Skip to main content
SpringerLink
Log in
Book cover

Disability as Diversity pp 83–102Cite as

Wellness and Disability

  • Chapter
  • First Online:

Abstract

In this chapter we outline the current prevalence of depression, anxiety, burnout, and suicidality. We review current definitions of wellness and resilience, distinguish when mental health symptomology rises to the level of a disability, and outline how a student’s disability and the interaction with the environment lead to the determination of accommodations. We articulate the known mechanisms for facilitating full access of students with psychological disabilities, and we discuss methods of mitigating environmental and programmatic barriers in our learning environments. Standard clinical and proactive accommodations to mitigate the effects of psychological disability are offered as well as advice on creating policies regarding leaves of absence.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Change history

  • 28 August 2020

    The book was inadvertently published with an incorrect affiliation of Dr. Lisa M. Meeks in List of Contributors and in chapters 4, 5, 9, 10, 11 and 12. The affiliation is now updated as “Director of MDisability Education” throughout the book proof.

References

  1. Americans With Disabilities Act of 1990, Pub. L. No. 101–336, 104 Stat. 328. 1990.

    Google Scholar 

  2. Gupta R. I solemnly share. JAMA. 2018;319(6):549–50. https://doi.org/10.1001/jama.2017.22135.

    Article  PubMed  Google Scholar 

  3. Meeks LM, Herzer K, Jain NR. Removing barriers and facilitating access: increasing the number of physicians with disabilities. Acad Med. 2018;93(4):540–3.

    PubMed  Google Scholar 

  4. McKee MM, Smith S, Barnett S, Pearson TA. Commentary: what are the benefits of training deaf and hard-of-hearing doctors? Acad Med. 2013;88(2):158.

    PubMed  PubMed Central  Google Scholar 

  5. Annonymous. In my experience. How educators can support a medical student with mental illness. Acad Med. 2019;94:1638. https://doi.org/10.1097/ACM.0000000000002953.

    Article  Google Scholar 

  6. King and Bradley. PRC national nurse engagement report. Retrieved on 1 Oct 2019 from: https://prccustomresearch.com/wp-content/uploads/2019/PRC_Nursing_Engagement_Report/PRC-NurseReport-Final-031819-Secure.pdf.

  7. Frajerman A, Morvan Y, Krebs MO, Gorwood P, Chaumette B. Burnout in medical students before residency: a systematic review and meta-analysis. Eur Psychiatry. 2019;55:36–42.

    PubMed  Google Scholar 

  8. Wedgeworth M. Anxiety and education: An examination of anxiety across a nursing program. J Nurs Educ Pract. 2016;6(10):23–32.

    Google Scholar 

  9. Rotenstein L, Ramos M, Torre M, Segal J, Peluso M, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214–36.

    PubMed  PubMed Central  Google Scholar 

  10. Tung Y-J, Lo KKH, Ho RCM, Tam WSW. Prevalence of depression among nursing students: a systematic review and meta-analysis. Nurse Educ Today. 2018;63:119–29. https://doi.org/10.1016/j.nedt.2018.01.009. Epub 2018 Feb 9.

    Article  PubMed  Google Scholar 

  11. Chen D, Sun W, Liu N, Wang J, Guo P, Zhang X, Zhang W. Effects of nonpharmacological interventions on depressive symptoms and depression among nursing students: a systematic review and meta-analysis. Complement Ther Clin Pract. 2019;34:217–28.

    PubMed  Google Scholar 

  12. Aradilla-Herrera A, Tomas-Sabado J, Gomez-Bonito J. Associations between emotional intelligence, depression and suicide risk in nursing students. Nurs Educ Today. 2018;34:520–52.

    Google Scholar 

  13. Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, Shanafelt TD. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443–51.

    PubMed  Google Scholar 

  14. https://www.americannursetoday.com/kicking-off-year-healthy-nurse/.

  15. National Academy of Medicine. Clinician Resilience and Well-being – National Academy of Medicine. [online]. 2018. Available at: https://nam.edu/initiatives/clinician-resilience-and-well-being/. Accessed 28 Oct 2018.

  16. https://www.nationalwellness.org.

  17. Card AJ. Physician burnout: resilience training is only part of the solution. Ann Fam Med. 2018;16(3):267–70.

    PubMed  PubMed Central  Google Scholar 

  18. Slavin SJ, Schindler DL, Chibnall JT. Medical student mental health 3.0: improving student wellness through curricular changes. Acad Med. 2014;89:573–7.

    PubMed  PubMed Central  Google Scholar 

  19. Brewer M, Reubenson A, Donaldson M, et al. Building graduate resilience for the disrupted future of the 21st Century. Australian Technology Network (ATN) of Universities; 2018.

    Google Scholar 

  20. Ríos-Risquez MI, García-Izquierdo M, Sabuco-Tebar ED, Carrillo-Garcia C, Martinez-Roche ME. An exploratory study of the relationship between resilience, academic burnout and psychological health in nursing students. Contemp Nurse. 2016;52(4):430–9.

    PubMed  Google Scholar 

  21. Dyrbye L, Shanafelt T. Nurturing resiliency in medical trainees. Med Educ. 2012;46(4):343.

    PubMed  Google Scholar 

  22. Meeks L, Case B, Herzer K et al. Change in Prevalence of Disabilities and Accommodation Practices Among US Medical Schools, 2016 vs 2019. JAMA. 2019;322(20):2022–24.

    Google Scholar 

  23. Meeks L, Jain NR. Accessibility, inclusion, and action in medical education: lived experiences of learners and physicians with disabilities. Washington, DC: Association of American Medical Colleges; 2018.

    Google Scholar 

  24. Zhao F, Guo Y, Suhonen L-KH. Subjective well being and its association with resilience among nursing vs medical students: a questionnaire study. Nurse Educ Today. 2016;37:108–13.

    PubMed  Google Scholar 

  25. Howe A, Smajdor A, Stöckl A. Towards an understanding of resilience and its relevance to medical training. Med Educ. 2012;46:349–56.

    PubMed  Google Scholar 

  26. Moir F, Henning M, Hassed C, Moyes SA, Elley CR. A peer-support and mindfulness program to improve the mental health of medical students. Teach Learn Med. 2016;28:293–302.

    PubMed  Google Scholar 

  27. Thomas LJ, Asselin M. Promoting resilience among nursing students in clinical education. Nurse Educ Pract. 2018;28:231–4.

    PubMed  Google Scholar 

  28. Sood A, Prasad K, Schroeder D, Varkey P. Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med. 2011;26:858–61.

    PubMed  PubMed Central  Google Scholar 

  29. Mc CM, McKinnon J. The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse Educ Today. 2009;29(4):371–9.

    Google Scholar 

  30. Drolet BC, Rodgers S. A comprehensive medical student wellness program–design and implementation at Vanderbilt School of Medicine. Acad Med. 2010;85:103–10.

    PubMed  Google Scholar 

  31. Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80:1613–22.

    PubMed  Google Scholar 

  32. Gordon JS. Mind-body skills groups for medical students: reducing stress, enhancing commitment, and promoting patient-centered care. BMC Med Educ. 2014;14:198.

    PubMed  PubMed Central  Google Scholar 

  33. Thomas SE, Haney MK, Pelic CM, Shaw D, Wong JG. Developing a program to promote stress resilience and self-care in first-year medical students. Can Med Educ J. 2011;2:32–6.

    Google Scholar 

  34. Aherne D, Farrant K, Hickey L, Hickey E, McGrath L, McGrath D. Mindfulness based stress reduction for medical students: optimising student satisfaction and engagement. BMC Med Educ. 2016;16:209.

    PubMed  PubMed Central  Google Scholar 

  35. Chen J. Problem based learning- developing resilience in nursing students. Kaohsiung J Med Sci. 2011;27(6):230–3.

    PubMed  Google Scholar 

  36. Slavin SJ. Medical student mental health: culture, environment, and the need for change. JAMA. 2016;316(21):2195–6.

    PubMed  Google Scholar 

  37. Jahanpour F, Azodi P, Azodi F, Khansir, A. Barriers to practical learning in the field: A qualitative study of Iranian Nursing Students’ Experiences. Nurs Midwifery Stud. 2016;5(2):e26920.

    Google Scholar 

  38. Rogers D. Which educational interventions improve healthcare professionals’ resilience? Med Teach. 2016;38:1236–41.

    PubMed  Google Scholar 

  39. Liang H, Wu k, Hung C, Wang Y, Peng N. Resilience Enhancement among student nurses during clinical practices: A participatory action research study. Nurse Educ Today. 2019;75(4):22–7.

    Google Scholar 

  40. Ludwig A, Burton W, Weingarten J, Milan F, Myers D, Kligler B. Depression and stress amongst undergraduate medical students. BMC Med Educ. 2015;15(1):141. https://doi.org/10.1186/s12909-015-0425-z.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Grady F, Roberts LW. Sleep Depribed and overwhelmed: sleep behaviors of medical students in the USA. Acad Psychiatry. 2017;41:661. https://doi.org/10.1007/s40596-017-0804-3.

    Article  PubMed  Google Scholar 

  42. Melaku L, Mossie A, Negash A. Stress among medical students and its association with substance use and academic performance. J Biomed Educ. 2015;2015:1.

    Google Scholar 

  43. Akhu-Zaheya LM, Shaban IA, Khater WA. Nursing students' perceived stress and influences in clinical performance. Int J Adv Nurs Stud. 2015;4(2):44.

    Google Scholar 

  44. Lekan DA, Ward TD, Elliott AA. Resilience in baccalaureate nursing students: an exploration. J Psychosoc Nurs Ment Health Serv. 2018;56(7):46–55.

    PubMed  Google Scholar 

  45. Shanafelt T, Trockel M, Ripp J, Murphy ML, Sandborg C, Bohman B. Building a program on Well-being: key design considerations to meet the unique needs of each organization. Acad Med. 2019;94(2):156–61.

    PubMed  Google Scholar 

  46. Meeks LM, Ramsey J, Lyons M, Spencer AL, Lee WW. Wellness and work: mixed messages in residency training. J Gen Intern Med. 2019;34(7):1352–5.

    PubMed  PubMed Central  Google Scholar 

  47. Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177:195–205.

    PubMed  Google Scholar 

  48. Slavin SJ, Hatchett L, Chibnall JT, Schindler D, Fendell G. Helping medical students and residents flourish: a path to transform medical education. Acad Med. 2011;86(11):e15.

    PubMed  Google Scholar 

  49. Dyrbye LN, Power DV, Massie FS, Eacker A, Harper W, Thomas MR, Szydlo DW, Sloan JA, Shanafelt TD. Factors associated with resilience to and recovery from burnout: a prospective, multi-institutional study of US medical students. Med Educ. 2010;44(10):1016–26.

    PubMed  Google Scholar 

  50. Dyrbye LN, Sciolla AF, Dekhtyar M, Rajasekaran S, Allgood JA, Rea M, Knight AP, Haywood A, Smith S, Stephens MB. Medical school strategies to address student Well-being: a National Survey. Acad Med. 2019;94(6):861–8.

    PubMed  Google Scholar 

  51. Van der Riet P, Levett-Jones T, Aquino-Russell C. The effectiveness of mindfulness meditation for nurses and nursing students: An integrated literature review. Nurs Educ Today. 2018;65:211.

    Google Scholar 

  52. Amsrud KE, Lyberg A, Severinsson E. Development of resilience in nursing students: a systematic qualitative review and thematic synthesis. Nurse Educ Pract. 2019;17:102621.

    Google Scholar 

  53. Reyes AT, Andrusyszyn MA, Iwasiw C, Forchuk C, Babenko-Mould Y. Resilience in nursing education: an integrative review. J Nurs Educ. 2015;54(8):438–44.

    PubMed  Google Scholar 

  54. Szymczak JE, Smathers S, Hoegg C, Klieger S, Coffin SE, Sammons JS. Reasons why physicians and advanced practice clinicians work while sick. A mixed-methods analysis. JAMA Pediatr. 2015;169(9):815–21.

    PubMed  Google Scholar 

  55. Wallace JE, Kemaire JV, Ghali WA. Physician wellness: a missing quality indicator. Lancet. 2009;374:1714–21.

    PubMed  Google Scholar 

  56. Spurlock D. The Promise and Perils of High Stakes Testing in Nursing Education. J Nurs Regul. 2013;4(1):4–8.

    Google Scholar 

  57. Moynahan KF. The current use of United States medical licensing examination step 1 scores: holistic admissions and student well-being are in the balance. Acad Med. 2018;93(7):963–5.

    PubMed  Google Scholar 

  58. Jain NR, Lewis C, Meeks LM. The process of requesting accommodations on certification, licensing, and board exams: assisting students through the application. The Guide to Assisting Students With Disabilities: Equal Access in Health Science and Professional Education. 2015;13:89.

    Google Scholar 

  59. Malhi GS, Mann JJ. Depression. Lancet. 2018;392(10161):2299–312.

    PubMed  Google Scholar 

  60. Santarsieri D, Schwartz TL. Antidepressant efficacy and side-effect burden: a quick guide for clinicians. Drugs Context. 2015;4:212290.

    PubMed  PubMed Central  Google Scholar 

  61. Meeks LM, Murray JF. Mental Health and Medical Education. In Medical Student Well-Being, Springer, Cham. 2019. p. 17–58.

    Google Scholar 

  62. Liaison Committee on Medical Education (LCME). Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. Washington, DC/Chicago, IL: LCME; 2016. Effective July 1, 2017. http://lcme.org/publications. Accessed 23 Oct 2019.

    Google Scholar 

  63. Princeton settlement U.S. Department of Justice.

    Google Scholar 

  64. UTHC U.S. Department of Justice.

    Google Scholar 

  65. Quinnipiac U.S. Department of Justice.

    Google Scholar 

  66. Northwern Michigan U.S. Department of Justice.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Assistant Dean of Students, Director, Wellness Programs, Assistant Professor Department of Medicine University of Chicago Pritzker School of Medicine, Chicago, IL, USA

    Wei Wei Lee

  2. Eleanor Wade Custer School of Nursing, Shenandoah University, Winchester, VA, USA

    Sharron Guillett

  3. Associate Professor Department of Psychiatry, Former Associate Dean of Student Affairs, Weill Cornell Medical College, New York, NY, USA

    Joseph F. Murray

  4. Assistant Professor, Department of Family Medicine, Director of MDisability Education, The University of Michigan Medical School, Ann Arbor, MI, USA

    Lisa M. Meeks

Authors
  1. Wei Wei Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sharron Guillett
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joseph F. Murray
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lisa M. Meeks
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Wei Wei Lee .

Editor information

Editors and Affiliations

  1. Department of Family Medicine, The University of Michigan Medical School, Ann Arbor, MI, USA

    Lisa M. Meeks

  2. Solomont School of Nursing, University of Massachusetts Lowell, Lowell, MA, USA

    Leslie Neal-Boylan

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lee, W.W., Guillett, S., Murray, J.F., Meeks, L.M. (2020). Wellness and Disability. In: Meeks, L., Neal-Boylan, L. (eds) Disability as Diversity. Springer, Cham. https://doi.org/10.1007/978-3-030-46187-4_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-46187-4_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46186-7

  • Online ISBN: 978-3-030-46187-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation