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Longitudinal Mental Health Outcomes of Third-year Medical Students Rotating Through the Wards During COVID-19.
Stanislawski, Emma R; Saali, Alexandra; Magill, Elizabeth B; Deshpande, Richa; Kumar, Vedika; Chan, Chi; Hurtado, Alicia; Charney, Dennis S; Ripp, Jonathan; Katz, Craig L.
  • Stanislawski ER; Department of Psychiatry, 22 Bramhall Street, Maine Medical Center, Portland, ME, United States of America; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America. Electronic address: emma.stanislawski@gmail.com.
  • Saali A; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Magill EB; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Deshpande R; Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Kumar V; Department of Psychiatry, Zucker Hillside Hospital, 75-59 263rd St, Glen Oaks, New York, United States of America.
  • Chan C; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America; Mental Illness Research, Education, and Clinical Center, James J. Peters VA Medical Center, 130 W Kingsbridge Rd, Bronx, NY, United States of America.
  • Hurtado A; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Charney DS; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Ripp J; Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
  • Katz CL; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, New York, NY, United States of America.
Psychiatry Res ; 320: 115030, 2023 02.
Article in English | MEDLINE | ID: covidwho-2165772
ABSTRACT
This study investigated third year medical students' psychological well-being during clinical rotations at Mount Sinai hospitals in New York City during the COVID-19 pandemic. All students (n = 147) starting rotations (psychiatry, surgery, obstetrics-gynecology, neurology, pediatrics, and medicine) could participate in quarterly, online, anonymous surveys comprised of validated screeners for psychological symptoms, risk, coping, and protective factors, demographics, COVID-19 worries, and stressful clerkship-related events. Associations between variables were examined with Chi-squared, Fisher's exact, t-, Wilcoxon Rank Sum, one-way ANOVA, and McNemar tests. Significant univariate predictors of psychological distress were included in stepwise multivariable linear regression models. The baseline survey was completed by 110 (74.8%) students; ninety-two (62.6%) completed at least one other survey. During the year, 68 (73.9%) students screened positive for depression, anxiety, or PTSD. The prevalence of psychiatric symptoms peaked in June 2020 without significant changes in average scores over time. COVID-19 worries decreased over time but did not influence psychological symptoms at year-end. Eighty-three students (90.2%) experienced stressful clerkship-related events, which were traumatic and/or COVID-19-related for 26 (28.3%) and 22 students (24.0%), respectively. Baseline psychological distress, childhood emotional abuse, and resilience predicted depression, anxiety, and/or PTSD by year-end. This study highlights the importance of recognizing psychological distress and implementing interventions to support students' well-being.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Students, Medical / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Qualitative research Limits: Child / Humans Language: English Journal: Psychiatry Res Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Students, Medical / COVID-19 Type of study: Etiology study / Observational study / Prognostic study / Qualitative research Limits: Child / Humans Language: English Journal: Psychiatry Res Year: 2023 Document Type: Article