Barriers to accessing mental health resources as perceived by surgical compared to medical trainees - 08/01/25

Doi : 10.1016/j.amjsurg.2024.116141

Jamaica A. Westfall-Snyder ^a,^⁎ , Hope A. Feldman ^a, Erin Walker ^b, Michelle Thompson ^b, Rebecca L. Hoffman ^a
^a Geisinger Medical Center, Department of General Surgery, 100 N Academy Ave, Danville, PA, USA
^b Geisinger Medical Center, Department of Graduate Medical Education, 100 N Academy Ave, Danville, PA, USA

^⁎Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Wednesday 08 January 2025

Abstract

Introduction

Despite myriad wellness programs, training demands restrict resident access. This study aimed to evaluate barriers to accessing mental health resources(MHR) and determine if differences exist between medical(MT) and surgical trainees(ST).

Methods

A cross-sectional survey was performed in one health system assessing awareness of and barriers to accessing MHR. Subjects were either ST(general surgery/surgical subspecialty) or MT(internal medicine/specialty). Descriptive and univariate statistics were performed.

Results

There were 87 responders(19 %); 55(63.2 %)MT and 32(36.8 %)ST, with a median age of 30 years(IQR29-33). Women comprised (44)55 %. Most trainees(62; 71 %) perceive availability of time as the biggest barrier to accessing MHR(27(85 %) ST vs 35(64 %) MT; p = 0.04), and (20)63%ST couldn't find additional weekly time regardless of their mental/emotional state(vs 19(35 %)) MT, p = 0.01). Trainees don't share vulnerable emotions to avoid appearing weak (54(51 %)). They demonstrate statistically significant poor self-compassion regarding MHR utilization.

Conclusions

Trainees’ lack of time, internal stigma, and poor self-compassion are significant barriers to accessing MHR. More than MT, ST would not schedule counseling despite their emotional state. Understanding the barriers keeping residents from pursuing MHR provides direction for targeted wellness initiatives.

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Highlights

•	Largest barrier to improved mental health for trainees is lack of available time.
•	More surgical than medical trainees feel no available time is a barrier to MHR use.
•	Surgical trainees have no time for mental health resources despite emotional state.
•	Trainees don't share vulnerable emotions to avoid appearing weak.
•	Trainees demonstrate poor self-compassion with regards to MHR utilization.