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Association of performance in medical residency selection with a psychiatric diagnosis, and depressive and anxiety symptoms.
Humes, Eduardo C; Iosifescu, Dan V; Siqueira, Jose O; Fraguas, Renerio.
Afiliação
  • Humes EC; Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
  • Iosifescu DV; New York University School of Medicine, New York, NY, USA.
  • Siqueira JO; Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
  • Fraguas R; Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Med Teach ; : 1-9, 2024 Apr 12.
Article em En | MEDLINE | ID: mdl-38608667
ABSTRACT

OBJECTIVE:

Few studies have focused on medical students and residents' mental health impact on medical residency selection (MRS) performance. The authors evaluated the association of performance in MRS with depressive and anxiety symptoms and with a reported psychiatric diagnosis (rPD).

METHODS:

The authors enrolled candidates after the second round of MRS examinations at a Brazilian Medical School. Performance was assessed by final grade. Depressive and anxiety symptoms were assessed by the Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) and the State-Trait Anxiety Inventory (STAI). The authors performed mediation analysis and multiple linear regression analysis to investigate the impact of rPD, state and trait anxiety, and depressive symptom severity on performance.

RESULTS:

515 of the 643 MRS candidates (80.1%) participated in the study. Higher age, attending a preparatory course for MRS, rPD, and the number of MRS applications that year were associated with poorer performance. In mediation analysis, trait anxiety was associated with a direct effect on performance and an indirect effect mediated by rPD.

CONCLUSION:

The data suggest that psychiatric diagnosis is associated with poorer performance on MRS, regardless of current symptoms of anxiety and depression. Additionally, increased levels of trait anxiety may negatively impact performance, directly and indirectly.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Med Teach Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Med Teach Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil