During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

Family physicians (FPs) are exposed to high amounts of stress, and could be susceptible to the development of mental health disorders (MHD), especially after the emergence of the COVID-19 pandemic. The aim of the current study was to assess MHD history, attitudes toward MHDs and stress-coping strategies in FPs. An additional goal was to estimate their comprehensive well-being and investigate connections with resilience and a healthy lifestyle. A total of 483 FPs submitted their responses via online survey. MHD attitudes were assessed with the according questionnaires, while burnout levels, healthy lifestyle, resilience, job and life satisfaction were estimated with validated scales. Results have shown that 32.5% of FPs disclosed positive MHD history, while 68.7% used professional help. Resilience and healthy lifestyle levels were significantly higher in MHD negative FPs (p < 0.001), while burnout levels were lower (p < 0.001). Moreover, healthy lifestyle (β = 0.03, p < 0.001) was an independent correlate of resilience, while healthy lifestyle (β = −0.35, p < 0.001, and resilience (β = −1.82, p < 0.001) were of burnout levels. Finally, resilience (OR = 0.387, p < 0.001) and healthy lifestyle (OR = 0.970, p = 0.021) were shown as independent predictors of positive MHD history status. Strong promotion and education of FP population regarding resilience and healthy lifestyle should be utilized in practice in order to alleviate the possibility of mental health disturbances and the according consequences.

The prevalence and incidence of gout doubled from 1990 to 2017. Therefore, we can expect that a number of doctors have come across a patient with gout in their daily practice. Hence, we wanted to investigate how familiar our medical students, as future medical professionals, are with gout. This cross-sectional survey included Medical Studies students from the two largest universities in Croatia: the University of Split School of Medicine, and the University of Zagreb School of Medicine, and included a total of 221 fifth or sixth year medical students. Most students gave correct answers to questions about treatment approach and non-pharmacological interventions in asymptomatic hyperuricemia (>80%). Less than 3% of all students agreed they knew enough about care for patients with asymptomatic hyperuricemia, whereas almost 15% thought they were well familiar with care for gout patients. Less than 8% of students considered their school education adequate on both topics, and less than 2% were aware of the existence of EULAR guidelines. Physicians lacking in the latest knowledge on the pathophysiology of gout, the influence of lifestyle, and genetic factors limits their ability to properly manage gout. With increasing prevalence, gout should be more represented in medical students’ education.

Background: Mental health disorders (MHDs) are an important concern among biomedical students, but estimates vary depending on whether studies assess confirmed diagnoses, perceived problems or current symptoms. This study assessed the presence of self-reported MHD history, operationalised as a heterogeneous combined outcome that included either a confirmed MHD diagnosis or a subjective perception of having or having had an MHD without official confirmation, and examined its associations with self-reported coping behaviours, resilience, study-related exhaustion and disengagement symptoms and healthy lifestyle adherence. Methods: A cross-sectional online survey was conducted among students from Medicine, Dental Medicine and Pharmacy programmes. Of 936 eligible students, 520 completed the survey (55.6%). The survey assessed self-reported MHD history and coping behaviours, while standardised questionnaires measured resilience, exhaustion and disengagement symptoms and healthy lifestyle adherence. Analyses included descriptive statistics, group comparisons, Spearman correlations, false-discovery-rate correction for exploratory coping-behaviour analyses and age- and gender-adjusted logistic regression. Results: Overall, 159 students (30.6%) had self-reported MHD history present, including 32 (6.2%) with a confirmed diagnosis and 127 (24.4%) with a subjectively perceived MHD without official confirmation. Exhaustion/disengagement scores negatively correlated with resilience and lifestyle scores, while resilience positively correlated with lifestyle scores (all p < 0.001). In adjusted logistic regression, higher resilience (OR = 0.539, 95% CI = 0.389–0.747, p < 0.001) and lifestyle scores (OR = 0.951, 95% CI = 0.929–0.974, p < 0.001) were associated with lower odds of self-reported MHD history being present. Conclusions: Self-reported MHD history was common among respondents and was associated with lower resilience, poorer lifestyle adherence and higher study-related exhaustion and disengagement symptoms. Because the outcome was heterogeneous and the design was cross-sectional, findings should be interpreted as associations rather than clinically verified prevalence estimates or causal effects.