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Depression Among Incoming Ophthalmology Trainees.

Karthik Reddy1, Jaqueline Stoutin2, Zhuo Zhao3

  • 1University of Michigan Medical School, Ann Arbor, Michigan; Department of Ophthalmology, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.

Journal of Surgical Education
|December 28, 2025
PubMed
Summary
This summary is machine-generated.

Depression rates significantly increase during ophthalmology internship, persisting throughout the year. Nearly a quarter of residents experienced depression before starting postgraduate year 2, highlighting the need for mental health support.

Keywords:
burnoutdepressionophthalmologyophthalmology trainingresidency trainingresident mental health

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Area of Science:

  • Medical Education
  • Mental Health
  • Ophthalmology

Background:

  • Internship significantly impacts resident mental health, with new-onset depression persisting post-training.
  • Depression during residency affects career satisfaction, attrition, and physician well-being.
  • Ophthalmology training is associated with unique stressors impacting trainee mental health.

Purpose of the Study:

  • To investigate depression rates among ophthalmology interns.
  • To examine the relationship between work-related factors and depression in interns.
  • To assess the persistence of depressive symptoms throughout the intern year.

Main Methods:

  • Prospective, multicenter cohort study.
  • Longitudinal assessments of 98 ophthalmology interns using Patient Health Questionnaire-9 (PHQ-9).
  • Data collected preinternship and at 3, 6, 9, and 12 months, analyzing work and sleep hours.

Main Results:

  • 32.7% of interns experienced major depression during their internship.
  • Depressive symptoms significantly increased from preinternship to the end of the intern year.
  • Increased sleep hours were significantly associated with decreased depression scores (p < 0.001).

Conclusions:

  • Depressive symptoms rise and persist throughout the ophthalmology internship year.
  • Nearly 25% of residents reported depression before starting postgraduate year 2.
  • Urgent interventions are needed to address the mental health of early ophthalmology trainees.