Rachel R Hardeman1, Julia M Przedworski2, Sara Burke3, Diana J Burgess4, Sylvia Perry5, Sean Phelan6, John F Dovidio3, Michelle van Ryn6. 1. Division of Health Policy and Management, University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA. Electronic address: Hard0222@umn.edu. 2. University of Minnesota, School of Public Health, Division of Health Policy and Management, Minneapolis, MN, USA. 3. Yale University, Department of Psychology, New Haven, CT, USA. 4. Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN, USA; University of Minnesota Medical School, Department of Medicine, Minneapolis, MN, USA. 5. Northwestern University, Department of Psychology, Evanston, IL 60208, USA. 6. Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA.
Abstract
PURPOSE: To determine whether perceptions of the medical school diversity climate are associated with depression symptoms among medical students. METHODS: Longitudinal web-based survey conducted in the fall of 2010 and spring of 2014 administered to a national sample of medical students enrolled in 49 schools across the U.S. (n = 3756). Negative diversity climate measured by perceptions of the institution's racial climate; exposure to negative role modeling by medical educators; frequency of witnessing discrimination in medical school. Depression symptoms measured by the PROMIS Emotional Distress-Depression Short-Form. RESULTS: 64% of students reported a negative racial climate; 81% reported witnessing discrimination toward other students at least once, and 94% reported witnessing negative role modeling. Negative racial climate, witnessed discrimination, and negative role modeling were independently and significantly associated with an increase in depression symptoms between baseline and follow-up. Adjusting for students' personal experiences of mistreatment, associations between depressive symptoms and negative racial climate and negative role modeling, remained significant (.72 [.51-.93]; .33 [.12-.54], respectively). CONCLUSIONS: Among medical students, greater exposure to a negative medical school diversity climate was associated with an increase in self-reported depressive symptoms.
PURPOSE: To determine whether perceptions of the medical school diversity climate are associated with depression symptoms among medical students. METHODS: Longitudinal web-based survey conducted in the fall of 2010 and spring of 2014 administered to a national sample of medical students enrolled in 49 schools across the U.S. (n = 3756). Negative diversity climate measured by perceptions of the institution's racial climate; exposure to negative role modeling by medical educators; frequency of witnessing discrimination in medical school. Depression symptoms measured by the PROMIS Emotional Distress-Depression Short-Form. RESULTS: 64% of students reported a negative racial climate; 81% reported witnessing discrimination toward other students at least once, and 94% reported witnessing negative role modeling. Negative racial climate, witnessed discrimination, and negative role modeling were independently and significantly associated with an increase in depression symptoms between baseline and follow-up. Adjusting for students' personal experiences of mistreatment, associations between depressive symptoms and negative racial climate and negative role modeling, remained significant (.72 [.51-.93]; .33 [.12-.54], respectively). CONCLUSIONS: Among medical students, greater exposure to a negative medical school diversity climate was associated with an increase in self-reported depressive symptoms.
Authors: Liselotte N Dyrbye; Matthew R Thomas; William Harper; F Stanford Massie; David V Power; Anne Eacker; Daniel W Szydlo; Paul J Novotny; Jeff A Sloan; Tait D Shanafelt Journal: Med Educ Date: 2009-03 Impact factor: 6.251
Authors: Liselotte N Dyrbye; Anne Eacker; Steven J Durning; Chantal Brazeau; Christine Moutier; F Stanford Massie; Daniel Satele; Jeff A Sloan; Tait D Shanafelt Journal: Acad Med Date: 2015-07 Impact factor: 6.893
Authors: Mark Linzer; Sara Poplau; Ellie Grossman; Anita Varkey; Steven Yale; Eric Williams; Lanis Hicks; Roger L Brown; Jill Wallock; Diane Kohnhorst; Michael Barbouche Journal: J Gen Intern Med Date: 2015-02-28 Impact factor: 5.128
Authors: Laura E Gibbons; Betsy J Feldman; Heidi M Crane; Michael Mugavero; James H Willig; Donald Patrick; Joseph Schumacher; Michael Saag; Mari M Kitahata; Paul K Crane Journal: Qual Life Res Date: 2011-03-16 Impact factor: 4.147
Authors: Julia M Przedworski; John F Dovidio; Rachel R Hardeman; Sean M Phelan; Sara E Burke; Mollie A Ruben; Sylvia P Perry; Diana J Burgess; David B Nelson; Mark W Yeazel; John M Knudsen; Michelle van Ryn Journal: Acad Med Date: 2015-05 Impact factor: 6.893
Authors: Liselotte N Dyrbye; Matthew R Thomas; Anne Eacker; William Harper; F Stanford Massie; David V Power; Mashele Huschka; Paul J Novotny; Jeff A Sloan; Tait D Shanafelt Journal: Arch Intern Med Date: 2007-10-22
Authors: Rachel R Hardeman; Julia M Przedworski; Sara E Burke; Diana J Burgess; Sean M Phelan; John F Dovidio; Dave Nelson; Todd Rockwood; Michelle van Ryn Journal: J Racial Ethn Health Disparities Date: 2015-09
Authors: Michelle van Ryn; Rachel Hardeman; Sean M Phelan; Diana J Burgess; John F Dovidio; Jeph Herrin; Sara E Burke; David B Nelson; Sylvia Perry; Mark Yeazel; Julia M Przedworski Journal: J Gen Intern Med Date: 2015-07-01 Impact factor: 5.128
Authors: Chigoziri Konkwo; Elizabeth Fitzsousa; Shin Mei Chan; Muzzammil Muhammad; Nientara Anderson; Anna Reisman Journal: J Gen Intern Med Date: 2022-09-21 Impact factor: 6.473
Authors: Sylvia P Perry; James E Wages; Allison L Skinner-Dorkenoo; Sara E Burke; Rachel R Hardeman; Sean M Phelan Journal: J Soc Issues Date: 2021-05-18
Authors: Jourdyn A Lawrence; Brigette A Davis; Thea Corbette; Emorcia V Hill; David R Williams; Joan Y Reede Journal: J Racial Ethn Health Disparities Date: 2021-01-11