Hale Elijah W, Davis Rachel A
School of Medicine, University of Colorado, Aurora, CO, United Status.
Front Health Serv. 2023 Mar 9;3:1032317. doi: 10.3389/frhs.2023.1032317. eCollection 2023.
Mental health issues are common among United States medical students, and the AAMC has established recommendations for student mental health services provided by medical schools. Few studies directly compare mental health services at medical schools across the United States and, to our knowledge, none analyze how well schools adhere to the established AAMC recommendations.
To determine whether mental health services at United States medical schools adhere to established guidelines.
From October 2021 to March 2022, we obtained student handbooks and policy manuals from 77% of the accredited LCME United States medical schools. The AAMC guidelines were operationalized and placed into a rubric format. Each set of handbooks was independently scored against this rubric. A total of 120 handbooks were scored and the results were compiled.
Rates of comprehensive adherence were very low, with only 13.3% of schools displaying adherence to the full set of AAMC guidelines. Partial adherence was higher, with 46.7% of schools meeting at least one of three guidelines. Portions of guidelines whose requirements reflected a standard for LCME accreditation displayed a higher rate of adherence.
The low rates of adherence across medical schools, as measured by handbooks and Policies & Procedures manuals, represents an opportunity to improve the mental health services within United States allopathic schools. An increase in adherence could be a step towards improving the mental health of United States medical students.
心理健康问题在美国医学生中很常见，美国医学教育协会（AAMC）已制定了关于医学院校提供的学生心理健康服务的建议。很少有研究直接比较美国各医学院校的心理健康服务，据我们所知，没有研究分析学校对AAMC既定建议的遵守情况。
确定美国医学院校的心理健康服务是否符合既定指南。
从2021年10月至2022年3月，我们从77%经认可的美国LCME医学院校获取了学生手册和政策手册。将AAMC指南进行操作化处理并转化为评分标准格式。每套手册都根据该评分标准独立评分。共对120本手册进行了评分并汇总结果。
全面遵守率非常低，只有13.3%的学校遵守全套AAMC指南。部分遵守率较高，46.7%的学校符合三项指南中的至少一项。其要求反映LCME认证标准的指南部分显示出较高的遵守率。
根据手册和政策与程序手册衡量，各医学院校的低遵守率表明有机会改善美国全科医学院校的心理健康服务。提高遵守率可能是改善美国医学生心理健康的一步。
