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I'm just curious about some of the reasons why medical students develop depression in medical school. Is it because of the rigor of the courses? Isolation? It seems like a large-ish percent of medical students do. Anyone care to share their experiences?
Isolation
Chronic performance anxiety
Borderline PTSD from the above
Most of us are perfectionist type people (in certain ways) in a very unperfect career field.
Isolation combined with the amount of information (much of it quite boring) that we have to learn in such a short period of time. I think some people are naturally suited for med school either because they love studying and find the information all very interesting or because they like the competitive culture of medical school and enjoy being able to measure themselves against someone else and, subsequently, feel better about themselves. The latter type is actually kind of common in med school, unfortunately. For the rest of us who don't really fit either of those two molds med school can really do a number on your mental health.
All of the above, plus many people have the mindset that they are defined by their grades, and/or doing poorly is a sign of weakness (as is getting help).
To this add lack of proper coping mechanisms.
Anxiety is so prevalent, just because it is so easy to fail. Our school has test like every four days. Anyone else smell the anxiety sweats (like a literal odor) on fellow students /self right before a standardized patient or a big exam or evaluation??
Excessive studying + stress + isolation is a big part. Some people also think they'll acquire some special person status or that medicine is saving lives all day. When reality = / = expectations, depression skyrockets.
Congrats on the accept, and I have to say that you have one of the best screen names ever!!!Thank you for this thread. As an incoming student, developing depression is one of the major things that worries me, despite how excited I am to start school. Having never experienced med school yet though, it's not like I would know what many med students feel. Not only is it comforting to hear other students speak about it, but now I have an idea of things I should be aware of to maintain my mental health and things I could do to cope, and, of course, that no one is alone in this. So, thank you all for sharing your thoughts and experiences.
even if you were brave enough to admit these things, it might go on your record somewhere. It probably won't go on your transcript or dean's letter, but it might show up on some official thing somewhere else. The school will say it won't, but can you really trust anyone? Even if the school doesn't put anything like this on your record, you still have to worry about state licensing and the questions you might have to answer there.
Most medical students get their insurance through the school and also see the physicians that are close by the school which are normally associated with said school. Even though its very unlikely its something that sucks to worry about when u really need help.Can you elaborate on this? I don't understand how seeing a medical professional confidentially about your mental health can just show up "somewhere."
Can you elaborate on this? I don't understand how seeing a medical professional confidentially about your mental health can just show up "somewhere."
Can you elaborate on this? I don't understand how seeing a medical professional confidentially about your mental health can just show up "somewhere."
It's because you can't properly study while properly socializing (at least I can't). And everyone is under so much stress, you just learn to keep your distance from poor/malignant attitudes.Thanks for all of the great responses! can someone explain to me the isolation thing? Is it because most med students are introverts who don't go out? Because everyone is too busy studying to socialize? I'd assume if you're all "in it together" there would be some natural bonding that occurs.
FYI:I'm just curious about some of the reasons why medical students develop depression in medical school. Is it because of the rigor of the courses? Isolation? It seems like a large-ish percent of medical students do. Anyone care to share their experiences?
Step 2 CS.I'm just curious about some of the reasons why medical students develop depression in medical school. Is it because of the rigor of the courses? Isolation? It seems like a large-ish percent of medical students do. Anyone care to share their experiences?
I will admit to being isolated from some of my classmates. I am first generation college student from blue-collar family. My classmates are nothing like me. I found it necessary to look outside of school for dates.Thanks for all of the great responses! can someone explain to me the isolation thing? Is it because most med students are introverts who don't go out? Because everyone is too busy studying to socialize? I'd assume if you're all "in it together" there would be some natural bonding that occurs.
Here is my take on thisI'm just curious about some of the reasons why medical students develop depression in medical school. Is it because of the rigor of the courses? Isolation? It seems like a large-ish percent of medical students do. Anyone care to share their experiences?
I feel very alone.
I have severe testing anxiety that developed after I started school. I don’t do well on exams, have chronic anxiety and live with the thought everyday I am going to fail out, or do horrible on my boards and be stuck forever in debt with no future. This leads to a lot of self doubt and then I panic, which leads to burn out. It is terrible.
I have external family issues that never seem to stop that doesn’t help. I see my personal psychiatrist monthly.
Dealing with abusive preceptor in my last rotation...it's insane.
PM me. It's insane and degrading and psychologically devastating.what kind? I mean what do they say/do?
you won't fail. being in the top 25% is fine but if you want to improve your academic performance experiment with other study methods that's what helped me. i felt like i was doing terribly the entire time but wasn't lol. dont give up on your dream and maybe start counseling that helps.I know this is an old thread but I feel exactly this way too. I’m a P1 (podiatry), finished my first semester and on vacation now, but I find myself crying at night and even during the day sometimes. Of course my family doesn’t know what’s going on, and I also can’t tell them (we don’t operate that way unfortunately). I used to be a top student in undergrad and now I’m in the bottom 25%. That ****ed me up a lot, my confidence levels are super low. I think I’ll probably fail out in my second year or worse, fail my boards. I am literally thinking about not going back to school and just stay with my family but that can’t happen.
Crazy how an experience like that can make or break a rotation.Dealing with abusive preceptor in my last rotation...it's insane.
Step 2 CS.
Wow. Bravo. This is it^. Not sure if youre an M1 or an M2 but M2 absolutely blows when it comes to having all your time eaten up. We barely have time to breathe lol. I guess M4 and attending life is what we have to look forward to. I need something to look forward to and I hope I didnt cue all the negative comments about attending life and M4 sucking I really dont need to hear that too. Regardless, I still cant picture myself doing anything else anyway I just think medical education in regards to burnout and mental health needs a little workBecause we're given a 50 minute lecture consisting of 76 slides of extremely dense, complex biochemistry pathway at which the professor wildly gestures and states "you should memorize this slide" before moving onto the next with no actual discussion of the material. This is then immediately followed by several questions requiring high-level synthesis of this material that we were "taught" (read: material that was gestured at), during which the professor states in a very annoyed tone "this is easy, you shouldn't have any problem answering."
I'll also second what someone said above about all the minutia the school requires that really adds up to eat huge portions of your time. "Only 4 hours of required activities a day, everyone! Also, we need you to sign up for a 3 hour physical exam skills session. Don't forget you need to sign up for a mandatory 1 hour meeting with your adviser. Plus, there's a 1 hour mandatory session about how to get involved in research. By the way, you have 2 hours of pre-reading before your small group session tomorrow at 8 AM. Please don't forget that you have 55 structures on the anatomy hitlist to memorize this week. And we finally sent out the list of possible anatomy questions for the written final - it's 27 pages long, so you should make sure you start memorizing those ASAP. There's also the 6 hours of research we need you to do for your small group sessions every week. Remember to do your weekly essays and reconcile your answers from last week's essays." I can keep going, but that seems sufficient to get the point across.
Tl;dr: terrible lectures, too much info, too little time, condescending faculty, everyone demanding that we prioritize their portion of the curriculum despite the 10001 other demands on our time.
Because we're given a 50 minute lecture consisting of 76 slides of extremely dense, complex biochemistry pathway at which the professor wildly gestures and states "you should memorize this slide" before moving onto the next with no actual discussion of the material. This is then immediately followed by several questions requiring high-level synthesis of this material that we were "taught" (read: material that was gestured at), during which the professor states in a very annoyed tone "this is easy, you shouldn't have any problem answering."
I'll also second what someone said above about all the minutia the school requires that really adds up to eat huge portions of your time. "Only 4 hours of required activities a day, everyone! Also, we need you to sign up for a 3 hour physical exam skills session. Don't forget you need to sign up for a mandatory 1 hour meeting with your adviser. Plus, there's a 1 hour mandatory session about how to get involved in research. By the way, you have 2 hours of pre-reading before your small group session tomorrow at 8 AM. Please don't forget that you have 55 structures on the anatomy hitlist to memorize this week. And we finally sent out the list of possible anatomy questions for the written final - it's 27 pages long, so you should make sure you start memorizing those ASAP. There's also the 6 hours of research we need you to do for your small group sessions every week. Remember to do your weekly essays and reconcile your answers from last week's essays." I can keep going, but that seems sufficient to get the point across.
Tl;dr: terrible lectures, too much info, too little time, condescending faculty, everyone demanding that we prioritize their portion of the curriculum despite the 10001 other demands on our time.
You beautifully (if unintentionally) demonstrated exactly what @curbsideconsult discussed as a major contributor to medical student depression rates. provided an excellent example of another major factor contributing to medical student depression rates. (See the paragraph on "Keeping up appearances", particularly the portion about non-medical friends/family members).1.) at least you had mentors to set meetings up with
2.) at least you had research in house to need an introduction for
Annddd 3.) WTF, you had to write essays in medical school? I think developing my PS was all we had
you won't fail. being in the top 25% is fine but if you want to improve your academic performance experiment with other study methods that's what helped me. i felt like i was doing terribly the entire time but wasn't lol. dont give up on your dream and maybe start counseling that helps.
im in the bottom 25% not top...
sorry i meant bottom 25% as i was super frazzled this week! even if you're in the bottom 25%, you're still passing. graduate programs are notoriously difficult!im in the bottom 25% not top...
im in the bottom 25% not top...
Q: What do they call the kid who graduates at the bottom of his/her medical school class?I think i'm like in the 25.6th percentile for my class. lol. But I'm pretty much classified as a ***** in the eyes of all the academic/GME advisors at our school. If you don't suck up, score >650 on comlex, >120s on COMATs, and did i mention suck up - you are told to just apply to FM.
No thanks, my righting relfex is too strong for that. I'm applying to whatever i feel like.
Q: What do they call the kid who graduates at the bottom of his/her medical school class?
A: Doctor.
Very true. But the amount of pressure and negativity that the lower 25%tile or 50%tile get from administration adds to the overall stress/depression that the OP was asking about. And heaven forbid you apply to anything other than Rural FM in BFE, Yukon.