Race, ethnicity, and medical student well-being in the United States

Archives of Internal Medicine

Volumn 167, Issue 19, 2007, Pages 2103-2109

  Dyrbye, Liselotte N ^a   Thomas, Matthew R ^a   Eacker, Anne ^b   Harper, William ^c   Massie Jr , F Stanford ^d   Power, David V ^e   Huschka, Mashele ^a   Novotny, Paul J ^a   Sloan, Jeff A ^a   Shanafelt, Tait D ^a  

^a MAYO CLINIC   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

^d UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^e UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BURNOUT; CONTROLLED STUDY; DEPRESSION; ETHNICITY; FEMALE; HEALTH SURVEY; HUMAN; HUMAN EXPERIMENT; LEARNING ENVIRONMENT; MALE; MEDICAL EDUCATION; MEDICAL STUDENT; MINORITY GROUP; NORMAL HUMAN; PERSONAL EXPERIENCE; PREVALENCE; PRIORITY JOURNAL; QUALITY OF LIFE; RACISM; RISK ASSESSMENT; SCORING SYSTEM; SOCIAL ISOLATION; SOCIAL STRESS; UNITED STATES; WELLBEING;

ADULT; BURNOUT, PROFESSIONAL; DEPRESSION; ETHNIC GROUPS; FEMALE; HUMANS; MALE; PREVALENCE; QUALITY OF LIFE; QUESTIONNAIRES; STUDENTS, MEDICAL; UNITED STATES;

EID: 35649023844     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinte.167.19.2103     Document Type: Article

References (51)

1. Cohen JJ. The consequences of premature abandonment of affirmative action in medical school admissions. JAMA. 2003;289(9):1143-1149.
2. Cohen JJ, Steinecke A. Building a diverse physician workforce. JAMA. 2006;296(9):1135-1137.
3. Minority students in medical education: facts & figures. Association of American Medical Colleges Web site. http://www.aamc.org/diversity/reading. htm. Accessed February 29, 2007.
4. Moy E, Bartman BA. Physician race and care of minority and medically indigent patients. JAMA. 1995;273(19):1515-1520.
5. Xu G, Hojat M, Veloski JJ, Brose J. A national study of factors influencing primary care career choices among underrepresented-minority, white, and Asian American physicians. Acad Med. 1996;71(10)(suppl):S10-S12.
6. Grumbach K, Chen E. Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students. JAMA. 2006;296(9):1079-1085.
7. Blakely AW, Broussard LG. Blueprint for establishing an effective postbaccalaureate medical school pre-entry program for educationally disadvantaged students. Acad Med. 2003;78(5):437-447.
8. Segal SS, Giordani B, Gillum LH, Johnson N. The Academic Support Program at the University of Michigan School of Medicine. Acad Med. 1999;74(4):383-385.
9. Abernethy AD. A mentoring program for underrepresented-minority students at the University of Rochester School of Medicine. Acad Med. 1999;74(4):356-359.
10. Tekian A. Cognitive factors, attrition rates, and underrepresented minority students: the problem of predicting future performance. Acad Med. 1998;73(10)(suppl):S38-S40.
11. Tekian A, Mrtek R, Syftestad P, Foley R, Sandlow LJ. Baseline longitudinal data of undergraduate medical students at risk. Acad Med. 1996;71(10)(suppl):S86-S87.
12. Cariaga-Lo LD, Enarson CE, Crandall SJ, Zaccaro DJ, Richards BF. Cognitive and noncognitive predictors of academic difficulty and attrition. Acad Med. 1997;72(10)(suppl 1):S69-S71.
13. Minority students in medical education: facts & figures 2005. Association of American Medical Colleges Web site. https://services.aamc.org/ Publications/index.cfm?fuseaction=Product.displayForm&prd_id=133&prv_id= 154&cfid=1&cftoken=ACE93B15-C4B7-4A41-923B45AEFBCAD488. Accessed August 7, 2007.
14. Dyrbye LN, Shanafelt T. Increasing medical school matriculation for minority students. JAMA. 2007;297(3):264.
15. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety and other indicators of psychologic distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354-373.
16. Tyssen R, Vaglum P, Gronvold NT, Ekeberg O. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord. 2001;64(1):69-79.
17. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005;39(6):594-604.
18. Crandall SJ, Volk RJ, Loemker V. Medical students' attitudes toward providing care for the underserved: are we training socially responsible physicians? JAMA. 1993;269(19):2519-2523.
19. Woloschuk W, Harasym PH, Temple W. Attitude change during medical school: a cohort study. Med Educ. 2004;38(5):522-534.
20. Dyrbye LN, Thomas MR, Huntington JL, et al. Personal life events and medical student well-being: a multicenter study. Acad Med. 2006;81(4):374-384.
21. Dyrbye LN, Thomas MR, Huschka MM, et al. A multi-center study of burnout, depression, and quality of life in minority and non-minority US medical students. Mayo Clin Proc. 2006;81(11):1435-1442.
22. Pyskoty CE, Richman JA, Flaherty JA. Psychosocial assets and mental health of minority medical students. Acad Med. 1990;65(9):581-585.
23. Camp DL, Hollingsworth MA, Zaccaro DJ, Cariaga-Lo LD, Richards BF. Does a problem-based learning curriculum affect depression in medical students? Acad Med. 1994;69(10)(suppl):S25-S27.
24. Henning K, Ey S, Shaw D. Perfectionism, the imposter phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Med Educ. 1998;32(5):456-464.
25. Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005;53(5):219-224.
26. Maslach C. Burnout: The Cost of Caring. Cambridge, MA: Malor Books; 2003.
27. Burdine JN, Felix MR, Abel AL, Wiltraut CJ, Musselman YJ. The SF-12 as a population health measure: an exploratory examination of potential for application. Health Serv Res. 2000;35(4):885-904.
28. Kessler RC, Berglund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289(23):3095-3105.
29. Maslach C. Maslach Burnout Inventory Manual. 2nd ed. Palo Alto, CA: Consulting Psychologists Press; 1986.
30. Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care: the PRIME-MD 1000 study. JAMA. 1994;272(22):1749-1756.
31. Ware J, Kosinski M, Dewey J, Gandek B. How to Score and Interpret Single-Item Health Status Measures: A Manual for Users of the SF-8 Health Survey. Lincoln, RI: QualityMetric Inc; 2001.
32. Harris IB. Qualitative methods. In: Norman GR, van der Vleuten CPM, Newble DI, eds. International Handbook of Research in Medical Education. Dordrecht, the Netherlands: Kluwer Academic Publishers; 2002:45-95.
33. Hung R, McClendon J, Henderson A, Evans Y, Colquitt R, Saha S. Student perspectives on diversity and the cultural climate at a U.S. medical school. Acad Med. 2007;82(2):184-192.
34. Betancourt JR, Reid AE. Black physicians' experience with race: should we be surprised? Ann Intern Med. 2007;146(1):68-69.
35. Kellerman S, Herold J. Physician response to surveys: a review of the literature. Am J Prev Med. 2001;20:61-71.
36. Toews JA, Lockyer JM, Dobson DJ, et al. Analysis of stress levels among medical students, residents, and graduate students at four Canadian schools of medicine. Acad Med. 1997;72(11):997-1002.
37. Ad Hoc Committee of Deans. Educating Doctors to Provide High Quality Medical Care: A Vision for Medical Education in the United States. Washington, DC: Association of American Medical Colleges; 2004.
38. Clark DC, Zeldow PB. Vicissitudes of depressed mood during four years of medical school. JAMA. 1988;260(17):2521-2528.
39. Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM. A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ. 1999;33(4):243-250.
40. Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and well-being relate to medical student empathy? a multicenter study. J Gen Intern Med. 2007;22(2):177-183.
41. Ball S, Bax A. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 2002;77(9):911-917.
42. Baldwin DC Jr, Hughes PH, Conard SE, Storr CL, Sheehan DV. Substance use among senior medical students: a survey of 23 medical schools. JAMA. 1991;265(16):2074-2078.
43. Tyssen R, Vaglum P, Aasland OG, Grønvold NT, Ekeberg O. Use of alcohol to cope with tension, and its relation to gender, years in medical school and hazardous drinking: a study of two nation-wide Norwegian samples of medical students. Addiction. 1998;93(9):1341-1349.
44. Wolf TM, Balson PM, Faucett JM, Randall HM. A retrospective study of attitude change during medical education. Med Educ. 1989;23(1):19-23.
45. Krakowski A. Stress and the practice of medicine: the myth and the reality. J Psychosom Res. 1982;26(1):91-98.
46. Graduation questionnaire. Association of American Medical Colleges Web site. http://www.aamc.org/data/gq/allschoolsreports/start.htm. Accessed January 2, 2007.
47. Nunez-Smith M, Curry LA, Bigby J, Berg D, Krumholz H, Bradley EH. Impact of race on the professional lives of physicians of African descent. Ann Intern Med. 2007;146(1):45-51.
48. Odom KL, Roberts LM, Johnson RL, Cooper LA. Exploring obstacles to and opportunity for professional success among ethnic minority medical students. Acad Med. 2007;82(2):146-153.
49. Notman MT, Salt P, Nadelson CC. Stress and adaptation in medical students: who is most vulnerable? Compr Psychiatry. 1984;25(3):355-366.
50. Medical school graduation questionnaire. Association of American Medical Colleges Web site. http://www.aamc.org/data/gq/allschoolsreports/1995.pdf. Accessed January 22, 2007.
51. FACTS - applicants, matriculants and graduates: total enrollment by sex and school, 2001-2005. Association of American Medical Colleges Web site. http://www.aamc.org/data/facts/2005/factsenrl.htm. Accessed February 22, 2007.