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Invited Commentary
Physician Work Environment and Well-Being
December 2017

Moving Toward Evidence-Based Interventions for Trainee and Physician Wellness

Author Affiliations
  • 1Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia
JAMA Intern Med. 2017;177(12):1772-1773. doi:10.1001/jamainternmed.2017.5164

In this issue of JAMA Internal Medicine, Guille and colleagues1 present a prospective longitudinal cohort study of medical internship in the United States during the 2015 to 2016 academic year. Their results showed that both men and women end medical school with about the same levels of depression but experience a marked increase in depressive symptoms during their internship year, with the increase being significantly greater for women. Additionally, when work-family conflict was accounted for, the sex disparity in the increase in depressive symptoms was reduced by about one-third. In the end, the authors suggest that systemic modifications to alleviate conflict between work and family life may improve physician mental health and, in turn, improve patient care and reduce physician career attrition.