Background: Medical students are reluctant to access mental health services, despite having high rates of anxiety and depression. This reluctance persists through residency and into practice. Physicians and trainees who are unwell deliver lower quality patient care, behave less professionally, communicate less effectively and are at an increased risk for burnout and suicide. Little is known about whether students would disclose a mental health diagnosis on a state board medical license application.Objectives: The objectives of this study were to determine whether University of New Mexico School of Medicine (UNM SOM) students would be willing to disclose a mental health diagnosis on a medical licensing application if prompted to do so, and, if not, to identify the reasons for their unwillingness to do so.Design: We electronically invited all UNM SOM students enrolled in the Classes of 2019, 2020, 2021, and 2022 to participate in a confidential RedCap survey about mental health diagnoses and treatment. Four e-mail invitations and reminders were sent to students over a one-month period.Results: Response rate was 50.1%. Thirty-six percent of all respondents considered themselves to have had a mental health condition prior to medical school, and 47% of all respondents perceived a decline in mental health during medical school. The majority of respondents who perceived they had a mental health diagnosis (51%) stated they would not disclose this information on a New Mexico Medical Board (NMMB) license application. Fear of stigmatization, fear of repercussions, and a belief that such disclosure was irrelevant were the top reasons for non-disclosure.Conclusion: Students who perceive themselves to have mental health diagnoses are unlikely to disclose their mental health status on state medical board licensing applications when asked to do so. Addressing barriers to disclosure of mental health diagnoses is necessary for building a healthier physician workforce.

中文翻译：

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探索医学生对披露精神疾病的态度。

背景：尽管焦虑和抑郁的发生率很高，但医学院的学生仍不愿获得心理健康服务。这种不情愿通过居住和实践一直持续存在。身体不适的医师和受训者提供的患者护理质量较低，行为不专业，沟通效率较低，并且极有可能出现倦怠和自杀的风险。关于学生是否会在州议会医疗许可证申请中披露心理健康诊断知之甚少。目的：本研究的目的是确定新墨西哥大学医学院（UNM SOM）学生是否愿意披露心理健康诊断。在提示时进行医疗许可申请的健康诊断，如果不是，请确定不愿意这样做的原因。设计：我们以电子方式邀请所有2019、2020、2021和2022班的UNM SOM学生参加关于心理健康诊断和治疗的RedCap保密调查。在一个月的时间内向学生发送了四封电子邮件邀请和提醒。结果：答复率为50.1％。36％的受访者认为自己在医学院之前有精神健康状况，而47％的受访者认为在医学院学习期间精神健康有所下降。大部分认为自己有精神健康诊断的受访者（51％）表示，他们不会在新墨西哥医学委员会（NMMB）许可申请中透露此信息。害怕被污名化，害怕受到反响以及相信这种披露是无关紧要的，这是不予披露的主要原因。自我诊断为精神健康的学生在被要求时不太可能在州医疗委员会许可申请中披露其精神健康状况。解决建立心理健康诊断信息的障碍对于建立更健康的医生队伍是必要的。