POLICY DOCUMENT –
Mental Health and Wellbeing
BACKGROUND
The New South Wales Medical Students’ Council (NSWMSC) is the peak
representative body for medical students in New South Wales (NSW). One
of the four key goals of the NSWMSC is to promote the well-being for all
NSW medical students, which is intrinsically tied to mental health.
not just the absence of ill-health, but ability to live a full and flourishing life.
particularly at risk .
4,5
and is extremely prevalent among medical students , with more than 57% of
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female and 44% of male students found to have high levels of emotional
exhaustion .
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students also had a part-time job, with nearly half of those who worked
working approximately 12 hours per week, and one in ten working
approximately 36 hours per week . The majority of Australian medical
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students are concerned about their finances, with one in five being very
concerned . The high debt associated with medical education, and long
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contact hours that limit time for paid work may also contribute to financial
stress.
The demands of medical education may create their own form of “job
strain”, with high mental load, little control and poor psychosocial safety in
some clinical environments.
have personality traits such as perfectionism, which put them at high risk of
experiencing mental ill-health . Furthermore, it has been found that older
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The cause of this distress is likely multifactorial, but may be related to the
clinical environment. Both under-exposure to clinical roles, and
unsupported exposure to challenging clinical environments can affect the
mental health of students, and a feeling of being “useless” is commonly
described by medical students in interviews about the transition to clinical
practice . 19–21
There have been calls to treat medical students as junior colleagues in order
to create a more “nurturing” learning environment, and to implement
policies to try to prevent undesirable behaviours such as bullying 22,31
For more on bullying and harassment, please refer to the NSW MSC
Policy .
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than 38% of students without a current diagnosis shared this belief, despite
the fact that experiencing personal illness has been found to help doctors
empathise and communicate more effectively with patients ; rather than
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There is growing evidence that physically active people are at a reduced risk
of developing depression, and that exercise interventions are associated with
significant benefits for patients with mild to moderate forms of depression
as well as being implicated in reducing anxiety . Thus, there have been calls
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these three main stress reducing techniques in the general population, they
are likely to be of benefit to medical students and doctors.
Since stress predictably will increase in the residency and practice years,
students should be exposed to stress management techniques to help prevent
the known consequences of stress, such as substance abuse and suicide,
among practicing physicians 42.
Pass/fail grading also created more time for extracurricular interests and
personal activities, and fostered intrinsic motivation, which is key to self-
regulated, lifelong learning . It has also been argued that acceptance into
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students have more control and predictability over their work days are also
likely to have benefits for mental health, while workplace mental health
literature indicates that training leaders and teachers, providing clearly
available assistance programs, partial sickness leave and formal return-to-
study programs, and mental health first-aid training are all evidence-based
interventions . 10
POSITION STATEMENT
POLICY
REFERENCES:
This policy was ratified at the NSWMSC Council 3 meeting on October 15th
2017.
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Authored by:
Liam Mason
NSWMSC Advocacy Officer 2017
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