Doctors are struggling more than ever. They face high rates of burnout and depression and are at a greater risk of suicide compared to the general public. This issue worsened during the COVID-19 pandemic, but it was a problem long before.
Shockingly, over 40% of doctors, medical students, and residents don’t seek mental health care. Many are afraid that if they report their mental health history, it could impact their medical licenses.
Organizations like the American Medical Association (AMA) have recognized this issue and are advocating for changes. They are pushing for updates to licensure and credentialing forms to remove sensitive questions about mental health. Some states have already begun making these changes.
Instead of asking about past mental health treatment, the AMA suggests simply asking if a doctor has any current impairments that could affect their ability to care for patients. Dr. Jesse Ehrenfeld, president of the AMA, emphasizes that what matters is whether a doctor is currently fit to do their job.
For example, a Colorado medical license application was delayed for nine months because a doctor had seen a psychologist in high school. Advocates argue that such questions violate the Americans with Disabilities Act and discourage doctors from seeking help.
Currently, 29 states have updated their forms to align with AMA guidelines, and many hospitals have followed suit. This is crucial given the ongoing healthcare worker shortage; over 76 million Americans live in areas with a lack of medical professionals, a problem that is likely to get worse.
The Dr. Lorna Breen Heroes’ Foundation, named after a doctor who took her own life during the pandemic, is also working to remove stigma around mental health issues for physicians. They provide resources to help make changes at the state and federal levels.
A recent CDC study revealed that 25% of healthcare workers reported severe mental health symptoms, yet only 38% sought care. Every year, an estimated 300 to 400 doctors die by suicide. Many doctors do not reach out for help because they fear the repercussions on their careers.
Dr. Kyra Reed, an emergency room physician, insists that a cultural shift is needed in healthcare. She advocates for offering mental health services from the start of employment, so that seeking help feels normal rather than stigmatized.
Virginia was the first state to pass a law providing confidential mental health support for doctors. Many other states have followed suit, ensuring healthcare workers can seek help without fear. Volunteer groups across the country, like the Physician Support Line, are also stepping up to provide confidential support.
These changes are just the beginning. It will take time and effort to reshape the culture within the healthcare profession, but it’s essential for the wellbeing of doctors and their patients.
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