ArticleAcademic medicine : journal of the Association of American Medical Colleges2019
Residency Program Factors Associated With Depressive Symptoms in Internal Medicine Interns: A Prospective Cohort Study.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Critical skills: qualitative content analysis of medical residents in social skills training with RPGs.Frontiers in psychology · 2026Article
- Association between social skills and mental health outcomes in Health Science Residents in Brazil.PloS one · 2026Article
- Perceptions of research experience during internal medicine training: insights from a national survey.Annals of medicine · 2025Article
- Changes in Burnout and Satisfaction With Work-Life Integration Among U.S. Residents and Fellows and the General U.S. Working Population Between 2012 and 2023.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Toward Digital Self-Monitoring of Mental Health in the General Population: Scoping Review of Existing Approaches to Self-Report Measurement.JMIR mental health · 2025Article
- Effects of an Educational Intervention on Spirituality and Mental Health Among Healthcare Residents in Northeastern Brazil: A Single Group Experimental Study.Journal of religion and health · 2025Article
- Causes of Death Among US Medical Residents.JAMA network open · 2025Article
- Resident physician depression: systemic challenges and possible solutions.Trends in molecular medicine · 2025Review
- Duration of New-Onset Depressive Symptoms During Medical Residency.JAMA network open · 2024Article
- Support for Mental Health and Well-Being in the Transition to Residency.Journal of graduate medical education · 2024Article
- Framework proposal for Role-Playing Games as mental health intervention: the Critical Skills methodology.Frontiers in psychiatry · 2024Article
- The Association of Experienced Long Working Hours and Depression, Anxiety, and Suicidal Ideation Among Chinese Medical Residents During the COVID-19 Pandemic: A Multi-Center Cross-Sectional Study.Psychology research and behavior management · 2023Article
- Assessing Interpersonal Relationships in Medical Education: the Connection Index.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022Article
- Germany-wide evaluation of residency in neurological intensive care medicine.BMC medical education · 2022Article
- Individual and residency program factors related to depression, anxiety and burnout in physician residents - a Brazilian survey.BMC psychiatry · 2022Article
- Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature.Brain sciences · 2021Review
- Residents' Perceptions of Faculty Behaviors and Resident Burnout: a Cross-Sectional Survey Study Across a Large Health Care Organization.Journal of general internal medicine · 2021Article
- Rethinking Strategies and Programs to Improve Physical and Emotional Well-being Among Healthcare Professionals: Facing the New Normalcy.Medical science educator · 2021Article
- Overcoming barriers to effective feedback: a solution-focused faculty development approach.International journal of medical education · 2020Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeTo investigate the associations between program-level variables such as organizational structure, workload, and learning environment and residents' development of depressive symptoms during internship.
methodBetween 2012 and 2015, 1,276 internal medicine interns from 54 U.S. residency programs completed the Patient Health Questionnaire-9 (PHQ-9) before internship, and then quarterly throughout the internship. The training environment was assessed via a resident questionnaire and average weekly work hours. The authors gathered program structural variables from the American Medical Association Fellowship and Residency Electronic Interactive Database (FREIDA online) and program research rankings from Doximity. Associations between program-level variables and change in depressive symptoms were determined using stepwise linear regression modeling.
resultsMean program PHQ-9 scores increased from 2.3 at baseline to 5.9 during internship (mean difference 3.6; SD 1.4; P < .001), with the mean increase ranging from -0.3 to 8.8 (interquartile range 1.1) among included programs. In multivariable models, faculty feedback (β = -0.37; 95% CI: -0.62, -0.12; P = .005), learning experience in inpatient rotations (β = -0.28; 95% CI: -0.54, -0.02; P = .030), work hours (β = 0.34; 95% CI: 0.13, 0.56; P = .002), and research ranking position (β = -0.25; 95% CI: -0.47, -0.03; P = .036) were associated with change in depressive symptoms.
conclusionsPoor faculty feedback and inpatient learning experience, long work hours, and high institutional research rankings were associated with increased depressive symptoms among internal medicine interns. These factors may be potential targets for interventions to improve wellness and mental health among these professionals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.