Evidence map›Paper›PMID 41291307›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2026

Examining Mental Health Resources in Graduate Medical Education: Key Findings of a National Survey.

Jennifer G Duncan, Raquel Cabral, Uma S Anand, Jeffrey G Norvell, Angela L Myers, Niaman Nazir, Margaret Rea

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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Jennifer G DuncanWashington University in St. Louis School of Medicine, St. Louis, MO, USA. duncan_j@wustl.edu.ORCID http://orcid.org/0000-0001-5928-4907
Raquel CabralWashington University in St. Louis School of Medicine, St. Louis, MO, USA.
Uma S AnandUniversity of California Davis Health, Sacramento, CA, USA.
Jeffrey G NorvellUniversity of Kansas Medical Center, Kansas City, KS, USA.
Angela L MyersChildren's Mercy &, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Niaman NazirUniversity of Kansas Medical Center, Kansas City, KS, USA.
Margaret ReaUniversity of California School of Medicine, Sacramento, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProviding effective mental health support for physicians in training is crucial due to high rates of burnout and mental health issues. The Accreditation Council for Graduate Medical Education (ACGME) mandates mental health services for trainees. This study explores the provision of mental health services by ACGME-accredited institutions, identifies gaps, and highlights best practices.

methodsThe authors distributed a cross-sectional survey between 11/1/2023 and 1/8/2024 to 816 designated institutional officials at 860 institutions. The survey included questions about resources for counseling, services offered, reporting structure, hours and fees for services, electronic medical record documentation, number and qualifications of counselors, access to a psychiatrist, utilization rates, and respondents' perception regarding the adequacy of services. The authors collected data via REDCap and analyzed it using SAS software.

resultsOf 816 potential responses, 343 (42%) surveys were completed. Responses showed heterogeneity in counseling service offerings across institutions, with most using employee assistance programs (EAPs). More than one-third (38%) of institutions offer counseling services specific to the GME population. Few institutions (16%) provide dedicated GME psychiatry services. Perceived adequacy of mental health services in meeting trainee needs was high overall, with institutions with dedicated GME counseling services reporting higher perceived need fulfillment than those without GME-specific services. Very few institutions had utilization data to report.

conclusionsInstitutions employ diverse methods to meet ACGME mental health service requirements, with internal resources achieving the highest level of perceived need fulfillment. Collection of utilization and outcome data and national reporting are recommended for improved GME counseling guidelines.

Indexed as

CounselingEducation, Medical, GraduateInternship and ResidencyMental Health ServicesCross-Sectional StudiesHumansPsychiatrySurveys and QuestionnairesUnited StatesBurnoutGraduate medical educationMental healthTherapy services

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Registered trials

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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.