance when needed. The authors encourage further study of longer-term outcomes and actual help-seeking behaviors across learner levels and training environments.
在医学培训期间，困扰、抑郁和职业倦怠很常见。在医学培训期间，围绕寻求精神疾病帮助的污名化可能包括害怕同伴产生负面看法、学业风险以及未来职业的不良后果。教员披露个人心理健康问题可能会减少围绕心理健康障碍的污名化，并使学员放心并鼓励他们在需要时寻求帮助。
作者旨在评估教员披露心理健康问题对培训期间寻求帮助的污名化、心理健康的自我反思以及住院医师对心理健康资源的认知的影响。2016年12月，三名自行选择的教员在梅奥诊所罗切斯特分院为内科住院医师举办的保密午间会议上分享了他们个人的抑郁和心理健康经历，这是他们核心课程的一部分。会上提供了机构和社区心理健康资源。会议结束后，与会者完成了一项匿名调查，评估他们在医学培训期间围绕心理健康的自我报告的知识、态度和行为。
100%的住院医师（39/39）表示喜欢这次会议。39名受访者中有35名（89.7%）同意他们对可用心理健康资源了解增加，39名中有33名（84.6%）同意参加会议后他们更有可能寻求心理健康资源。39名住院医师中有38名（97.4%）同意教员分享他们的个人挣扎消除了培训期间心理健康问题的污名化，同样比例的人报告在会后对自己的心理健康和幸福进行了自我反思。
教员自我披露个人心理健康经历的住院医师会议环节可能有助于减少医学培训期间心理健康问题的污名化，并增加住院医师在需要时寻求帮助的可能性。作者鼓励进一步研究不同学习者水平和培训环境下的长期结果和实际寻求帮助行为。
