manju mehta & rajesh sagar department of psychiatry a ll i ndia i nstitute of m edical s...
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Manju Mehta & Rajesh SagarDepartment of Psychiatry
All India Institute of Medical Sciences, New Delhi
Mental health problems have been a concern in Undergraduate students and Postgraduate residents in medical colleges. Medical education is inherently stressful and demanding. Selection to medical college is a life event that requires a significant change in life style.
2.4% of medical students developed psychiatric morbidity severe enough to cause loss of time to the course and 1% of them required hospital admission (Salmons, 1983).
Guthrie et al (1995) found that 36% of medical students showed evidence of significant psychological disturbance .
A recent review of literature mapping 40 articles (between 1980 and 2005) on psychological disturbance in medical students suggest a high prevalence of depression and anxiety among medical students, with overall levels of psychological distress consistently higher than in general population and age matched pairs (Dyrbye et al, 2006).
Supe (1998) found that 73% of medical students perceived stress at various stages of MBBS course.
Consequences of Poor Mental HealthMay lead to negative impact on functionality of the student
Contributes to substance abuse, broken relationships, suicide and attrition from profession
Causes low self-esteem, anxiety, depression and poor adjustment.
Role of TeachersTeachers can play very important role in enhancing mental
health of medical students
Can help in identification of :signs and symptoms of poor mental health
behavioral changes in day-to-day life
mood problems
other major difficulties
Providing support to reduce student’s stress
Referring the student to mental health professional at the right
time
Objectives
To provide training to faculty members in identifying mental health problems in students
To counsel students in overcoming stressful situations
SampleTwo faculty members from each department were invited to volunteer for the training.
56 middle and junior level faculty members participated.
ProcedureThis was a pilot initiative carried out by Department of Psychiatry for the faculty of All India Institute of Medical Sciences, under the direction of the Dean and the Registrar.
Training session
Faculty members were asked to identify students who need help.
They could discuss identified cases with trainers. Guidance to carry out counselling was given.
More referrals and consultations were sought after this activity.
Feedback60% of the volunteer faculty members found this exercise useful
35% of the participants felt that it should be carried out on a regular basis
ConclusionsMental health problems are of utmost concern for medical students
Teachers play a crucial role in helping students in managing their stress
Training sessions can be carried out on a regular basis for teachers
Future DirectionsTraining sessions could be carried out on a periodical basis for teachers
Development of training modules
Assessment of effectiveness of these modules at different places of higher education
IntroductionPrevalence of mental health problems in medical students
Often students / residents hesitate to consult mental health professionals, i.e. psychiatrists or psychologists, due to stigma or lack of awareness of their problems. Departmental faculty has an opportunity to observe and identify mental health problems due to frequent and regular interactions with students / residents in their departments. Thus, the present activity was planned at AIIMS.
3- hours focused training with interactive session
Identification of common
mental health problems
Lecture/ DiscussionCase History
Counselling skills
Building RapportInterviewing
Probing for problemsActive listening Problem Solving
Role Play
Monitoring & evaluation :