Advances in Medical Education and Practice (Apr 2023)
Attention Deficit Hyperactivity Disorder in Medical Learners and Physicians and a Potentially Helpful Educational Tool
Abstract
David S Im, Carrie M Tamarelli Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USACorrespondence: David S Im, University of Michigan Hospital, Department of Psychiatry, University of Michigan Medical School, 1500 East Medical Center Drive, UH 9C 9150, Ann Arbor, MI, 48109-5120, USA, Tel +1 734 764-0227, Fax +1 734 936 9983, Email [email protected]: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by functionally impairing levels of inattention and/or hyperactive-impulsive behavior. It affects 3% to 5% of adults. This perspective piece aims to highlight the occurrence of ADHD in medical learners and physicians, including its reported prevalence in these groups, why reported rates may reflect underestimates, consequences of untreated symptoms, and a potentially helpful innovative educational tool to assist these individuals with a critical aspect of medical training and practice.Results: Despite recent attention being paid to concerning levels of depression, anxiety, and burnout in medical learners and physicians, comparatively little attention has been devoted to the occurrence of ADHD in these groups. Reported rates of ADHD in medical learners and physicians, though low compared to rates of other mental health conditions and compared to rates of ADHD in the general population, may represent underestimates for a variety of reasons. The consequences of untreated ADHD symptoms are likely numerous and significant for these groups. Research has shown that about half of adults with ADHD discontinue prescribed treatment (stimulant medication) over time due to lack of perceived effectiveness, highlighting the need for durable, effective interventions to help medical learners and physicians with ADHD during and after their training. An innovative educational tool to assist medical learners and physicians with ADHD with a critical facet of their training and practice – the reading of scientific articles – is proposed, including a description of the tool, rationale for its design, practical considerations around implementation, and proposed directions for future research.Conclusion: Untreated ADHD in medical learners and physicians may have numerous and significant consequences that can adversely impact training, practice, and ultimately patient care. These challenges warrant proper support for medical learners and physicians with ADHD via evidence-based treatments, program-based accommodations, and innovative educational tools.Keywords: ADHD, medical student, resident, learner, physician, education
