Evidence map›Paper›PMID 38870397›Full record

ArticleMedical education online2024

The experiences of students with mental health difficulties at medical school: a qualitative interview study.

Antonia Rich, Rowena Viney, Milou Silkens, Ann Griffin, Asta Medisauskaite

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Article in Medical education online, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Burnout symptoms, burnout rate, well-being, and academia-related stress factors in medical students : A study in two private medical schools in Austria.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
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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

5 authors.

Antonia RichResearch Department of Medical Education, UCL Medical School, University College London, London, UK.ORCID 0000-0002-1548-6328
Rowena VineyResearch Department of Medical Education, UCL Medical School, University College London, London, UK.
Milou SilkensCentre for Healthcare Innovation Research, Department of Health Services Research and Management, School of Health and Psychological Sciences, City University of London, London, UK.
Ann GriffinResearch Department of Medical Education, UCL Medical School, University College London, London, UK.
Asta MedisauskaiteResearch Department of Medical Education, UCL Medical School, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh rates of burnout, anxiety, and depression in medical students are widespread, yet we have limited knowledge of the medical school experiences of students with mental health issues. The aim of the study is to understand the impact of mental health issues on students' experience and training at medical school by adopting a qualitative approach.

methodsQualitative study using in-depth semi-structured interviews with 20 students with mental health issues from eight UK medical schools of varying size and location. Students were purposefully sampled to gain variety in the type of mental health issue experienced and demographic characteristics. Reflexive thematic analysis was employed using NVivo software.

resultsThree themes were identified. 1) Culture of medicine: medical culture contributed to causing mental ill-health through study demands, competitiveness with peers, a 'suck it up' mentality where the expectation is that medical school is tough and medical students must push through, and stigma towards mental ill-health. 2) Help-seeking: students feared others discovering their difficulties and thus initially tried to cope alone, hiding symptoms until they were severe. There were multiple barriers to help-seeking including stigma and fear of damage to their career. 3) Impact on academic life: mental health issues had a detrimental impact on academic commitments, with students' unable to keep up with their studies and some needing to take time out from medical school.

conclusionThis study provides insight into how medical culture contributes both to the cause of mental health difficulties and the reluctance of medical students to seek help. Mental health issues had a considerable negative impact on medical students' ability to learn and progress through their degree. Addressing the medical culture factors that contribute to the cause of mental health issues and the barriers to help-seeking must be a priority to ensure a healthier medical workforce.

Indexed as

Mental HealthQualitative ResearchSchools, MedicalStudents, MedicalAdultAnxietyBurnout, ProfessionalDepressionFemaleHelp-Seeking BehaviorHumansInterviews as TopicMaleMental DisordersSocial StigmaUnited Kingdomhelp-seekingmedical culturemental healthqualitative studyUndergraduate medical education

Identifiers

PMID38870397
PMCPMC11177711

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LicenceCC BY
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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.