JAMA : the journal of the American Medical Association
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Review Meta Analysis
Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis.
Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies. ⋯ In this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among medical students was 27.2% and that of suicidal ideation was 11.1%. Further research is needed to identify strategies for preventing and treating these disorders in this population.
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Concerns exist about the current quality of undergraduate medical education and its effect on students' well-being. ⋯ In this systematic review, limited evidence suggested that some specific learning environment interventions were associated with improved emotional well-being among medical students. However, the overall quality of the evidence was low, highlighting the need for high-quality medical education research.
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US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. ⋯ Among US internal medicine residents in the 2013-2014 academic year, milestone-based ratings correlated with RAES ratings but with a greater difference across training years. Both rating systems for medical knowledge correlated with ABIM certification examination scores. Milestone ratings may better detect problems with professionalism. These preliminary findings may inform establishment of the validity of milestone-based assessment.