Evidence map›Paper›PMID 36284284›Full record

ArticleBMC medical education2022

Perspectives on mental health services for medical students at a Ugandan medical school.

Raymond Bernard Kihumuro, Mark Mohan Kaggwa, Rachael Mukisa Nakandi, Timothy Mwanje Kintu, David Richard Muwanga, David Jolly Muganzi, Pius Atwau, Innocent Ayesiga, Anita Acai, Sarah Maria Najjuka and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Raymond Bernard KihumuroFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Mark Mohan KaggwaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. kmarkmohan@gmail.com.
Rachael Mukisa NakandiFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Timothy Mwanje KintuFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
David Richard MuwangaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
David Jolly MuganziFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Pius AtwauFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Innocent AyesigaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Anita AcaiDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Sarah Maria NajjukaCollege of Health Sciences, Makerere University, Kampala, Uganda.
Josephine Nambi NajjumaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Susan Frazier-KoussaiTexas Juvenile Crime Prevention Center at Prairie View, A and M University (PVAMU), Texas, USA.
Scholastic AshabaFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Sheila HarmsFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Mbarara University of Science and Technology · UGMcMaster University · CAMakerere University · UGPrairie View A&M University · US

Funding

Self-Management among adolescents living with HIV in UgandaK43TW011929 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI ASHABA, SCHOLASTIC · 2021 to 2025
$538k
FIC NIH HHS K43 TW011929
6 · The paper itself

Abstract

backgroundUniversity-based mental health services for medical students remain a challenge, particularly in low-income countries, due to poor service availability. Prior studies have explored the availability of mental health services in high-income countries but little is known about mental health services in countries in sub-Saharan Africa, such as Uganda. Medical students are at a higher risk of developing mental health challenges during their course of study as compared with other students. Thus, there is a need for well-structured mental health services for this group of students. The aim of this study was to explore perspectives on mental health services for medical students at a public University in Uganda.

methodsThis was a qualitative study where key informant interviews were conducted among purposively selected university administrators (n = 4), student leaders (n = 4), and mental health employees of the university (n = 3), three groups responsible for the mental well-being of medical students at a public university in Uganda. Interviews were audio-recorded, transcribed, and thematically analyzed to identify relevant themes.

resultsThe working experience of university administrators and mental health providers was between eight months to 20 years, while student leaders had studied at the university for over four years. We identified five broad themes: (1) Burden of medical school: A curriculum of trauma, (2) Negative coping mechanisms and the problem of blame, (3) The promise of services: Mixed Messages, (4) A broken mental health system for students, and (5) Barriers to mental health services.

conclusionDistinguishing between psychological distress that is anticipated because of the subject matter in learning medicine and identifying those students that are suffering from untreated psychiatric disorders is an important conceptual task for universities. This can be done through offering education about mental health and well-being for administrators, giving arm's length support for students, and a proactive, not reactive, approach to mental health. There is also a need to redesign the medical curriculum to change the medical education culture through pedagogical considerations of how trauma informs the learning and the mental health of students.

Indexed as

Mental Health ServicesStudents, MedicalCurriculumHumansSchools, MedicalUgandaCurriculumMedical studentsMental health servicesPsychological distressStigmaTraumaUganda

Identifiers

PMID36284284
PMCPMC9592876
OpenAlexW4307195026

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.