{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T02:00:30Z","timestamp":1793412030581,"version":"4.5.0"},"reference-count":55,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Attention Deficit\/Hyperactivity \u2018Disorder\u2019 (ADHD) is a form of neurodivergence, characterised by lifelong differences in attention, impulsivity, and hyperactivity. University students with ADHD underachieve academically and tend to have lower levels of self-esteem. Medical schools have an obligation to minimise barriers for students with ADHD. Understanding the experiences of medical students with ADHD is vital to promote inclusive approaches. Our exploratory research question was: \u201cWhat are the experiences of medical students with ADHD?\u201d This was an interpretive phenomenological study. Loosely structured interviews were conducted with participants (medical students with ADHD) over Zoom. Subsequent transcripts were analysed using interpretive phenomenological analysis. Six people participated. Our analysis identified the following themes: Identity and diagnosis; ADHD profile; system issues; conflict, competition and compensation; improving the experience. Participants reported experiences of bullying and isolation at medical school, perpetrated by doctors and peers, as well as feelings of alienation when unable to conform on placement and in exams. From this, participants adopted survival strategies, such as masking, to avoid being ostracised. All recognised their ADHD status when their mental health deteriorated during their medical studies. Of those who disclosed their diagnosis, none were offered personalised support. Participants feared disclosure, largely due to weaponised professionalism and the effects of toxic competitiveness in medicine. They yearned for a sense of belonging. Participants reported strengths associated with ADHD such as empathy and working well under pressure, which are highly desirable aptitudes for doctors. This study has highlighted areas where medical schools can be instrumental in cultivating an environment where medical students with ADHD can thrive, not just survive. This may take the form of peer support groups, alongside reasonable adjustments throughout medical school\u2013particularly for Objective Structured Clinical Examinations, for example. Enabling these students to thrive may help to prevent early burnout and subsequent attrition from medicine.<\/jats:p>","DOI":"10.1371\/journal.pone.0290513","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T17:29:18Z","timestamp":1692725358000},"page":"e0290513","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":56,"title":["The experiences of medical students with ADHD: A phenomenological study"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3204-6404","authenticated-orcid":true,"given":"Megan","family":"Godfrey-Harris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9597-7436","authenticated-orcid":true,"given":"Sebastian Charles 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Equality Act 2010 [Internet]. Available from: https:\/\/www.legislation.gov.uk\/ukpga\/2010\/15\/section\/6"},{"key":"pone.0290513.ref030","author":"General Medical Council","year":"2020","journal-title":"Welcomed and valued: examples of reasonable adjustments"},{"key":"pone.0290513.ref031","volume-title":"Introduction to Phenomenology.","author":"D. Moran","year":"2004"},{"issue":"5","key":"pone.0290513.ref032","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1177\/1049732304263638","article-title":"Descriptive versus interpretive phenomenology: their contributions to nursing knowledge.","volume":"14","author":"KA Lopez","year":"2004","journal-title":"Qual Heath Res."},{"issue":"1","key":"pone.0290513.ref033","doi-asserted-by":"crossref","first-page":"114","DOI":"10.2307\/2184785","article-title":"Philosophical hermeneutics.","volume":"88","author":"HG Gadamer","year":"1979","journal-title":"Philos Rev."},{"key":"pone.0290513.ref034","volume-title":"Being and time","author":"M. Heidegger","year":"1962"},{"issue":"2","key":"pone.0290513.ref035","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.ijnurstu.2004.06.011","article-title":"Phenomenological nursing research: methodological insights derived from Heidegger\u2019s interpretive phenomenology","volume":"42","author":"S. 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Flood","year":"2010","journal-title":"Nurse Researcher"},{"issue":"2","key":"pone.0290513.ref039","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1111\/1467-9566.13425","article-title":"Implications of internalised ableism for the health and wellbeing of disabled young people.","volume":"44","author":"\u00c1 J\u00f3hannsd\u00f3ttir","year":"2022","journal-title":"Social Health Illn."},{"issue":"1","key":"pone.0290513.ref040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13229-021-00421-1","article-title":"Is social camouflaging associated with anxiety and depression in autistic adults?","volume":"12","author":"L Hull","year":"2021","journal-title":"Mol Autism."},{"issue":"10","key":"pone.0290513.ref041","doi-asserted-by":"crossref","first-page":"3638","DOI":"10.1007\/s10803-019-04323-3","article-title":"Is camouflaging autistic traits associated with suicidal thoughts and behaviours? Expanding the interpersonal psychological theory of suicide in an undergraduate student sample","volume":"50","author":"SA Cassidy","year":"2020","journal-title":"J Autism Dev Disord."},{"key":"pone.0290513.ref042","doi-asserted-by":"crossref","first-page":"1160994","DOI":"10.3389\/fpsyt.2023.1160994","article-title":"The experiences of autistic doctors: a cross-sectional study.","volume":"14","author":"SCK Shaw","year":"2023","journal-title":"Frontiers in Psychiatry."},{"key":"pone.0290513.ref043","article-title":"We were treated like machines: professionalism and anti-Blackness in social work agency culture","author":"M. Davis","year":"2016"},{"issue":"11","key":"pone.0290513.ref044","doi-asserted-by":"crossref","first-page":"e2021452","DOI":"10.1001\/jamanetworkopen.2020.21452","article-title":"Assessment of perceptions of professionalism among faculty, trainees, staff, and students in a large university-based health system","volume":"3","author":"DA Alexis","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"4","key":"pone.0290513.ref045","doi-asserted-by":"crossref","first-page":"1","DOI":"10.12968\/hmed.2023.0006","article-title":"Autistic SPACE: a novel framework for meeting the needs of autistic people in healthcare settings","volume":"84","author":"M Doherty","year":"2023","journal-title":"British Journal of Hospital Medicine"},{"key":"pone.0290513.ref046","doi-asserted-by":"crossref","first-page":"586171","DOI":"10.3389\/fpsyg.2020.586171","article-title":"Neurotype-matching, but not being autistic, influences self and observer ratings of interpersonal rapport.","volume":"11","author":"CJ Crompton","year":"2020","journal-title":"Front Psychol."},{"key":"pone.0290513.ref047","author":"General Medical Council","year":"2021","journal-title":"Supporting disabled learners in medical education and training"},{"issue":"12","key":"pone.0290513.ref048","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1177\/07067437221082854","article-title":"TikTok and Attention-Deficit\/Hyperactivity Disorder: a Ccoss-sectional study of social media content quality.","volume":"67","author":"A Yeung","year":"2022","journal-title":"The Canadian Journal of Psychiatry"},{"issue":"1","key":"pone.0290513.ref049","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1186\/s13104-018-3962-9","article-title":"YouTube lens to attention deficit hyperactivity disorder: a social media analysis.","volume":"11","author":"P Thapa","year":"2018","journal-title":"BMC Res Notes."},{"issue":"6","key":"pone.0290513.ref050","first-page":"e8627","article-title":"Social media use and its connection to mental health: a systematic review.","volume":"12","author":"F Karim","year":"2020","journal-title":"Cureus"},{"key":"pone.0290513.ref051","article-title":"Compassion and self-compassion: counterfactors of burnout in medical students and physicians.","author":"JP Rom\u00e1n-Calder\u00f3n","year":"2022","journal-title":"Psychol Rep"},{"key":"pone.0290513.ref052","article-title":"A prescription for improving medical school culture","author":"G. 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