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Quality in Sport

What makes medical students choose their residencies? Association between mental health of medical students and their choices of future medical specialties
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What makes medical students choose their residencies? Association between mental health of medical students and their choices of future medical specialties

Authors

  • Natalia Karina Bartosik Medical University of Lodz https://orcid.org/0000-0002-3671-238X
  • Aleksandra Smolarek Medical University of Lodz https://orcid.org/0009-0007-0922-1773
  • Adrianna Frączek Medical University of Lodz https://orcid.org/0009-0007-7489-2610
  • Maria Dobielska Medical University of Lodz https://orcid.org/0000-0001-9694-4396
  • Marcin Kosmalski Department of Clinical Pharmacology, Medical University of Lodz, Poland https://orcid.org/0000-0003-0609-9657
  • Tadeusz Pietras Department of Clinical Pharmacology, Medical University of Lodz, Poland. Second Department of Psychiatry, Institute of Psychiatry and Neurology of Warsaw, Poland https://orcid.org/0000-0003-1771-3819
  • Adam Jóźwik https://orcid.org/0000-0002-3287-7064

DOI:

https://doi.org/10.12775/QS.2024.25.54754

Keywords

choice of residency, choice of medical specialty, medical student, mental health problems, medical specialty

Abstract

Background: Excessive cognitive demands and chronic stress contribute to the occurrence of mental health problems among medical students. It may be hypothesized that the presence of such disturbances have an influence on their choices of post-graduate training programs.

Objective: The aim of the study was to evaluate the state of mental health of medical students and to assess if there is any association between the prevalence of mental health problems and their residency choices.

Materials and methods: 114 medical students were surveyed in terms of their residencies' choices and their mental health with the usage of validated psychological questionnaires.

Results: 74 (64,91%) of medical students needed psychiatric or psychological treatment at some stage in their lives. Intensity of risky alcohol consumption was positively correlated with the choice of surgery (p=.0000) and negatively correlated with the choice of psychiatry (p=.0000). The severity of depressive symptoms was positively correlated with emergency medicine choice (p=.0479). Anxiety symptoms, eating disorders and autism spectrum severity symptoms were not significantly correlated with the choice of any medical specialty.

Conclusions: Medical students were found seriously affected by mental health problems, what to some extent seemed to impact their future career choices.

References

Act on the Profession of Physicians and Dentists, 5th December 1996 No.28, item 152.

Eating Attitudes Test (EAT-26): Scoring and Interpretation

Al-Alawi, M., Al-Sinawi, H., Al-Husseini, S., Al-Adawi, S., Panchatcharam, S. M., Khan, S., & Jeyaseelan, L. (2017). Influence of Eysenckian Personality Traits in Choice of Specialization by Young Omani Doctors. Oman Medical Journal, 32(4), 291–296. https://doi.org/10.5001/omj.2017.57

Asiri, W. M. A., Shati, A. A., Alrowaibah, N. A., Althumairi, R. K., Alqahtani, G. M., & Mahmood, S. E. (2023). The influencing factors of choosing future medical specialties among students in Saudi Arabia: A nationwide multicenter survey. Medicine, 102(14), e33483. https://doi.org/10.1097/MD.0000000000033483

Boyle, V., Shulruf, B., & Poole, P. (2014). THE NEW ZEALAND MEDICAL JOURNAL. 127(1402).

Burkhardt, J., DesJardins, S., & Gruppen, L. (2021). Diversity of the physician workforce: Specialty choice decisions during medical school. PLOS ONE, 16(11), e0259434. https://doi.org/10.1371/journal.pone.0259434

Candido, F. J., Souza, R., Stumpf, M. A., Fernandes, L. G., Veiga, R., Santin, M., & Kluthcovsky, A. (2018). The use of drugs and medical students: A literature review. Revista Da Associação Médica Brasileira, 64(5), 462–468. https://doi.org/10.1590/1806-9282.64.05.462

Costa, P. T., & McCrae, R. R. (n.d.). Personality in Adulthood: A Six-Year Longitudinal Study of Self-Reports and Spouse Ratings on the NEO Personality Inventory.

Dossett, L. A., Vitous, C. A., Lindquist, K., Jagsi, R., & Telem, D. A. (2020). Women Surgeons’ Experiences of Interprofessional Workplace Conflict. JAMA Network Open, 3(10), e2019843. https://doi.org/10.1001/jamanetworkopen.2020.19843

Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine: Journal of the Association of American Medical Colleges, 81(4), 354–373. https://doi.org/10.1097/00001888-200604000-00009

EAT-26IntpretScoring-Test-11-1-17.pdf. (n.d.).

Flaherty, J. A., & Richman, J. A. (1993). Substance use and addiction among medical students, residents, and physicians. The Psychiatric Clinics of North America, 16(1), 189–197.

Fond, G., Bourbon, A., Micoulaud-Franchi, J.-A., Auquier, P., Boyer, L., & Lançon, C. (2018). Psychiatry: A discipline at specific risk of mental health issues and addictive behavior? Results from the national BOURBON study. Journal of Affective Disorders, 238, 534–538. https://doi.org/10.1016/j.jad.2018.05.074

Gauffin, E., Willebrand, M., Ekselius, L., & Öster, C. (2021). Stability in Personality After Physical Trauma. Journal of Burn Care & Research, 42(3), 415–419. https://doi.org/10.1093/jbcr/iraa170

Hankir, A. K., Northall, A., & Zaman, R. (2014). Stigma and mental health challenges in medical students. Case Reports, 2014(sep02 1), bcr2014205226–bcr2014205226. https://doi.org/10.1136/bcr-2014-205226

Harsch, H. H. (1989). The Role of Empathy in Medical Students’ Choice of Specialty. Academic Psychiatry, 13(2), 96–98. https://doi.org/10.1007/BF03341267

Hill, C., & Laplanche, A. (2010). La consommation d’alcool est trop élevée en France. La Presse Médicale, 39(7–8), e158–e164. https://doi.org/10.1016/j.lpm.2009.12.010

Hochberg, M. S., Billig, J., Berman, R. S., Kalet, A. L., Zabar, S. R., Fox, J. R., & Pachter, H. L. (2014). When surgeons decide to become surgeons: New opportunities for surgical education. The American Journal of Surgery, 207(2), 194–200. https://doi.org/10.1016/j.amjsurg.2013.10.010

Hojat, M., Gonnella, J. S., Nasca, T. J., Mangione, S., Vergare, M., & Magee, M. (2002). Physician Empathy: Definition, Components, Measurement, and Relationship to Gender and Specialty. American Journal of Psychiatry, 159(9), 1563–1569. https://doi.org/10.1176/appi.ajp.159.9.1563

Honney, K., Buszewicz, M., Coppola, W., & Griffin, M. (2010). Comparison of levels of depression in medical and non-medical students. The Clinical Teacher, 7(3), 180–184. https://doi.org/10.1111/j.1743-498X.2010.00384.x

Internetowa baza tekstów prawnych OpenLEX. (n.d.). OpenLEX. Retrieved 14 April 2024, from https://sip.lex.pl

Jin, T., Sun, Y., Wang, H., Qiu, F., & Wang, X. (2022). Prevalence of depression among Chinese medical students: A systematic review and meta-analysis. Psychology, Health & Medicine, 27(10), 2212–2228. https://doi.org/10.1080/13548506.2021.1950785

Juntunen, J., Asp, S., Olkinuora, M., Aarimaa, M., Strid, L., & Kauttu, K. (1988). Doctors’ drinking habits and consumption of alcohol. BMJ, 297(6654), 951–954. https://doi.org/10.1136/bmj.297.6654.951

Karbownik, M. S., Mokros, Ł., Dobielska, M., Kowalczyk, M., & Kowalczyk, E. (2022). Association Between Consumption of Fermented Food and Food-Derived Prebiotics With Cognitive Performance, Depressive, and Anxiety Symptoms in Psychiatrically Healthy Medical Students Under Psychological Stress: A Prospective Cohort Study. Frontiers in Nutrition, 9, 850249. https://doi.org/10.3389/fnut.2022.850249

Kaur, B., Carberry, A., Hogan, N., Roberton, D., & Beilby, J. (2014). The medical schools outcomes database project: Australian medical student characteristics. BMC Medical Education, 14(1), 180. https://doi.org/10.1186/1472-6920-14-180

Lee, M. J., Nho, W. Y., Jung, H., Cho, J. W., Seo, J. S., Lee, H. M., Cho, K. H., Kim, Y. J., & Kim, J. K. (2022). High prevalence of depression and sleep–wake disorders among female emergency medicine residents in South Korea. Annals of Medicine, 54(1), 846–855. https://doi.org/10.1080/07853890.2022.2053568

Li, W., Chen, L., Hsu, M., Mo, D., Xia, L., Min, K., Jiang, F., Liu, T., Liu, Y., Liu, H., & Tang, Y. (2023). The association between workload, alcohol use, and alcohol misuse among psychiatrists in China. Frontiers in Psychiatry, 14, 1171316. https://doi.org/10.3389/fpsyt.2023.1171316

Medford-Davis, L. N., Singh, H., & Mahajan, P. (2018). Diagnostic Decision-Making in the Emergency Department. Pediatric Clinics of North America, 65(6), 1097–1105. https://doi.org/10.1016/j.pcl.2018.07.003

Michalik, B., Kulbat, M., & Domagała, A. (2024). Factors affecting young doctors’ choice of medical specialty—A qualitative study. PLOS ONE, 19(2), e0297927. https://doi.org/10.1371/journal.pone.0297927

Moore, M. B., Yang, D., Raines, A. M., Bailey, R. K., & Beg, W. (2022). Intersection of anxiety and negative coping among Asian American medical students. Frontiers in Psychology, 13, 929227. https://doi.org/10.3389/fpsyg.2022.929227

Oreskovich, M. R. (2012). Prevalence of Alcohol Use Disorders Among American Surgeons. Archives of Surgery, 147(2), 168. https://doi.org/10.1001/archsurg.2011.1481

Pape, H., Lobmaier, P., & Bukten, A. (2022). An evaluation of eight short versions of the Drug Use Disorder Identification Test (DUDIT). A prison population study. Drug and Alcohol Dependence Reports, 3, 100043. https://doi.org/10.1016/j.dadr.2022.100043

Peterlini, M., Tibério, I. F. L. C., Saadeh, A., Pereira, J. C. R., & Martins, M. A. (2002). Anxiety and depression in the first year of medical residency training: Anxiety and depression in the first year of medical residency training. Medical Education, 36(1), 66–72. https://doi.org/10.1046/j.1365-2923.2002.01104.x

Petroianu, A. (n.d.). Prevalence of alcohol, tobacco and psychotropic drug use among medical students at the universidade federal de minas gerais. Rev Assoc Med Bras.

Plancke, L., & Amariei, A. (2017). Les hospitalisations longues en psychiatrie. Revue d’Épidémiologie et de Santé Publique, 65(1), 9–16. https://doi.org/10.1016/j.respe.2016.10.058

Roncero, C., Egido, A., Rodríguez-Cintas, L., Pérez-Pazos, J., Collazos, F., & Casas, M. (2015). Substance Use among Medical Students: A Literature Review 1988- 2013. Actas Españolas de Psiquiatría, 43(3), Article 3. https://actaspsiquiatria.es/index.php/actas/article/view/420

Saunders, J. B., Aasland, O. G., Babor, T. F., De La Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption‐II. Addiction, 88(6), 791–804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x

Schüpfer, G. K., Konrad, C., & Poelaert, J. I. (2003). Erlernen von manuellen Fähigkeiten in der Anästhesie. Der Anaesthesist, 52(6), 527–534. https://doi.org/10.1007/s00101-003-0509-8

Sievert, M., Zwir, I., Cloninger, K. M., Lester, N., Rozsa, S., & Cloninger, C. R. (2016). The influence of temperament and character profiles on specialty choice and well-being in medical residents. PeerJ, 4, e2319. https://doi.org/10.7717/peerj.2319

Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092

Ustawa o zawodach lekarza i lekarza dentysty.pdf. (n.d.).

Vohra, A., Ladyshewsky, R., & Trumble, S. (2019). Factors that affect general practice as a choice of medical speciality: Implications for policy development. Australian Health Review, 43(2), 230. https://doi.org/10.1071/AH17015

Zawadzki, B., Popiel, A., & Pragłowska, E. (n.d.). PSYCHOLOGIA – ETOLOGIA – GENETYKA. 26.

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Published

2024-10-11

How to Cite

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BARTOSIK, Natalia Karina, SMOLAREK, Aleksandra, FRĄCZEK, Adrianna, DOBIELSKA, Maria, KOSMALSKI, Marcin, PIETRAS, Tadeusz and JÓŹWIK, Adam. What makes medical students choose their residencies? Association between mental health of medical students and their choices of future medical specialties. Quality in Sport. Online. 11 October 2024. Vol. 25, p. 54754. [Accessed 4 July 2025]. DOI 10.12775/QS.2024.25.54754.
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Vol. 25 (2024)

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Medical Sciences

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Copyright (c) 2024 Natalia Karina Bartosik, Aleksandra Smolarek, Adrianna Frączek, Maria Dobielska, Marcin Kosmalski, Tadeusz Pietras, Adam Jóźwik

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