ArticleBMC medical education2026
The impact of the core clerkships on medical students with chronic health conditions and student wellness.
Article in BMC medical education, 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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Authors and funding
4 authors.
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Abstract
backgroundThe objective of this study is to determine if medical students with chronic health conditions adhere to personal health appointments during their core clerkship year, the Principal Clinical Experience (PCE), barriers to doing so, and the association between missed appointments and burnout.
methodsAn email survey was sent to current medical students who had completed their PCE at Harvard Medical School. The survey assessed chronic physical, mental, and dental health conditions; registration with the Office of Disability Services; healthcare utilization; number of appointments missed; perceived barriers to attending appointments; and burnout using the Maslach Burnout Inventory- Student Survey (MBI-SS).
resultsOf the 90 students that completed the survey ,75% had a diagnosed chronic health condition. 72% of students had at least one medical appointment scheduled during the PCE and 43% of those missed at least one appointment. Only 12% had registered with the Office of Disability Services to attend personal health appointments, notably due to lack of awareness that disability accommodations applied to them. Female respondents were significantly more likely to miss a medical appointment than male respondents (p = 0.044). The primary barrier to attending appointments was concern about negative clerkship evaluations. Burnout (MBI-SS) was significantly associated with missing appointments (p = 0.028).
conclusionsMissed health appointments was linked to greater burnout. Difficulty disclosing medical appointments was independently associated with burnout, consistent with studies surveying residents. Future work is needed to improve student awareness of disability accommodations and support faculty in fostering communication about the importance of health appointments for medical students.
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