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Psychiatric problems in third-year medical students

M H Sacks, W A Frosch, M Kesselman

    The American Journal of Psychiatry
    |July 1, 1980
    PubMed
    Summary
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    Medical students often experience emotional distress, with one in four seeking psychiatric help annually. Third-year students face unique challenges from clinical responsibilities, impacting their mental well-being and professional identity.

    Area of Science:

    • Medical Education
    • Psychiatry
    • Student Mental Health

    Background:

    • A significant proportion of medical students experience emotional distress annually, necessitating psychiatric consultation.
    • Training phases present unique stressors that can precipitate psychological challenges.
    • Third-year medical students face heightened clinical responsibilities, potentially triggering complex emotional responses.

    Observation:

    • This study examines four case histories of third-year medical students.
    • The cases illustrate the interplay between personal background, motivations for medical careers, and clinical experiences.
    • These factors contribute to significant distress requiring psychiatric intervention.

    Findings:

    • Third-year medical students' emerging professional identity is fragile and can be challenged by clinical duties.

    Related Experiment Videos

  • Feelings related to caretaking, sexuality, and aggression emerge with increased patient responsibility.
  • A complex interaction of family history, career motivations, and patient encounters precipitates distress.
  • Implications:

    • Understanding these stressors is crucial for developing targeted mental health support for medical trainees.
    • Interventions should consider the unique developmental and clinical context of third-year medical students.
    • Addressing student emotional pain is vital for fostering resilient and effective future physicians.