Mental Health Of Medical Students Research Articles

Fear of COVID-19 and mental health status among the medical students of a selected medical college in Bangladesh.

COVID-19 pandemic and mental health of people are related to each other. To assess the relationship between fear of COVID-19 (FCOV) and the psychological status of medical students of Bangladesh. A total of 967 medical students and intern doctors of Sher-E-Bangla Medical College participated in this cross-sectional study. FCOV was measured using the Fear of COVID-19 Scale (FCV-19S). Mental health status was assessed using the Depression Anxiety Stress Scale (DASS-21). Correlation between these two variables was done followed by general linear model to assess the relationship of other covariates with mental health. FCOV had a highly significant relationship with mental health (DASS-21 and all its components, p < 0.001 for all). Females suffered more from fear than males except the interns. Clinical students, students with middle income groups, students residing with the families, and students having family members in health services exhibited more FCOV compared to their counterparts. When we looked at the DASS-21 and its components, females suffered more from stress. Having family members in health services was related to higher anxiety and stress with higher DASS-21 scores as well. Students who expressed their lives to be affected by COVID-19 had higher DASS-21 and its components compared to those whose lives were not affected as such. Students residing with their families revealed increased stress. FCOV and life affected by COVID-19 were constantly related to DASS-21 and its components (p < 0.001), adjusted for other variables. Fear of COVID-19 is associated with poor mental health of medical students.

How COVID-19 pandemic and Ukrainian crisis shaped mental health services for medical students in Poland?

The mental health of medical students is a crucial concern in contemporary medical education. This manuscript reports the availability and shape of psychological support for medical students in Poland in the backdrop of the COVID-19 pandemic and the Ukrainian crisis. A survey comprising 10 questions was distributed to 22 medical schools in Poland, with a 59% response rate. The findings reveal that psychological support programs are predominantly managed by internal university units. Funding sources vary, with some universities utilizing internal budgets and others leveraging European funds or external projects. The support modalities are primarily hybrid, catering to student preferences. Limitations exist in the number of consultations, although some universities provide extended support based on student needs. Assistance is offered in multiple languages, with additional programs like stress-reduction workshops and mindfulness training being available in several universities. A notable increase in demand for psychological support post-COVID-19 was reported, with some universities establishing their programs during or after the pandemic. The commentary highlights the rising need for mental health services among medical students and underscores the importance of flexible, inclusive, and well-funded support. The effective functioning of these programs aligns with the broader objective of fostering a resilient and emotionally balanced healthcare workforce.

Mental health in medical students: a challenge beyond academic stress

Introducción: El proceso de enseñanza en medicina tiene desafíos que pueden inducir estrés académico. El contexto del Covid-19, los nuevos modelos de educación virtual y la atención en telemedicina, entre otros requisitos, hace imprescindible centrarse en potenciar la salud mental de los futuros profesionales. El objetivo fue identificar los factores asociados a la salud mental de estudiantes de medicina en una universidad privada en Colombia, ajustados al estrés académico. Método: Estudio transversal con 443 estudiantes. Se completó un cuestionario compuesto por variables sociodemográficas, de estilo de vida y académicas, además de aplicar el Inventario Cognitivo Sistémico para el Estudio del Estrés Académico (SISCO) y el inventario Symptom Checklist-90-Revised (SCL-90-r). Los factores de riesgo que influyen en el índice de gravedad de la salud mental se analizaron utilizando un Modelo Lineal Generalizado (GLM) por la familia de Poisson y log link. Resultados: Un 68,4% eran mujeres, 48,8% tenían edades entre 20 y 25 años y el 50,6% de los estudiantes presentaron estrés académico severo. Los factores protectores relacionados con el índice de salud mental incluyeron actividad física regular (RRa = 0,78) y actividades extracurriculares (RRa = 0,75), mientras que los factores de riesgo fueron estrés severo (RRa = 2,34), uso de sustancias psicoactivas (RRa = 1,36), bebidas energéticas (RRa = 1,35), tener una ocupación alternativa al estudio (RRa = 1,47). Conclusión: El contexto actual exige la presencia de médicos mentalmente sanos. El estudio proporcionó información sobre la necesidad de intervención en factores más allá del estrés académico, buscando mantener el bienestar de los estudiantes y así evitar el abandono académico.

Factors associated with obsessive-compulsive symptoms in medical students during the COVID-19 pandemic in Peru: a cross-sectional study.

Motivation for the study. The COVID-19 pandemic contributed to the development of mental disorders among medical students, including obsessive-compulsive symptoms. However, evidence on this problem in this population is still limited. Main findings. One in 10 medical students presented clinically significant obsessive-compulsive symptoms. Implications. The health crisis has had a negative impact on the mental health of medical students. Therefore, it is crucial to implement future interventions to promote the preservation of their psychological well-being. To determine the prevalence of obsessive-compulsive symptoms among medical students in Peru during the COVID-19 pandemic and its associated factors. Cross-sectional study in 270 medical students from a Peruvian public university. Participants were recruited through non-probability sampling. Obsessive-compulsive symptoms were assessed with the Yale-Brown Obsessive Compulsive Disorder Scale (Y-BOCS). After the descriptive analysis, Poisson regression with robust variance was used to determine the factors associated with probable obsessive compulsive disorder (probable OCD). The crude (PRc) and adjusted (PRa) prevalence ratios were calculated, along with their respective 95% confidence intervals (95% CI). The prevalence of obsessive-compulsive symptoms was 13.3% in medical students. During bivariate analysis, students with probable OCD were younger (p=0.044) and had a lower level of knowledge about COVID-19 (p=0.045). The crude model showed a lower prevalence of probable OCD among those with an adequate level of knowledge compared to those with an inadequate level (PR: 0.52, 95% CI: 0.28 to 0.98). However, after adjusting for other variables, none of the described variables were statistically significant. One in ten medical students presented clinically significant obsessive-compulsive symptoms. Implementing future interventions is crucial to preserve the mental well-being of this vulnerable population.

The Influential Role of Baduanjin on the Mental Health of Medical Students: A Review

Baduanjin, a traditional Chinese health care practice, not only promotes muscle relaxation and bone strengthening while preventing and treating illnesses but also contributes positively to mental nourishment and emotional regulation. This paper employs a literature review and logical analysis to comprehensively assess the impact of Baduanjin on the mental health of medical students in higher education institutions. The findings indicate a significant prevalence of mental health issues among medical students in recent years, with a myriad of complex influencing factors. Furthermore, interventions aimed at enhancing the mental well-being of college students have become increasingly diverse. Notably, Baduanjin stands out as a traditional physical activity intervention that is both straightforward to implement and effective in bolstering students' mental health. Moving forward, it may serve as a preventive measure for mental wellness in the physical education curricula of universities, fostering the holistic development of both physical and mental health.

What makes medical students choose their residencies? Association between mental health of medical students and their choices of future medical specialties

Background: Excessive cognitive demands and chronic stress contribute to the occurrence of mental health problems among medical students. It may be hypothesized that the presence of such disturbances have an influence on their choices of post-graduate training programs. Objective: The aim of the study was to evaluate the state of mental health of medical students and to assess if there is any association between the prevalence of mental health problems and their residency choices. Materials and methods: 114 medical students were surveyed in terms of their residencies' choices and their mental health with the usage of validated psychological questionnaires. Results: 74 (64,91%) of medical students needed psychiatric or psychological treatment at some stage in their lives. Intensity of risky alcohol consumption was positively correlated with the choice of surgery (p=.0000) and negatively correlated with the choice of psychiatry (p=.0000). The severity of depressive symptoms was positively correlated with emergency medicine choice (p=.0479). Anxiety symptoms, eating disorders and autism spectrum severity symptoms were not significantly correlated with the choice of any medical specialty. Conclusions: Medical students were found seriously affected by mental health problems, what to some extent seemed to impact their future career choices.

Moderating effect of sleep quality in the relationship between coping and distress among medical students.

The present study examined the moderating effects of sleep quality in the relationship between coping and distress among medical college students. Present study was conducted to ensure the mental health of medical students and to dig out the reasons behind their disturbed health which can directly impact their performance at work. The study utilized a cross-sectional survey and was distributed to students at various medical institutions in the Punjab province of Pakistan from October 2019 to June 2020. The sample comprised 369 participants (120 males; 32.5%). The survey included the Pittsburgh Sleep Quality Index (PSQI), Kessler Scale of Psychological Distress (K10), Brief Cope Scale, and Wong and Law Emotional Intelligence Scale. The results showed there was a significant relationship between coping and distress. More specifically, adaptive coping and distress were negatively associated (r=-.24), and maladaptive coping and distress were positively associated (r=.46). Moreover, the present study found that poor sleep quality was a significant positive predictor of distress. Moderation analysis showed that sleep quality was a significant moderator in the relationship between adaptive coping and distress (ΔR2=.011, β=-.36, p<.01) as well as between maladaptive coping and distress (ΔR2=.021, β=-.17, p<.01). The study's findings clearly showed that sleep quality is a significant moderator in the relationship between coping (both adaptive and maladaptive) and distress among medical students.

Impact of Social Media Addiction Among Medical Students on Their Social Interaction, Well-Being, and Personality: A Comparative Study.

Background Social media addiction has emerged as a growing concern, particularly among young adults, including medical students who face unique stressors and demands. The widespread usage of social media platforms can lead to addictive behaviors affecting mental health, academic performance, and interpersonal relationships. Understanding the relationship between social media addiction, personality traits, social interaction, and overall well-being is crucial for developing effective interventions to support this vulnerable group. Aim To study the relationship of social media addiction with social interaction, well-being, and personality in medical students. Materials and methods A cross-sectional study was conducted with 300 students from a medical institution, including both undergraduate and postgraduate levels. Data were collected through an online survey, administered via Google Forms. Social Media Addiction Scale-Student Form (SMA-SF), Social Interaction Anxiety Scale and Social Phobia Scale, Medical Student Well-Being Index (MSWBI), Three-Item Loneliness Scale (T-ILS), and Short Big Five Inventory Scale (BFI-10) were applied to all the participants. Results A total of 292 medical students participated in the study, comprising 122 males and 170 females. The analysis revealed that both male and female students exhibit similar levels of susceptibility to social media addiction, as evidenced by comparable scores on measures of social media addiction, social interaction anxiety, social phobia, loneliness, well-being, and personality traits. Regression analysis identified time spent on social media and agreeableness as significant predictors of social media addiction, with no signs of multicollinearity. These findings indicate that male and female medical students share similar psychological profiles, highlighting critical factors that influence social media usage within this population. Conclusion This study highlights a significant prevalence of social media addiction among medical students, affecting 76.7% (n = 224) of participants, with slightly higher rates observed among females (n = 132, 78%) compared to males (n = 92, 72%). This addiction correlates with adverse psychological traits such as heightened social interaction anxiety, social phobia, and loneliness, along with personality traits like neuroticism. Both genders exhibit similar susceptibility to addiction, influenced by factors such as time spent socializing and agreeableness. Addressing these findings through targeted interventions could improve medical students' overall well-being and mental health outcomes, underscoring the need for further research and effective strategies in academic settings.

Mind matters: decoding mental health in medical students

This review synthesises current research on the prevalence and determinants of depressive and anxiety symptoms among medical students. It highlights significant mental health challenges faced by this group, emphasising the influence of various factors such as academic pressures, personality traits, and reluctance to seek professional help. The analysis also delves into the roles of gender and geographical variation, revealing how these factors contribute to differing rates of mental health issues among medical students globally. The findings reveal a concerning prevalence of depression and anxiety, with variation observed across different regions and genders, indicating the influence of cultural and societal norms on mental health. This review underscores the urgent need for enhanced mental health support and intervention strategies within medical education systems. The importance of incorporating psychological support programmes and mental health education into curricula is highlighted. By addressing these issues, there is a potential to significantly improve the well-being and academic success of medical students, ultimately contributing to their overall mental health and resilience in their future professional lives. The paper advocates for a multifaceted approach in tackling these challenges, suggesting that medical institutions should not only focus on academic excellence but also prioritise the mental health of their students, ensuring a more supportive and nurturing educational environment.

Impact of Volunteerism on the Mental Health and Academic Performance of Medical Students: A Saudi-Based Cross-Sectional Study.

Introduction The term "volunteering" refers to any endeavor in which one's time is devoted voluntarily to the benefit of another individual, group, or organization, and without the expectation of receiving compensation. Several studies have discovered that engagement in volunteer work is substantially predictive of improved mental and physical health, self-esteem, diminished depressive symptoms, and psychological distress, in addition to having a positive correlation with mental well-being. Aim The objective of this study was to investigate the correlation between medical student participation in volunteer work and their mental well-being. Subject and methods A cross-sectional survey was carried out in Riyadh, Saudi Arabia, involving medical students enrolled in Princess Nourah bint Abdulrahman University and Imam Mohammad Ibn Saud Islamic University, both of which are government institutions, as well as Almarefah College, a private medical school. The students were provided with a self-administered questionnaire. Sociodemographic information, prior volunteer experience, and an evaluation of the mental health status of medical students are all components of the questionnaire. Results A total of 827 medical students participated; 798 (96.5%) of them fell between 18 years and 25 years and only 29 (3.5%) were between 25 years and40 years. Themales accountedfor 594 students (71.8%) and girls accounted for 233 students (28.2%). Among the students, 387 (46.8%) fell within the age range of 21 to 22 years, and 401 (48.5%) had a prior engagement in voluntary activities at school or college. Significant factors that influence participation in volunteering activities consist of attending a governmental institution, 616 students (74.5%); maintaining a grade point average (GPA) ranging from 2.75 to 3.74, 337 students (40.7%); and expressing a preference for participating in medical-related endeavors, 455 students (55%). There is no statistically significant correlation between medical students' engagement in volunteering activities and their mental health state (p>0.05). Conclusion A significant proportion of medical students actively engaged in volunteer work.Contrary to earlier findings, this study establishes that there is no correlation between engaging in volunteer work and the mental health conditions of medical students. Additional longitudinal studies are necessary to establish the correlation between engagement in volunteer work and the mental health of medical students.

Factors associated with mental health and quality of life among Brazilian medical students: a three-year longitudinal study

Background Despite several studies on the mental health of medical students, there is insufficient research on long-term follow-ups. Aims To investigate the associated factors and changes in the quality of life and mental health of a group of medical students followed-up for three years. Methods An observational, prospective cohort study was conducted. Four classes were followed during the first three years of the medical course. The study included sociodemographic data, mental health data using the DASS-21 scale, and quality-of-life data using the WHOQOL-BREF scale. Linear regression models were used for analysis. Results A total of 201 (66.1%) medical students responded to both data collection waves after a three-year follow-up. Depressive symptoms(p < 0.001), anxiety(p = 0.037), and stress(p < 0.001) increased. Additionally, physical(p < 0.001), psychological(p < 0.001), and social(p = 0.003) quality of life decreased. Worse mental health at baseline and being a woman were associated with worse mental health after three years, while higher income at baseline was associated with better quality of life after three years. Conclusions The mental health and quality of life of the medical students worsened after three years, being influenced by gender, income, and mental health at baseline. Educators and managers must be aware of these factors to minimize suffering in medical schools.

Mental Health of Medical Students After Combating the COVID-19 Epidemic: A Cross-sectional Study in Vietnam.

This study was conducted to investigate the prevalence of mental health (MH) symptoms and associated factors among medical students who were engaged in combating the coronavirus disease 2019 (COVID-19) epidemic in 4 provinces/cities of Vietnam. A cross-sectional study with 580 participants was conducted at a medical university in Northern Vietnam. MH was assessed using the 21-item Depression, Anxiety, and Stress Scale, which was previously standardized in Vietnam. Data were collected through a structured self-administered questionnaire. Multivariate logistic regression was employed to examine the association between MH symptoms and relevant factors. Out of a total of 2703 medical students, 21.5% responded to the questionnaire. Among the 580 respondents, the prevalence rates of depression, anxiety, and stress were 43.3%, 44.0%, and 24.7%, respectively. Factors significantly associated with self-reported depression included being female and having a COVID-19 infection. Similarly, being female and having a COVID-19 infection were significantly associated with self-reported anxiety. Factors associated with self-reported stress included being female, having a personal or family history of MH symptoms, working more than 8 hr/day, and having a COVID-19 infection. COVID-19 has adversely impacted the MH of medical students. Our findings are valuable in their potential to motivate universities, MH professionals, and authorities to offer mental healthcare services to this group. Furthermore, there is a pressing need for training courses designed to equip future healthcare workers with the skills to manage crises effectively.

Medical education in clerkship: From here and out

The COVID-19 pandemic has changed many things in the medical education system. This change requires adaptation and modification from education providers, teachers, and students. A virtual learning system has been implemented instead of a face-to-face learning system. However, this makes several challenges and issues that must be considered. Virtual learning is considered less attractive and interactive and not effective in teaching clinical skills. For student clerks, the reduced time to undergo education in the hospital leads to fewer case exposures. Another problem is the facilities and infrastructure. Several ways to solve this problem have been implemented while minimizing risk and taking strict precautions. Some institutions modify and innovate to maximize the effectiveness of learning activities. In addition to technical and effectiveness issues, changes in the education system also have an impact on the mental health of medical students, therefore it is important for institutions to be sensitive to changes and risks to students' mental health during the pandemic.

Relationship between Resilience and Mental Health of Medical Students

The idea of a comparative study between Resilience and Anxiety/Depression arises from the two main Mental Health Disorders reported by the World Health Organization (WHO) having a very high statistical index among Brazilians, with the Brazilian population considered the most anxious in the world and the 6th highest in terms of people suffering from depressive episodes or disorders; especially, this reality can affect young people and students in the healthcare field. In medical school, the situation is challenging, and educators have recognized that the stress of medical school can be significant [1]. Medical students appear to be particularly susceptible to common mental health issues such as depression compared to students in other courses [2]. Prior to medical school, these students report lower symptoms of depression than their peers, suggesting that the training and environment of medical school may contribute to the deterioration of mental health [3].

Medical faculty's perception of students' mental health: a qualitative survey study

This study sought to explore the perspective of medical faculty on the mental health of their students. This qualitative study based on a focus group is part of a longitudinal research that studied the mental health of Brazilian students. One group was conducted with faculty employed at a medical school. Topics discussed covered the concept of mental health and medical education. Six professors participated in one group. The mental health of medical students is a construct that encompasses emotional aspects, ability to solve problems and multiple facets of a human being, according to the participants. Artistic practices, moments of socialization and leisure were perceived as stimulating students' good mental health. Excessive demands generate competitiveness and the teacher's expectation of the student's good performance based on their own experience can harm the student's mental health. Participants also highlighted that a pedagogical reformulation that makes sense for the student's learning process is necessary to update traditional curricula. Medical students’ mental health is influenced by experiences and exchanges during the medical school, mainly between professor and student, understood as necessary and inherent to the process of becoming physician. The findings of this study show the need for curriculum changes in the medical education process and updating teacher training for good practices that reinforce good mental health.

Barriers to help-seeking, accessing and providing mental health support for medical students: a mixed methods study using the candidacy framework

BackgroundThe mental health of medical students is a national and international problem increasing in both demand and acuity. Medical students face barriers to accessing mental health support that is clinically effective, timely and appropriate for their needs. This mixed methods study aimed to explore experiences of these barriers and the challenges to health service delivery aligned to the Candidacy Framework.MethodsOne hundred three medical students studying at The University of Sheffield completed an online survey comprising the CCAPS-34 and follow-up questions about service access and use. Semi-structured interviews with a nested sample of 20 medical students and 10 healthcare professionals explored barriers to service access and provision. A stakeholder panel of medical students and professionals met quarterly to co-produce research materials, interpret research data and identify touchpoints by pinpointing specific areas and moments of interaction between a medical student as a service user and a mental health service.ResultsMedical students who experienced barriers to help-seeking and accessing support scored significantly higher for psychological symptoms on the CCAPS-34. Uncertainty and fear of fitness to practice processes were important barriers present across all seven stages of candidacy. The fragmented structure of local services, along with individual factors such as perceived stigma and confidentiality concerns, limited the progression of medical students through the Candidacy Framework (a framework for understanding the different stages of a person’s journey to healthcare).ConclusionThis study outlines important areas of consideration for mental health service provision and policy development to improve access to and the quality of care for medical students.

Stress and exhaustion among medical students: a prospective longitudinal study on the impact of the assessment period on medical education

BackgroundStress significantly affects both the physical and emotional health of individuals, particularly students in health-related fields. Medical students in Brazil face unique challenges due to the demanding nature of their studies, especially during assessment periods, which heighten academic pressure. These pressures often lead to poor coping strategies and mental health concerns. It is crucial to understand the complex dynamics of stress within medical education to develop strategies that improve student well-being and promote a healthier academic environment. This study aims to investigate the intricate relationship between assessment periods and stress levels among medical students. It seeks to understand how academic demands and sociodemographic factors contribute to stress dynamics during these periods.MethodsAn online observational, longitudinal, and prospective study was conducted from February to October 2022. Medical students were recruited through snowball sampling and participated in surveys administered via Google Forms at two timepoints: before (T1) and during (T2) assessment periods. The surveys collected sociodemographic data and stress symptoms using Lipp’s Inventory of Stress Symptoms for Adults (LSSI).ResultsThe transition from T1 to T2 was defined by a rise in the prevalence of stress from 59.6 to 84.2% (p = 0.001) and a decline in symptom-free students from 40.4 to 15.8% (p = 0.001). There was a significant increase in exhaustion, from 12.3 to 31.6% (p = 0.0001). Higher stress levels were notably more prevalent among younger students (≤ 24 years), females, those from wealthier families, students without scholarships, those without prior degrees, and those in the clinical phase of their studies. However, non significant correlations were found between these sociodemographic and academic factors and the increase in stress.ConclusionThe findings highlight significant concerns regarding the mental health of medical students during assessment periods, marked by increased stress and exhaustion levels. These results emphasize the need for proactive interventions to manage stress effectively in medical education, considering its profound impact on students’ well-being.

Medical students' professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health.

This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level. Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable. Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors' strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not. Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.

Is Mental Health Worse in Medical Students than in the General Population? A Cross-Sectional Study.

Background and Objectives: In recent years, there has been a notable increase in university students experiencing severe mental illness. The transition to university life can be demanding, leading to mental health disorders. Persistent stress and anxiety can cause demotivation, difficulties with concentration, cognitive impairment, and reduced academic performance. Mental health issues can also impact social relationships and overall well-being. This cross-sectional study aims to investigate the mental health of medical students and compare it with the mental health of the non-student population. Materials and Methods: The survey collected demographic information such as age and gender. Participants were questioned about their self-perceived mental distress, diagnosed mental disorders, and history of therapy for mental distress. Various validated assessment tools were utilized to assess mental health and quality of life. Results: Medical students exhibit a higher self-perception of mental symptoms that does not translate into a significantly higher prevalence of diagnosed mental disorders. Medical students experience higher levels of anxiety and subclinical depressive symptoms and lower quality of life. Female participants reported lower QoL scores and higher levels of anxiety symptoms compared with male participants. While the prevalence of mental disorders did not differ significantly between genders (except for clinical anxiety), females tended to perceive a higher burden of mental health challenges. Conclusions: By addressing mental health issues among medical students, especially females, institutions can create a more supportive and conducive learning environment. Encouraging open conversations about mental health and providing accessible mental health services can help in destigmatizing mental health challenges and promoting early intervention when needed.

The impact of COVID-19 on medical education and training.

The COVID-19 pandemic social isolation policies have accelerated the shift to online teaching for medical students and doctors in training worldwide. Online learning is cost-effective, available, and flexible. However, it can be challenging due to the technical system errors, which results in the disruption of the learning process and social isolation yielding to less satisfaction among students and teachers. The above can have negative consequences on the mental health of medical students and trainees, which is an under-researched area. United Kingdom based medical students and doctors in speciality training encountered disruptions to medical education and training due to the pandemic. Medical school and deaneries had to endorse adjustments to teaching and training delivery methods, examination, and assessments to ensure the continued progression of learning and training. A successful e-learning model depends on motivated and well-prepared medical students and teachers and structured educational materials in supported learning environment and institutions. A blended model is likely to be utilised by medical institutions for medical training in the future, which will need to be researched.