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Utomo R, McWatt SC, Talis A, Xiao QY, Saraci K, Waschke J, Sigmund AM, Gill Sagoo M, Wingate R, Brassett C, Chien CL, Traxler H, Sakurai T, Zeroual M, Olsen J, El-Batti S, Viranta-Kovanen S, Yamada Y, Keay KA, Kitahara S, Stewart W, Mao Y, Lang A, Kunzel C, Bernd P, Patel S, Buehler L, Kielstein H, Preker A, Hardy MA, Noël GPJC, Wu A. Health profession students' outlooks on the medical profession during the COVID-19 pandemic: a global perspective. JOURNAL OF COMMUNICATION IN HEALTHCARE 2024; 17:154-168. [PMID: 37213185 DOI: 10.1080/17538068.2023.2214391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
BACKGROUND This article summarizes a global study of the effect of the COVID-19 pandemic on junior health professions students' outlook on medicine. The pandemic has significantly affected health professions education. There is limited understanding of how students' pandemic experiences will affect them, and what impact these events may have on their career paths or the future of the professions. This information is important as it impacts the future of medicine. METHODS In the Fall 2020 semester, 219 health professions students at 14 medical universities worldwide responded to the question: 'Has this experience (with COVID-19) changed your outlook on medicine as a profession?'. Short essay responses were semantically coded and organized into themes and subthemes using an inductive approach to thematic analysis. RESULTS 145 responses were submitted. Themes were identified: (1) students reflected on the interaction between politics and healthcare; (2) reported becoming more aware of the societal expectations placed on healthcare professionals, including undertaking high risks and the sacrifices that healthcare professionals must make; (3) found reassurance from the recognized importance of healthcare professionals and expressed pride to be entering the profession; and (4) reflected on the current state of healthcare, including its limitations and future. CONCLUSION Most students, independent of the extent of the pandemic in their respective countries, noted a change in their outlook regarding medicine. An overall positive outlook was noted in most junior students. Educators need to work on nurturing these sentiments and attitudes to help young students maintain a healthy relationship towards their chosen profession.
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Affiliation(s)
- Rachel Utomo
- College of Dental Medicine, Columbia University, New York, NY, USA
| | - Sean C McWatt
- Department of Anatomy and Cell Biology, McGill University, Montreal, Canada
| | - Austin Talis
- College of Dental Medicine, Columbia University, New York, NY, USA
| | - Que Yun Xiao
- College of Dental Medicine, Columbia University, New York, NY, USA
| | - Kerstin Saraci
- Vegetative Anatomy, Faculty of Medicine, Institute of Anatomy, Ludwig Maximilians University, Munich, Germany
| | - Jens Waschke
- Vegetative Anatomy, Faculty of Medicine, Institute of Anatomy, Ludwig Maximilians University, Munich, Germany
| | - Anna Madgalena Sigmund
- Vegetative Anatomy, Faculty of Medicine, Institute of Anatomy, Ludwig Maximilians University, Munich, Germany
| | - Mandeep Gill Sagoo
- Department of Anatomy and Centre for Education, Faculty of Life Sciences and Medicine, King's College London, London, UK
| | - Richard Wingate
- Department of Anatomy and Centre for Education, Faculty of Life Sciences and Medicine, King's College London, London, UK
| | - Cecilia Brassett
- Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK
| | - Chung-Liang Chien
- Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Hannes Traxler
- Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria
| | | | - Mina Zeroual
- Vegetative Anatomy, Faculty of Medicine, Institute of Anatomy, Ludwig Maximilians University, Munich, Germany
| | - Jorgen Olsen
- Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark
| | - Salma El-Batti
- Department of Cardiovascular Surgery, University of Paris, Paris, France
| | | | - Yukari Yamada
- Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Kevin A Keay
- Discipline of Anatomy and Histology, The University of Sydney, Sydney, Australia
| | - Shuji Kitahara
- Faculty of Advanced Techno-Surgery, Tokyo Women's Medical University, Tokyo, Japan
| | - William Stewart
- Anatomy Section, Department of Surgery, Yale University, New Haven, CT, USA
| | - Yinghui Mao
- Department of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Ariella Lang
- Columbia College, Columbia University, New York, NY, USA
| | - Carol Kunzel
- College of Dental Medicine, Columbia University, New York, NY, USA
| | - Paulette Bernd
- Department of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Snehal Patel
- Department of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Leo Buehler
- Department of Surgery, University of Fribourg, Fribourg, Switzerland
| | - Heike Kielstein
- Medical Faculty, Institute for Anatomy and Cell Biology, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Alexander Preker
- Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Mark A Hardy
- Department of Surgery, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Geoffroy P J C Noël
- Anatomy Division, Department of Surgery, University of California San Diego, La Jolla, CA, USA
| | - Anette Wu
- Department of Pathology and Cell Biology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA
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Weaver L, Pavlova A, Lunden M, Brunsvold ME, Kendrick D. Are COVID-Era General Surgery Interns Starting Residency Behind on Basic Surgical Skills? JOURNAL OF SURGICAL EDUCATION 2023; 80:1567-1573. [PMID: 37563000 DOI: 10.1016/j.jsurg.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 05/30/2023] [Accepted: 07/08/2023] [Indexed: 08/12/2023]
Abstract
OBJECTIVE To compare incoming general surgery interns' performance on a basic skills assessment before and after the COVID pandemic. DESIGN A retrospective cohort study compared surgical skill performances of incoming general surgery interns. Each underwent an evidence-based standardized assessment (pretest) with 12-basic surgical knot tying and suturing tasks. A post-test was administered after a 3-month self-directed skills curriculum. Student's t-tests compared proficiency scores from pre-COVID vs. COVID-era general surgery interns before and after curriculum completion. p < 0.05 was significant. SETTING Data was collected from surgical residents in an academic general surgery program in the United States. PARTICIPANTS General surgery interns from 2017 to 2019 (pre-COVID) and 2021 to 2022 (COVID-era) were included. Interns with missing data or extreme outliers were excluded. A total of 100 interns in general surgery were included in the pretest cohort (59 pre-COVID, 41 COVID-era) and 101 interns were in the post-test cohort (66 pre-COVID, 35 COVID-era). RESULTS COVID-era interns scored significantly lower on the pretest compared to pre-COVID interns (COVID-era 721.9+/-268.8 vs. pre-COVID 935.9+/- 228.0, p < 0.001). After the skills curriculum both cohorts improved their proficiency scores. However COVID-era interns still scored significantly lower (COVID-era 1255.0+/-166.3 vs. pre-COVID 1369.8+/-165.6, p = 0.001). CONCLUSIONS This analysis objectively described deficits in fundamental surgical skills for incoming interns whose medical school education was disrupted by the COVID-19 pandemic. A targeted surgical skills curriculum partially remediated these deficiencies. However, many surgical interns may need additional intervention and potentially more time in order to fully develop their surgical skills and meet the competency requirements required for advancement.
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Affiliation(s)
- Lauren Weaver
- Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.
| | - Anna Pavlova
- Department of Surgery, University of Minnesota, Minneapolis, Minnesota
| | - Michelle Lunden
- Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota
| | - Melissa E Brunsvold
- Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota; Department of Surgery, University of Minnesota, Minneapolis, Minnesota
| | - Daniel Kendrick
- Department of Surgery, University of Minnesota Medical School, Minneapolis, Minnesota; Department of Surgery, University of Minnesota, Minneapolis, Minnesota
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Singla R, Chatterjee P, Mithra P. Impact of COVID-19 on Academic and Psychological Aspects in Students of Medicine: A Cross-Sectional Study. Cureus 2023; 15:e48259. [PMID: 38054153 PMCID: PMC10694999 DOI: 10.7759/cureus.48259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2023] [Indexed: 12/07/2023] Open
Abstract
Background The COVID-19 pandemic has caused a devastating disruption in medical education worldwide. The influence on training, mainly for undergraduate MBBS pupils, has been noteworthy, especially the significant and unexpected shift to online learning. Materials and methods We performed a two-month, cross-sectional study from June to August 2022 at Kasturba Medical College in Mangalore, India. The study participants were second- and third-year MBBS students at Kasturba Medical College. The sample size was 319. We collected data using a pre-structured, validated, printed questionnaire, then coded and entered the data into SPSS Statistics for Windows, version 25.0, for interpretation. Results A total of 319 people took part in the study. Of these, 60.2% were females, 39.4% were males, 71.8% were from the batch of 2019-2020, and the remaining 28.2% were from the batch of 2018-2019. Among the participants, 90 students suffered from COVID-19, including 72.7% (n = 65) from the second year. Twenty-four percent of the population did not contract COVID-19, including 88 from the second year. A total of 153 participants were unsure whether they were infected with COVID-19, including 57.5% from the second year and 42.5% from the third year. The study group's p-value of <0.0001 is statistically significant. On multivariate analysis, 54.5% of the study participants said the pandemic caused a significant disruption to their medical education. A majority of students (51.7%) agreed that the pandemic hampered practical/clinical work; 42.9% of participants somewhat disagreed that the pandemic hampered their interest in pursuing medical education in the future; and 21.9% of students said the pandemic hindered their interest in further studying medicine. Regardless of gender, a majority of the participants (78.1%) felt that online education negatively affected their time management skills and ability to cover the syllabus. Nearly half (46.4%) reported proficiency in using electronic devices. The medical students encountered multiple challenges: approximately 88% indicated that anxiety over the possibility of contracting the disease led to changes in personal behavior and interactions with family and friends. The study also revealed that 71% exhibited anxiety traits, and 11% displayed depressive symptoms, which may have been pre-existing. Furthermore, 77.1% of the participants experienced poor sleep quality, which, according to another study, is a significant predictor of depression and anxiety during COVID-19. Our findings show a significant correlation between undergoing COVID-19 testing and increased anxiety and stress levels among students, most of whom were infected during the pandemic's second wave in India. Conclusion The study has shed light on the effect of the COVID-19 pandemic on MBBS scholars and the students' reactions to this unparalleled situation. This aligns with Sustainable Development Goal 3, which focuses on "good health and well-being." The medical community has been significantly impacted by the pandemic due to its frontline position, and medical students' struggles to thrive academically. The knowledge gained from this study will assist facilitators and students of the medical fraternity in carrying out effective teaching modalities during this pandemic and any future outbreaks.
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Affiliation(s)
- Riya Singla
- Medicine and Surgery, Kasturba Medical College of Mangalore, Mangalore, IND
| | | | - Prasanna Mithra
- Community Medicine, Kasturba Medical College of Mangalore, Mangalore, IND
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Mohamadi M, Aghamirzaee T, Aqatabar Roudbari J, Mohseni Afshar Z, Taghvaee Yazdi M, Kheirkhah F. Perceived challenges and barriers for medical students in the COVID-19 crisis. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:263. [PMID: 37849849 PMCID: PMC10578543 DOI: 10.4103/jehp.jehp_1095_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Accepted: 09/26/2022] [Indexed: 10/19/2023]
Abstract
BACKGROUND Unpredictable and immediate changes, especially in the clinical and practical fields of medical sciences following the coronavirus disease (COVID-19) epidemic, have posed many challenges for medical students. This study was conducted to identify the experiences and students' understanding of the challenges in the COVID-19 crisis. MATERIALS AND METHODS The present qualitative research was conducted by performing semi-structured interviews with the students along with holding a student panel. The study population consisted of 30 clinical and basic medical students of Babol, Iran and Kermanshah universities of medical sciences who were selected by purposive sampling method. Data were collected based on students' perceived experiences of challenges, obstacles, and problems in the COVID-19 crisis. The data analysis process was performed by conducting interviews and information obtained from the panel using v10 R150410 software. Finally, the related factors and components were identified. RESULTS Challenges and perceived obstacles of medical students in the COVID-19 crisis were identified in the form of eight factors including student life factors, interaction and communication, psychological factors, educational technology, factors related to the professors, limitations of educational and research planning, crisis management, and educational evaluation. CONCLUSION Identifying the challenges of medical education perceived by students in this study and adopting appropriate strategies to overcome existing barriers open new opportunities for expanding the scope of the curriculum, providing education, and promoting community health to universities; moreover, the challenges of medical education and any skill-based discipline, such as medical sciences in the COVID-19 pandemic will require much attention and investigation in cognitive sciences.
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Affiliation(s)
- Mohsen Mohamadi
- Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Tahereh Aghamirzaee
- Faculty of Humanities and Management, Mazandaran University of Science and Technology, Babol, Iran
| | - Jamileh Aqatabar Roudbari
- Babol, Iran Health Systems Research, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Zainab Mohseni Afshar
- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Maryam Taghvaee Yazdi
- Department of Educational Management, Sari Branch, Islamic Azad University, Sari, Iran
| | - Farzan Kheirkhah
- Department of Psychiatry, School of Medicine, Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
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McMains JC, Larkins MC, Doherty AM, Horiates J, Alachraf K, Gordon JA, Fletcher J, Brewer KL. Knowledge Retention From Emergency Medicine Simulation-Based Learning Curriculum for Pre-clinical Medical Students. Cureus 2023; 15:e41216. [PMID: 37525818 PMCID: PMC10387342 DOI: 10.7759/cureus.41216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2023] [Indexed: 08/02/2023] Open
Abstract
Introduction Traditional medical school curricula rely on textbook-based learning during the first two years, often limiting students' clinical exposure. Simulation-based learning (SBL) provides an opportunity for students to gain clinical exposure and competency with common procedures as well as to gain knowledge related to common clinical topics. Retention of factual knowledge is a current topic of discussion as medical learners often have difficulty with long-term retention. The aim of this study was to assess if students would learn, retain, and enjoy emergency medicine (EM)-focused SBL. Materials and methods We developed an EM-focused SBL curriculum consisting of four main educational events: suturing, medical stabilization, mass casualty triage, and point-of-care ultrasound (POCUS). Participants were first- and second-year healthcare students enrolled in a traditional, preclinical curriculum, who completed pre- and post-event quizzes consisting of multiple-choice questions on topics covered during the SBL scenario. We compared pre- and post-event quiz scores using a one-way paired t-test. Quizzes were readministered up to 100 days after each SBL event to test knowledge retention, and scores were compared across time by repeated-measures analysis of variance (RMANOVA). Results For suture (n=22), mass casualty (n=20), and ultrasound simulations (n=17), post-event mean quiz scores increased significantly in comparison to mean quiz scores from before the event (p≤0.05). Medical stabilization simulation post-event scores were increased but did not reach statistical significance. Data collected at 45, 74, and 94 days following the suture lab as well as 29 and 49 days after the medical evacuation event, and 20 days after the mass casualty event showed no statistical decrease in quiz means suggesting retention of knowledge among learners. Subjective assessments of participant satisfaction demonstrated an enjoyment of the events. Discussion EM-focused SBL events offered enjoyable learning opportunities for students to effectively obtain and possibly retain clinical knowledge. Conclusion SBL has the potential to improve student retention of clinical knowledge during the preclinical years and, therefore, should be further explored and implemented as a core pillar of medical education as opposed to its current state as a learning adjunct.
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Affiliation(s)
- Jennifer C McMains
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Michael C Larkins
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Alexandra M Doherty
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Julia Horiates
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Kamel Alachraf
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Julian A Gordon
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - James Fletcher
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
| | - Kori L Brewer
- Emergency Medicine, East Carolina University Brody School of Medicine, Greenville, USA
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Braverman J, Snyder M. Psychological Predictors of Medical Students' Involvement in Pro Bono. TEACHING AND LEARNING IN MEDICINE 2023; 35:193-205. [PMID: 35290145 DOI: 10.1080/10401334.2022.2043156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 02/01/2022] [Indexed: 06/14/2023]
Abstract
THEORY Medical pro bono, in which medical professionals provide no (or low) cost services, is one approach to addressing unmet healthcare needs. Prior efforts to understand who chooses to take part in pro bono and why they might do so have been primarily atheoretical in their approach. The current investigation focuses on students in medical school and draws on relevant theory and research in psychology to identify predictors of their intentions to engage in medical pro bono service during and after medical school.Hypotheses:Four major approaches to identifying predictors of medical pro bono are examined: the role of demographic variables as predictors of medical pro bono, conceptualizing medical pro bono as a form of volunteerism, viewing medical pro bono as an expression of personality, and medical pro bono as a reflection of role identities and expectations. Each of these approaches can be characterized as being about medical students' individual attributes or aspects of the situation they are in. METHODS A total of 278 medical students from 15 different medical schools in the United States of America completed a web-based survey (8/4/2020-9/22/2020). The students completed measures of pro bono identity and expectations, intentions to engage in medical pro bono activities, prosocial personality, volunteer motivation, exposure to volunteering, general traits of personality, and demographic variables (in this order). We used linear regression analyses to separately predict three measures of intentions (general medical school intentions, intentions toward medical pro bono trips during medical school, and general post medical school intentions). RESULTS The strongest predictors of intentions to engage in medical pro bono were one's identity and expectations related to pro bono. Medical students who had incorporated medical pro bono into aspects of their identity and/or considered medical pro bono to be an expectation indicated higher intentions to engage in medical pro bono work. Conversely, volunteer motivation/exposure, personality, and demographic variables were much weaker predictors of medical pro bono. CONCLUSIONS The findings of the present study have implications for ways that medically oriented volunteering may be increased by individual-level interventions and/or changes in medical education. Individual-level interventions could leverage the importance of identity and expectations to craft persuasive messaging to appeal to identity and expectations as drivers of engagement in medical pro bono. Program level interventions could work toward the institutionalization of medical pro bono by the inclusion/promotion of medical pro bono into the program's co-curricular and/or extracurricular activities.
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Affiliation(s)
- Joshua Braverman
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Mark Snyder
- Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA
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Skockzek AC, Ruane P, Onley C, Haydel T, Ortega M, Sutphin HD, Stoner A. Comparison of Multinational Medical School Students Experiences in the Face of the COVID-19 Pandemic: A Qualitative Analysis. INTERNATIONAL JOURNAL OF MEDICAL STUDENTS 2022. [DOI: 10.5195/ijms.2022.1616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Background: In the midst of the COVID-19 pandemic, countries, and governments around the world have implemented different measures and guidelines for the containment and mitigation of the COVID-19 virus. In addition to implemented policies and initiatives, social media and personal beliefs have affected medical students’ social, emotional, financial, and academic stability and success both domestically and internationally.
Methods: This qualitative study, recruited students enrolled in the Global Seminar for Health and
Environment elective course in their respective medical schools to complete a weekly, non-graded journaling assignment for 6 weeks. To measure outcomes, open-ended questions within the assignment asked students across four different countries (United States, El Salvador, Dominican Republic, and Honduras) questions regarding the COVID-19 pandemic including personal beliefs and knowledge, policies and initiatives within their country, global policies and initiatives, and social media presentations. Thematic analysis was then completed using the QCoder package in R Studio.
Results: A total of 142 assignment submissions were collected and analyzed. International medical students reported more restrictions in their country, a larger mental health impact, and more individuals in their country showing a lack of regard for policies and initiatives. United States medical students were more likely to express a decrease in academic opportunities and academic performance.
Conclusion: The COVID-19 pandemic continues to affect medical students globally. The pandemic has changed the medical school experience for both international and United States medical students and affected them not only academically but mentally, and socially.
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Bellomo TR, Prasad S, Bhaumik D, Cartwright J, Zhang Y, Azzouz L, Vercler C. Understanding motivations behind medical student involvement in COVID-19 pandemic relief efforts. BMC MEDICAL EDUCATION 2022; 22:837. [PMID: 36471275 PMCID: PMC9721039 DOI: 10.1186/s12909-022-03900-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 11/16/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Although students were removed from patient-facing settings at the beginning of the COVID-19 pandemic due to concerns of burdening teaching physicians and depleting personal protective equipment, some leaders suggest students can be effectively utilized when personnel resources may be scarce. There have been narrative discussions surrounding medical student involvement, but no studies exploring the attitudes of these students. The authors aim to quantify the degree to which factors influenced a medical student's decision to or to not volunteer during the pandemic and to characterize medical students' attitudes towards medical professionals' duty to serve in a pandemic. METHODS The authors developed and tested a secure web-based survey before distribution to students at 23 different US allopathic medical schools that did not graduate medical students early to aid in pandemic efforts between April and June 2020. Of the 599 students who completed the survey, 65.5% self-identified as female and were on average 25.94 years old (SD = 2.5). Multiple comparisons were made based on volunteer status. Ordinal scale questions were compared with the Mann Whitney U test, and the Chi-Squared test was used for categorical variables using R version 3.62. RESULTS 67.6% of students volunteered in pandemic relief activities and a majority of those students volunteered in non-patient-facing roles. Community service, new skills, and time commitment were top 3 influencing factors for students who volunteered, while risk to other, time commitment, and risk to self were top 3 influencing factors for students who chose not to volunteer. Compared to other specialties, students interested in primary care specialties agreed to a greater degree that physicians have a duty to serve in pandemic relief efforts. CONCLUSIONS Medical students who volunteered cited self-serving factors and altruistic values as significant motivators. Students who did not volunteer were significantly more concerned with risks of COVID-19 exposure. However, medical students in general agreed that students should be allowed to volunteer in COVID-19 related relief efforts. As large areas of the United States continue to experience increases in COVID-19 cases, institutions should involve medical students in balancing the level of acceptable risk with the educational benefits.
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Affiliation(s)
- Tiffany R Bellomo
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Sanjana Prasad
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Deesha Bhaumik
- School of Public Health, University of Michigan, Ann Arbor, MI, 48105, USA
| | - Julia Cartwright
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Yibing Zhang
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Lyna Azzouz
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Christian Vercler
- Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
- Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Mott Craniofacial Offices, 4Th Floor, 1540 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
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Ho DKN, Lee YC, Chiu WC, Shen YT, Yao CY, Chu HK, Chu WT, Le NQK, Nguyen HT, Su HY, Chang JS. COVID-19 and Virtual Nutrition: A Pilot Study of Integrating Digital Food Models for Interactive Portion Size Education. Nutrients 2022; 14:nu14163313. [PMID: 36014819 PMCID: PMC9415904 DOI: 10.3390/nu14163313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/10/2022] [Accepted: 08/11/2022] [Indexed: 11/16/2022] Open
Abstract
Background and aims: Digital food viewing is a vital skill for connecting dieticians to e-health. The aim of this study was to integrate a novel pedagogical framework that combines interactive three- (3-D) and two-dimensional (2-D) food models into a formal dietetic training course. The level of agreement between the digital food models (first semester) and the effectiveness of educational integration of digital food models during the school closure due to coronavirus disease 2019 (COVID-19) (second semester) were evaluated. Method: In total, 65 second-year undergraduate dietetic students were enrolled in a nutritional practicum course at the School of Nutrition and Health Sciences, Taipei Medical University (Taipei, Taiwan). A 3-D food model was created using Agisoft Metashape. Students’ digital food viewing skills and receptiveness towards integrating digital food models were evaluated. Results: In the first semester, no statistical differences were observed between 2-D and 3-D food viewing skills in food identification (2-D: 89% vs. 3-D: 85%) and quantification (within ±10% difference in total calories) (2-D: 19.4% vs. 3-D: 19.3%). A Spearman correlation analysis showed moderate to strong correlations of estimated total calories (0.69~0.93; all p values < 0.05) between the 3-D and 2-D models. Further analysis showed that students who struggled to master both 2-D and 3-D food viewing skills had lower estimation accuracies than those who did not (equal performers: 28% vs. unequal performers:16%, p = 0.041), and interactive 3-D models may help them perform better than 2-D models. In the second semester, the digital food viewing skills significantly improved (food identification: 91.5% and quantification: 42.9%) even for those students who struggled to perform digital food viewing skills equally in the first semester (equal performers: 44% vs. unequal performers: 40%). Conclusion: Although repeated training greatly enhanced students’ digital food viewing skills, a tailored training program may be needed to master 2-D and 3-D digital food viewing skills. Future study is needed to evaluate the effectiveness of digital food models for future “eHealth” care.
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Affiliation(s)
- Dang Khanh Ngan Ho
- School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 110, Taiwan
| | | | - Wan-Chun Chiu
- School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 110, Taiwan
- Department of Nutrition, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
| | - Yi-Ta Shen
- Smart Surgery Co., Ltd., Taipei 110, Taiwan
| | - Chih-Yuan Yao
- Department of Computer Science and Information Engineering, National Taiwan University of Science and Technology, Taipei 106, Taiwan
| | - Hung-Kuo Chu
- Department of Computer Science, National Tsing Hua University, Hsinchu 300, Taiwan
| | - Wei-Ta Chu
- Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan 701, Taiwan
| | - Nguyen Quoc Khanh Le
- Professional Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
- Research Center for Artificial Intelligence in Medicine, Taipei Medical University, Taipei 110, Taiwan
- Translational Imaging Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
| | - Hung Trong Nguyen
- Department of Adult Nutrition Counselling, National Institute of Nutrition, Hanoi 113000, Vietnam
- Department of Clinical Nutrition and Dietetics, National Hospital of Endocrinology, Hanoi 12319, Vietnam
| | - Hsiu-Yueh Su
- School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 110, Taiwan
- Department of Dietetics, Taipei Medical University Hospital, Taipei 110, Taiwan
| | - Jung-Su Chang
- School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 110, Taiwan
- Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei 110, Taiwan
- Nutrition Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
- Chinese Taipei Society for the Study of Obesity (CTSSO), Taipei 110, Taiwan
- Correspondence: ; Tel.: +886-(2)-27361661 (ext. 6564); Fax: +886-(2)-2737-3112
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10
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Jia Y, Gesing P, Jun HJ, Burbage AK, Hoang T, Kulo V, Cestone C, McBrien S, Tornwall J. Exploring the impacts of learning modality changes: Validation of the learning modality change community of inquiry and self-efficacy scales. EDUCATION AND INFORMATION TECHNOLOGIES 2022; 28:1763-1781. [PMID: 35967826 PMCID: PMC9362111 DOI: 10.1007/s10639-022-11258-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 07/20/2022] [Indexed: 06/15/2023]
Abstract
The rapid learning environment transition initiated by the COVID-19 pandemic impacted students' perception of, comfort with, and self-efficacy in the online learning environment. Garrison's Community of Inquiry framework provides a lens for examining students' online learning experiences through three interdependent elements: social presence, cognitive presence, and teaching presence. Researchers in this study developed and validated the Learning Modality Change Community of Inquiry and Self-Efficacy scales to measure health professions students' self-efficacy with online learning, while exploring how cognitive, social, and teaching presence is experienced by students who transition from one learning environment to another. The two scales demonstrate strong validity and reliability evidence and can be used by educators to explore the impacts of learning modality changes on student learning experiences. As learning environments continue to evolve, understanding the impact of these transitions can inform how educators consider curriculum design and learning environment changes.
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Affiliation(s)
- Yuane Jia
- School of Health Professions, Rutgers, The State University of New Jersey, Newark, NJ USA
| | - Peggy Gesing
- School of Health Professions, Eastern Virginia Medical School, Norfolk, VA USA
| | - Hyun-Jin Jun
- Health Professions Education, University of Maryland Baltimore, Baltimore, MD USA
| | - Amanda K. Burbage
- School of Health Professions, Eastern Virginia Medical School, Norfolk, VA USA
| | - Thuha Hoang
- Department of Physical Therapy, Louisiana State University Health Sciences Center, New Orleans, LA USA
| | - Violet Kulo
- Health Professions Education, University of Maryland Baltimore, Baltimore, MD USA
| | - Christina Cestone
- Health Professions Education, University of Maryland Baltimore, Baltimore, MD USA
| | - Sarah McBrien
- College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE USA
| | - Joni Tornwall
- College of Nursing, The Ohio State University, Columbus, OH USA
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11
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Atherley A, Hu WCY, Dolmans D, Teunissen PW, Hegazi I. Medical Students' Socialization Tactics When Entering a New Clinical Clerkship: A Mixed Methods Study of Proactivity. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:884-893. [PMID: 35171118 PMCID: PMC9126257 DOI: 10.1097/acm.0000000000004627] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
PURPOSE Socialization into clinical clerkships is difficult in part due to ambiguity around students' new roles and expected behaviors. Being proactive reduces ambiguity and is essential to socialization. Proactive behavior can be taught and goes beyond having a proactive personality. Among students entering new undergraduate clinical clerkships, this study aimed to investigate (1) reported proactive behaviors and their association with social integration and (2) enabling and inhibiting factors for proactive behavior. METHOD This study was conducted at the 5-year MBBS program at Western Sydney University during academic year 2019-2020. Using a convergent mixed methods approach, survey and interview data from third-, fourth-, and fifth-year students were collected. Surveys explored 5 proactive behaviors: feedback seeking, information seeking, task negotiation, positive framing, and relationship building. Interviews elicited descriptions of how students described their proactivity and what influenced students to be proactive when entering a new clerkship. Data were integrated using the following the thread and mixed methods matrix techniques. RESULTS Students exhibited all 5 proactive behaviors. Survey data showed positive framing and task negotiation had the highest and lowest scores, respectively. Only positive framing correlated significantly with social integration scores (r = 0.27; P < .01), but this contrasted to interviews, in which students described how other proactive behaviors also led to social integration. Proactive behavior scores decreased across academic years. Integrated data showed 3 linked antecedents to whether students exhibited proactive behavior: feeling capable of being proactive, individual intention to be proactive, and the immediate environment and system-level factors. CONCLUSIONS Students who framed the experience positively were more likely to report increased social integration. Initiating task negotiation was challenging for most students. The authors propose a conceptual model for proactivity and social integration to support socialization and learning during clinical transitions for future research and interventional design.
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Affiliation(s)
- Anique Atherley
- A. Atherley was a dual PhD candidate, School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia, and the School of Health Professions Education, Maastricht University, Maastricht, the Netherlands, at the time of writing. She is now assistant professor, Academy for Teaching and Learning, Ross University School of Medicine, Bridgetown, Barbados; ORCID: https://orcid.org/0000-0002-6350-7285
| | - Wendy C.-Y. Hu
- W.C.-Y. Hu is professor of medical education and associate dean of learning and innovation, School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia; ORCID: http://orcid.org/0000-0002-1711-3808
| | - Diana Dolmans
- D. Dolmans is professor of innovative learning arrangements and educational scientist, School of Health Professions Education and the Department of Educational Development & Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands; ORCID: https://orcid.org/0000-0002-4802-1156
| | - Pim W. Teunissen
- P.W. Teunissen is professor of workplace learning in health care, School of Health Professions Education, and gynecologist, Department of Obstetrics & Gynecology, Maastricht University and Maastricht University Medical Center, Maastricht, the Netherlands; ORCID: https://orcid.org/0000-0002-0930-0048
| | - Iman Hegazi
- I. Hegazi is director of medical education and the undergraduate academic program, School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia; ORCID: https://orcid.org/0000-0002-5428-6564
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12
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‘Who Else If Not We’. Medical Students’ Perception and Experiences with Volunteering during the COVID-19 Crisis in Poznan, Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042314. [PMID: 35206496 PMCID: PMC8871886 DOI: 10.3390/ijerph19042314] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/03/2022] [Accepted: 02/15/2022] [Indexed: 02/05/2023]
Abstract
Introduction: The first wave of the COVID-19 pandemic resulted in the closure of all Polish medical universities. Simultaneously, due to staff shortages and the Polish health-care system being seriously challenged, many students were eager to contribute to the fight against the outbreak. This study explores medial student volunteers’ (MSV) perspectives and their lived experiences during the COVID-19 pandemic in Poland. Material and Methods: Semi-structured interviews were conducted with twenty-one students. Results: A total of seven major themes emerged from the interviews: 1. students’ reactions to the COVID-19 pandemic, 2. students’ experiences of the outbreak, 3. motivations for volunteering, 4. students’ perceptions of the COVID-19 volunteering, 5. organization of students’ volunteering, 6. benefits and costs of volunteering during COVID-19, and 7. social perception of MSVs. Although students volunteering was an example of civic responsibility and created new learning opportunities, many students felt unprepared for the pandemic, lacked social skills and access to psychological support, and were the target of stigmatization and discrimination. Discussion: Because during the first wave of the COVID-19 pandemic medical universities were closed and classes were held online, students’ volunteering became an important part of service learning and created an opportunity for education. Consequently, while it benefited students, patients and the healthcare system, students’ involvement reinforced such important values of medical ethos as: altruism, public service, and (professional) solidarity. However, some systemic approach should be undertaken that would prepare students better for future crises.
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13
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Domaradzki J. ‘Who Else If Not We’. Medical Students’ Perception and Experiences with Volunteering during the COVID-19 Crisis in Poznan, Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:2314. [DOI: https:/doi.org/10.3390/ijerph19042314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/24/2023]
Abstract
Introduction: The first wave of the COVID-19 pandemic resulted in the closure of all Polish medical universities. Simultaneously, due to staff shortages and the Polish health-care system being seriously challenged, many students were eager to contribute to the fight against the outbreak. This study explores medial student volunteers’ (MSV) perspectives and their lived experiences during the COVID-19 pandemic in Poland. Material and Methods: Semi-structured interviews were conducted with twenty-one students. Results: A total of seven major themes emerged from the interviews: 1. students’ reactions to the COVID-19 pandemic, 2. students’ experiences of the outbreak, 3. motivations for volunteering, 4. students’ perceptions of the COVID-19 volunteering, 5. organization of students’ volunteering, 6. benefits and costs of volunteering during COVID-19, and 7. social perception of MSVs. Although students volunteering was an example of civic responsibility and created new learning opportunities, many students felt unprepared for the pandemic, lacked social skills and access to psychological support, and were the target of stigmatization and discrimination. Discussion: Because during the first wave of the COVID-19 pandemic medical universities were closed and classes were held online, students’ volunteering became an important part of service learning and created an opportunity for education. Consequently, while it benefited students, patients and the healthcare system, students’ involvement reinforced such important values of medical ethos as: altruism, public service, and (professional) solidarity. However, some systemic approach should be undertaken that would prepare students better for future crises.
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14
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Almhdawi KA. Influencing Medical Students' Knowledge and Attitudes Related to Disability: A Randomized Controlled Trial. Am J Phys Med Rehabil 2022; 101:113-118. [PMID: 33657029 DOI: 10.1097/phm.0000000000001740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSES The aims of the study were to evaluate and to compare the efficacy of an online and a traditionally delivered undergraduate elective course in improving medical students' disability-related knowledge and attitudes. METHODS A randomized controlled design was implemented. Participants were medical students randomly assigned into summer 8-wk disability and the society (OT100) online course, OT100 traditional course, or wellness and lifestyles (PT100) control. Demographics were collected in addition to participants' level disability knowledge and attitudes toward people with disability scale scores (1 wk before the semester and 1 wk after it). Multivariate analysis of covariance using general linear model was conducted to evaluate groups' differences in main outcome measures. RESULTS In total, 198 undergraduate medical students successfully completed the study conditions: OT100 online (n = 74), OT100 traditional (n = 59), and PT100 (n = 65). OT100 groups (traditional and online) change scores were statistical similar for disability knowledge (P = 0.966) and attitudes (P = 0.705) but significantly better (P < 0.001) than the control group. CONCLUSIONS OT100 course delivered traditionally or online seemed effective in improving medical students' disability knowledge and attitudes toward people with disability. More studies are needed to create effective methods improving healthcare professionals' disability-related knowledge and attitudes.
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Affiliation(s)
- Khader A Almhdawi
- From the Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
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15
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Sondakh JJ, Warastuti W, Susatia B, Wildan M, Sunindya BR, Budiyanto MAK, Fauzi A. Indonesia medical students' knowledge, attitudes, and practices toward COVID-19. Heliyon 2022; 8:e08686. [PMID: 34977397 PMCID: PMC8711172 DOI: 10.1016/j.heliyon.2021.e08686] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 04/04/2021] [Accepted: 12/23/2021] [Indexed: 12/23/2022] Open
Abstract
Implementing health protocols and preventive measures are the only effective ways to suppress COVID-19 transmission before vaccines and antiviral drugs are developed. The implementation of health protocols and preventive measures are influenced by one's knowledge, attitudes, and practices (KAP) toward this pandemic. Medical students as candidates for healthcare workers and role models for the community should have a good KAP. This study intends 1) to explore the KAP of medical students in Indonesia toward COVID-19 and 2) to assess which demographic factors have a significant effect on their KAP scores. An online questionnaire consisting of 18 items of knowledge, six items of attitudes, and 12 items of practices were used as instruments in this study. After being distributed for two weeks in June 2020, 525 respondents whose data were worth analyzing were obtained. The respondents consisted of male and female students, from diploma to bachelor degree, and came from all four types of higher education institutions in Indonesia. The results, 48% of respondents had good knowledge, 81% had good attitudes, and 43.5% had good practices toward COVID-19. The location of students' residence has no significant effect on their KAP score. Gender has a significant effect on knowledge and practice scores. Age, institution type, and institution status have a significant effect on their three KAP domains. The KAP survey results can be used as a reflection of the importance of the curriculum that prepares medical students for the pandemic. Medical students are also expected to be able to actively participate in educating people around them on how to minimize the transmission of COVID-19 during the pandemic.
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Affiliation(s)
| | - Widya Warastuti
- Politeknik Kesehatan Kementerian Kesehatan Palangka Raya, Indonesia
| | - Budi Susatia
- Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia
| | - Moh. Wildan
- Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia
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16
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Yan Y, Cheng X, Zhou C, Yang X, Li YQ. The perceptions of anatomy teachers for different majors during the COVID-19 pandemic: a national Chinese survey. MEDICAL EDUCATION ONLINE 2021; 26:1897267. [PMID: 33720807 PMCID: PMC7971280 DOI: 10.1080/10872981.2021.1897267] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
During the spring semester of 2020, medical school anatomists in China were forced by the COVID-19 pandemic to transition from face-to-face educators or part-time online educators to full-time online educators. This nationwide survey was conducted to assess online anatomy education during the pandemic for medical students from nonclinical medicine and clinical medicine majors at medical schools in China via WeChat. The total of 356 responders included 293 responders from clinical medicine and 63 respondents from nonclinical medicine majors (i.e., 21 from preventive medicine, 13 from stomatology, and 29 from traditional Chinese medicine). The survey results showed that several aspects of online anatomy education were quite similar in clinical and nonclinical majors' classes, including theoretical and practical sessions, active learning, assessments and evaluations. However, there were statistically significant differences in class size, implementation of active learning activities prior to the pandemic, and the evaluation of the effectiveness of online learning during the pandemic, between clinical and nonclinical medicine majors. These results indicated that, compared with teachers of anatomy courses in clinical medicine, teachers of nonclinical medicine majors using online learning in medical schools in China had relatively poor preparation for online learning in response to the unforeseen pandemic.
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Affiliation(s)
| | | | | | - Xuesong Yang
- CONTACT Xuesong Yang No.601 West Huangpu Avenue, Guangzhou 510632, Guangdong, PR China
| | - Yun-Qing Li
- Yun-Qing Li No.218 Changle West Road, Xincheng District, Xi’an 710000, Shanxi, PR China
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17
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Stachteas P, Vlachopoulos N, Smyrnakis E. Deploying Medical Students During the COVID-19 Pandemic. MEDICAL SCIENCE EDUCATOR 2021; 31:2049-2053. [PMID: 34466277 PMCID: PMC8390103 DOI: 10.1007/s40670-021-01393-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 06/13/2023]
Abstract
During the novel coronavirus pandemic outbreak, medical education has been inevitably disrupted, while the clinical exposure of many medical students has been hindered. The current article investigates the student role in this large-scale health crisis, in terms of providing for the continuity of medical training and addressing the growing needs of healthcare systems. By presenting different medical education policies implemented worldwide, new perspectives on student involvement are being illuminated. Even during pandemics, students should be motivated to actively serve. The formation of a clear framework for students' roles enhances the preparedness of the medical education community for related future challenges.
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Affiliation(s)
- Panagiotis Stachteas
- Laboratory of Primary Health Care, General Practice and Health Services Research, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Nikolaos Vlachopoulos
- Laboratory of Primary Health Care, General Practice and Health Services Research, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Emmanouil Smyrnakis
- Laboratory of Primary Health Care, General Practice and Health Services Research, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
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18
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Wohlfarth B, Gloor B, Hautz WE. Challenges of students and residents of human medicine in the first four months of the fight against the Covid-19 pandemic - Implications for future waves and scenarios. BMC MEDICAL EDUCATION 2021; 21:554. [PMID: 34717600 PMCID: PMC8556795 DOI: 10.1186/s12909-021-02962-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 09/29/2021] [Indexed: 06/13/2023]
Abstract
INTRODUCTION In the fight against the Covid-19 pandemic, medical students and residents are expected to adapt and contribute in a healthcare environment characterized by ever-changing measures and policies. The aim of this narrative review is to provide a summary of the literature that addresses the challenges of students and residents of human medicine in the first 4 months of the fight against the Covid-19 pandemic in order to identify gaps and find implications for improvement within the current situation and for potential future scenarios. METHODS We performed a systematic literature search and content analysis (CA) of articles available in English language that address the challenges of students and residents of human medicine in the first 4 months of the fight against the Covid-19 pandemic. RESULTS We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics: "faculty preparation", «uncertainties and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of (re-)deployment, interruption of training and career, safety issues, transmission of disease, and restricted social interaction were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout. DISCUSSION Students and residents are willing and able to participate in the fight against Covid-19 when provided with appropriate deployment, legal guidance, safety measures, clinical knowledge, thorough supervision, social integration and mental health support. Preceding interviews to decide on reasonable voluntary deployment, the use of new technology and frequent feedback communication with faculties, educators and policymakers can further help with a successful and sustainable integration of students and residents in the fight against the pandemic. CONCLUSION It is critical that faculties, educators and policymakers have a thorough understanding of the needs and concerns of medical trainees during pandemic times. Leaders should facilitate close communication with students and residents, value their intrinsic creativeness and regularly evaluate their needs in regards to deployment, knowledge aspects, safety measures, legal concerns and overall well-being.
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Affiliation(s)
- Benny Wohlfarth
- Department of Visceral Surgery and Medicine, lnselspital, Bern University Hospital, University of Bern, Freiburgstrasse 18, 3010 Bern, Switzerland
| | - Beat Gloor
- Department of Visceral Surgery and Medicine, lnselspital, Bern University Hospital, University of Bern, Freiburgstrasse 18, 3010 Bern, Switzerland
| | - Wolf E. Hautz
- Department of Emergency Medicine, lnselspital, Bern University Hospital, University of Bern, Freiburgstrasse 18, 3010 Bern, Switzerland
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19
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Stachteas P, Vlachopoulos N, Smyrnakis E. Medical students during the COVID-19 pandemic: Considerations and arguments on their clinical engagement. JOURNAL OF ADVANCES IN MEDICAL EDUCATION & PROFESSIONALISM 2021; 9:238-242. [PMID: 34692862 PMCID: PMC8521214 DOI: 10.30476/jamp.2021.89092.1363] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 03/01/2021] [Indexed: 06/13/2023]
Abstract
During the recent COVID-19 pandemic, the clinical exposure of medical students has been hindered while the impact on medical education is under investigation. The potential negative impact of medical students on transmission rates, along with the shortages of Personal Protective Equipment (PPE), their lack of proper training, and their limited ability to work independently, give rise to reasonable concerns regarding their involvement in pandemic management. Nevertheless, the heavy workload could soon provoke severe deficiencies in the frontline medical workforce. Hence, the possibility of covering gaps in human resources by effectively deploying students should not be rejected in advance. Additionally, a pandemic poses a valuable learning opportunity for high-quality medical education. The aim of this commentary is to present a discussion with supporters and opponents of medical student engagement in the pandemic management and their involvement in placements requiring physical contact with patients. We also attempt to elucidate the necessary conditions for the students' possible involvement in clinical settings.
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Affiliation(s)
- Panagiotis Stachteas
- Laboratory of Primary Health Care, General Practice and Health Services Research, Faculty of Medicine, Aristotle University of Thessaloniki, Greece
| | - Nikolaos Vlachopoulos
- Laboratory of Primary Health Care, General Practice and Health Services Research, Faculty of Medicine, Aristotle University of Thessaloniki, Greece
| | - Emmanouil Smyrnakis
- Laboratory of Primary Health Care, General Practice and Health Services Research, Faculty of Medicine, Aristotle University of Thessaloniki, Greece
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20
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Chang YT, Chiang SC, Lee WC, Chen TJ, Hwang SJ. Varied impacts on outpatient services among departments and divisions in the early phase of the COVID-19 pandemic: Implications for personnel mobilization and preparatory training. J Chin Med Assoc 2021; 84:951-955. [PMID: 34145199 DOI: 10.1097/jcma.0000000000000569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) spread all over the world in 2020. In the face of the sudden pandemic, workforce mobilization has been of critical concern to medical institutions. During the pandemic, the public's behaviors of seeking medical assistance have also changed. Using the real-world data of a large medical center in Taiwan, this study aimed to analyze the fluctuations of outpatient visits among various departments and divisions in the early phase of the COVID-19 pandemic and to provide suggestions for staff allocation in similar future events. METHODS Data of outpatient visits at Taipei Veterans General Hospital were obtained for analysis. The weekly fluctuations of outpatient visits among 36 departments or divisions were computed for 8 weeks from February 3 to March 29, 2020, the early phase of the pandemic. The monthly data of outpatient visits by department and division in March 2020 were also extracted for comparison with those in March 2019. A simple regression equation was used to calculate the weekly trends. RESULTS Average outpatient visits decreased by 26% in 2 months following the outbreak. Among the 36 departments or divisions, ophthalmology, orthopedics, and cardiology underwent marked declines after the outbreak; the slopes of the simple regression equation were -110.8, -100.7, and -99.2, respectively. By contrast, transfusion medicine, toxicology, transplantation surgery, pediatric surgery, chest surgery, technical aid, and oncology were divisions less influenced. In the year-over-year comparison, infection was the only department or division with positive growth (20.5%), whereas all others exhibited negative growth. CONCLUSION In the future, we can fulfil the additional personnel needs during a pandemic by redeploying physicians from departments experiencing a reduced workload. Hospitals should also establish preparatory employee training programs to ensure that the reassigned personnel are adequately equipped to serve in their new positions.
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Affiliation(s)
- Ya-Ting Chang
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
| | - Shu-Chiung Chiang
- Department of Financial Engineering and Actuarial Mathematics, Soochow University, Taipei, Taiwan, ROC
- Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
| | - Wui-Chiang Lee
- Department of Financial Engineering and Actuarial Mathematics, Soochow University, Taipei, Taiwan, ROC
- Department of Family Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
| | - Tzeng-Ji Chen
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Department of Family Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC
- Big Data Center, Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
| | - Shinn-Jang Hwang
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Big Data Center, Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
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21
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Return to Play Following COVID-19 Infection-A Systematic Review of Current Evidence. J Sport Rehabil 2021; 31:218-223. [PMID: 34564071 DOI: 10.1123/jsr.2021-0028] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 07/20/2021] [Accepted: 07/22/2021] [Indexed: 11/18/2022]
Abstract
CONTEXT The COVID-19 pandemic has had catastrophic impact on a global scale, affecting people from all walks of life including elite athletes. OBJECTIVES The purpose of this study was to evaluate the reported rates of return to play (RTP) in conjunction with the expert-derived guidelines previously recommended to enable safe RTP post COVID-19 infection. EVIDENCE ACQUISITION Two independent reviewers searched the literature based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, utilizing the MEDLINE, Embase, and Scopus databases. Only studies that reported rates of RTP and/or recommended guidelines for safe RTP were included. EVIDENCE SYNTHESIS Overall, 17 studies (3 level III and 14 level V) were included. A total of 3 studies reported rates of RTP in a total of 1255 athletes and 623 officials; 72 (30 symptomatic) were infected with COVID-19, 100% of whom were able to RTP post COVID-19 infection. Of the 14 studies recommending guidelines for safe RTP, 3 and 9 studies recommended 7 and 14 days of rest in isolation respectively for asymptomatic patients with COVID-19 infection, prior to safe RTP. In contrast, 7 studies recommended 3 to 6 months of rest (following 14 d isolation) in cases of COVID-19-induced myocarditis as a safe timeframe for safe RTP. Of the 11 studies reporting on whether blanket testing prior to RTP was recommended, only 7 studies recommended a negative test result as mandatory prior to RTP for athletes previously infected with COVID-19. CONCLUSIONS Although excellent rates of RTP have been reported for elite athletes post COVID-19 infection, discrepancies in recommended rest periods, requirement for mandatory negative test results, and the magnitude of screening investigations required continue to exist in the literature, with a need for further standardized international guidelines required in future. LEVEL OF EVIDENCE Level V; systematic review of all forms of evidence.
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22
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Cheng X, Chan LK, Cai H, Zhou D, Yang X. Adaptions and perceptions on histology and embryology teaching practice in China during the Covid-19 pandemic. TRANSLATIONAL RESEARCH IN ANATOMY 2021; 24:100115. [PMID: 38620760 PMCID: PMC7890343 DOI: 10.1016/j.tria.2021.100115] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 02/06/2021] [Accepted: 02/07/2021] [Indexed: 12/23/2022] Open
Abstract
Backgroud Under the circumstance of school closures caused by the coronavirus outbreak, medical schools in China began implementing online teaching, including histology and embryology (HE) beginning in the middle of February 2020. The changes in HE education in responding to the pandemic in China needs to be determined, for further adaption of online teaching delivery or blended learning. Methods A nationwide survey of the major medical colleges was conducted via WeChat. Results In total, 83 medical schools (one respondent per school) were invited to survey, 78 medical schools responded which represented most medical schools across all the provinces in mainland China, as well as Hong Kong and Macao. The results revealed that 77% (n = 60) and 58% (n = 45) of the responding schools had conducted HE theoretical and practical online teaching, respectively, prior to the pandemic; however, 27% (n = 21) of the medical schools had temporally suspended practical sessions at the time the survey was completed. During the pandemic, 73% (n = 57) and 29% (n = 23) of the medical schools delivered HE theoretical and practical sessions by synchronous live broadcasting, respectively; 65% (n = 51) of the medical schools increased virtual microscopy using during practical sessions. During the pandemic, 54% (n = 42) of the medical schools implemented teaching activities promoting active learning; meanwhile, online assessment was implemented in 84% (n = 66) of the responding medical schools. With regard to the satisfaction with the effectiveness of online teaching during the pandemic, 64% (n = 50) of the medical schools gave positive answers and considered that it was a good opportunity to develop novel and diversified teaching methods. Despite various difficulties such as work overload and unstable online teaching environments, most medical schools are willing to continue or increase theoretical online teaching after the pandemic. Conclusions Medical institutes in China were the earliest of closing campuses and having complete online teaching experience during the pandemic. This paper presents overall HE teaching situation extracted from the survey, to assist other medical schools optimizing the transitions to quality online teaching within a short time, and to serve as reference for schools that demand essential knowledge in online teaching methods, infrastructure construction, and platform integrations.
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Affiliation(s)
- Xin Cheng
- Department of Histology and Embryology, Medical College, Jinan University, Guangzhou, China
| | - Lap Ki Chan
- Macau University of Science and Technology, Macao SAR, China
| | - Hongmei Cai
- Department of Histology and Embryology, Medical College, Jinan University, Guangzhou, China
| | - Deshan Zhou
- Department of Histology and Embryology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China
| | - Xuesong Yang
- Department of Histology and Embryology, Medical College, Jinan University, Guangzhou, China
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Fabricant S, Yang A, Ooms A, Boos D, Oettinger J, Traba C. Coming Together: How Medical Students, Academic Administrators, and Hospital Administrators Approached Student Volunteering During the COVID-19 Pandemic. MEDICAL SCIENCE EDUCATOR 2021; 31:1539-1544. [PMID: 34026308 PMCID: PMC8132734 DOI: 10.1007/s40670-021-01315-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/11/2021] [Indexed: 05/17/2023]
Abstract
The COVID-19 pandemic caused dramatic interruptions and shifts to medical education, but students at schools nationwide responded by volunteering to support their physician educators on the frontlines. Relationships between student leaders, school administrators, and hospital administrators were key to the successful creation and organization of volunteer responses. This perspective piece from medical students, as well as hospital and medical school leadership, explores the evolving relationships in the creation of Rutgers New Jersey Medical School's Student COVID Team. By reflecting on choices made by each group in parallel points in time, the piece highlights where interests and actions aligned and diverged.
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Affiliation(s)
- Scott Fabricant
- Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103 USA
| | - Annie Yang
- Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103 USA
| | - Ashley Ooms
- Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103 USA
| | - Dennis Boos
- Center for Emergency Preparedness and Response, University Hospital, Newark, NJ USA
| | - Jason Oettinger
- Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103 USA
| | - Christin Traba
- Office of Education, Department of Pediatrics, Rutgers New Jersey Medical School, Newark, NJ USA
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Dorji T, Tamang ST, Tilak T. Self-learning on COVID-19 among medical students in Bhutan: A cross-sectional study. Heliyon 2021; 7:e07533. [PMID: 34307948 PMCID: PMC8287235 DOI: 10.1016/j.heliyon.2021.e07533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 06/06/2021] [Accepted: 07/06/2021] [Indexed: 11/30/2022] Open
Abstract
Background Bhutan lacks a medical school and all medical students are trained in Sri Lanka, Bangladesh and India. When the COVID-19 pandemic led to the closure of medical schools in these countries in March–April 2020, the medical students were repatriated to Bhutan. Upon return, they were kept in government-sponsored facility quarantine for 21 days. This study assessed their knowledge on COVID-19 as a part of self-learning and their attitude towards participation in government's health response to COVID-19. Methods This was a cross-sectional study among medical students who had returned to the country. The survey was conducted through an online questionnaire while the students were in facility quarantine. The sample size calculated was 129 and convenient sampling was used. Knowledge was assessed using 20 questions, each scored 1/20. Knowledge was considered “good” if the cumulative score was ≥80%, “satisfactory” if ≥60–79% and “poor” if <60%. Correlation between knowledge score and duration of clinical clerkship was tested using Pearson's correlation coefficient. Attitude of students towards their willingness to participate in the national COVID-19 response was tested using rating scales. Data were analysed using Stata 13.1. Results 120 medical students responded to the survey (response rate = 93%). Eighty-eight (74%) had good knowledge, 28 (23%) had satisfactory knowledge and only four (3%) had poor knowledge on COVID-19. The students scored high on the symptomatology, mode of transmission, prevention and treatment options and on local epidemiology; and scored low on the forms of mechanical ventilation and on home-management of non-critical cases. The knowledge score correlated with the duration of clinical clerkship they had undertaken (r = 0.326, p = 0.001). The primary source of information were social media sites (102, 85%), television (94, 78%) and newspapers (76, 63%). The majority (78, 65%) were willing to participate in the government's COVID-19 response but could not identify what roles they could play. The fear of contracting COVID-19 was reported by eight students (7%). Conclusions Medical students had good knowledge on COVID-19 and had self-learned through social media, television and newspapers. The students held positive attitude towards participation in the government's COVID-19 response.
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Affiliation(s)
- Thinley Dorji
- Department of Internal Medicine, Armed Forces Medical College, Maharashtra University of Health Sciences, Pune, India
- Kidu Mobile Medical Unit, His Majesty's People's Project, Thimphu, Bhutan
- Corresponding author.
| | - Saran Tenzin Tamang
- Faculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan
| | - T.V.S.V.G.K. Tilak
- Department of Internal Medicine, Armed Forces Medical College, Maharashtra University of Health Sciences, Pune, India
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Wickramasinghe ND, Jayarathne SW, Pilapitiya SD. Value-Added Roles of Medical Students During the COVID-19 Pandemic: Assessment of Medical Students' Perceptions and Willingness in Sri Lanka. Int J Gen Med 2021; 14:3187-3196. [PMID: 34262332 PMCID: PMC8274707 DOI: 10.2147/ijgm.s309021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Accepted: 06/16/2021] [Indexed: 11/24/2022] Open
Abstract
Purpose Since the coronavirus disease 2019 (COVID-19) pandemic is an opportune time to introduce the value-added roles of medical students, this study assessed medical students’ perceptions and willingness to assist in COVID-19 health sector preparedness and response via value-added roles in Sri Lanka. Methods A cross-sectional online survey was conducted among all medical students studying in six batches of the Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, in June 2020. A Google form in English with 10 statements about individual perceptions of medical students’ roles and their willingness to assist in the COVID-19 health sector response via value-added roles was used to collect data. The responses were recorded on a five-point Likert scale. The chi-squared test for independence was used to explore the associations between the academic year and the responses to each statement. Results Out of 856 (response rate 79.6%) study participants, the majority were females (n=601, 70.2%). The majority (n=804, 93.9%) reported that they have a responsibility to contribute to the country’s COVID-19 health sector response. There was a statistically significant association between medical students’ perceived level of clinical knowledge, having the clinical skills to assist in the COVID-19 health sector response and academic year (p<0.001). The commonly identified value-added roles were developing (n=770, 89.9%) and disseminating (n=744, 86.9%) health education messages, and field contact tracing activities (n=653, 76.3%). Other value-added roles were assisting the curative health sector in COVID-19 patient management (n=380, 44.4%) and other non-COVID-19 patient management (n=463, 54.1%). Conclusion Medical students are mostly willing to engage in preventive health sector value-added roles and, to a lesser extent, in curative health sector value-added roles during the COVID-19 outbreak. However, medical educators need to clearly define the value-added roles and provide adequate training and supervision for medical students across academic years to enable them to combine learning with making meaningful contributions to the health-care system during the COVID-19 pandemic.
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Affiliation(s)
- Nuwan Darshana Wickramasinghe
- Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, 50008, Sri Lanka
| | - Shamalee Wasana Jayarathne
- Medical Education Unit, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, 50008, Sri Lanka
| | - Senaka Devendra Pilapitiya
- Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, 50008, Sri Lanka
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Obrero-Gaitán E, Nieto-Escamez FA, Zagalaz-Anula N, Cortés-Pérez I. An Innovative Approach for Online Neuroanatomy and Neurorrehabilitation Teaching Based on 3D Virtual Anatomical Models Using Leap Motion Controller During COVID-19 Pandemic. Front Psychol 2021; 12:590196. [PMID: 34262499 PMCID: PMC8273340 DOI: 10.3389/fpsyg.2021.590196] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 04/27/2021] [Indexed: 12/23/2022] Open
Abstract
After the World Health Organization had declared a pandemic of coronavirus disease (COVID-19) on March 11, 2020 many governments, including the Government of Spain, declared the state of alarm enforcing a quarantine that have left millions of students confined to their homes. This home confinement has affected students of all levels, including university students, and has forced faculties to adapt online teaching strategies. Thus, traditional classroom face-to-face teaching has suddenly been replaced by online classes. This has revealed particularly challenging for medical courses. For such purpose we have designed an online teaching proposal addressed to the Degree in Physiotherapy and the Double Degree in Nursing and Physiotherapy of the University of Jaén (Spain). The objective is to implement an online virtual teaching protocol through the use of Virtual Reality. For such a goal, the Leap Motion Controller (LMC) will be used to teach the neuroanatomy of the brain and spinal cord and to teach and practice neurorehabilitation exercises. Along with devices like the LMC students will be asked to use Health Sciences databases in order to achieve a significative learning of the course topics. The project is structured in two phases. First, students will learn neuroanatomy and neurophysiology of the most relevant neurological conditions using LMC-based models. Then, they will learn to combine LMC games and conventional physiotherapy for neurorehabilitation purposes. The work of students will include the recording of videoreports demonstrating the acquisition of neuroanatomy concepts and simulating a clinical case. With this project we will assess the usability of LMC as an educative tool, the perception, satisfaction and self-regulated learning of physiotherapy students.
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Affiliation(s)
| | - Francisco A. Nieto-Escamez
- Center for Neuropsychological Assessment and Neurorehabilitation (CERNEP), University of Almería, Almeria, Spain
- Department of Psychology, University of Almería, Almería, Spain
| | | | - Irene Cortés-Pérez
- Faculty of Health Sciences, University of Jaén, Jaén, Spain
- Centro Médico “Avenida II”, Linares, Jaén, Spain
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Domaradzki J, Walkowiak D. Does Religion Influence the Motivations of Future Healthcare Professionals to Volunteer During the COVID-19 Pandemic in Poland? An Exploratory Study. JOURNAL OF RELIGION AND HEALTH 2021; 60:1507-1520. [PMID: 33797729 PMCID: PMC8017435 DOI: 10.1007/s10943-021-01231-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/05/2021] [Indexed: 06/12/2023]
Abstract
This study was designed to determine the relation between religion and the motivations of future healthcare professionals to volunteer during the COVID-19 outbreak in Poland. Data were collected from 417 healthcare students via an online questionnaire. The results indicated that although students' religiosity was not a significant predictor of volunteering during the pandemic, it played a key role in determining their motivations to join the fight against COVID-19. There was a significant positive relationship between students' religiosity and their eagerness to commit for the sake of the community rather than for personal or egoistic motives.
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Affiliation(s)
- Jan Domaradzki
- Department of Social Sciences and Humanities, Poznan University of Medical Sciences, Rokietnicka 7, St, 60-806, Poznań, Poland.
| | - Dariusz Walkowiak
- Department of Organization and Management in Health Care, Poznan University of Medical Sciences, Poznań, Poland
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28
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Zhang K, Peng Y, Zhang X, Li L. Psychological Burden and Experiences Following Exposure to COVID-19: A Qualitative and Quantitative Study of Chinese Medical Student Volunteers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18084089. [PMID: 33924448 PMCID: PMC8069905 DOI: 10.3390/ijerph18084089] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Revised: 04/07/2021] [Accepted: 04/09/2021] [Indexed: 02/05/2023]
Abstract
Background: During the COVID-19 pandemic, some medical students devoted themselves to volunteer activities, but it was the first time that they had been exposed to such an infectious disease and they might have experienced fear in the face of the epidemic. We aimed to conduct a timely assessment of the psychological burden and experience on medical student volunteers during the COVID-19 pandemic. Methods: We used the 21-item Depression Anxiety Stress Scales to survey the psychology burden of students in April 2020. Semi-structured interviews were conducted with nine medical students who signed up for volunteer activities in Chinese from February to April 2020. Quantitative and qualitative methods were used to analyze the data. Results: The detection of depression, anxiety and stress of medical student volunteers were 26.8%, 20.2% and 11.1%, respectively. The volunteer's negative emotions were more pronounced before work and diminished gradually. Most participants expressed no concern about being infected themselves, but worry about family infection. Participant's motivations for volunteering were primarily their duties as medical students and encouragement from their families/teachers. The vast majority of medical students said they would be willing to work as medical assistants again and this experience would not affect their career choice. Conclusions: Chinese medical student volunteers tended to show negative emotions at the beginning of their work, and then gradually declined, while positive emotions emerged. Most medical students were willing to volunteer as medical assistants when their country needed them due to their sense of responsibility as medical students. This study on the psychological and experiential aspects were derived from Chinese medical student volunteers and might have a significant impact on future public health emergencies in similar settings.
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Affiliation(s)
- Kaiting Zhang
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China; (K.Z.); (Y.P.); (X.Z.)
- School of Public Health, Shantou University, Shantou 515041, China
| | - Yixiang Peng
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China; (K.Z.); (Y.P.); (X.Z.)
- School of Public Health, Shantou University, Shantou 515041, China
| | - Xiaowei Zhang
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China; (K.Z.); (Y.P.); (X.Z.)
- School of Public Health, Shantou University, Shantou 515041, China
| | - Liping Li
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China; (K.Z.); (Y.P.); (X.Z.)
- School of Public Health, Shantou University, Shantou 515041, China
- Correspondence: ; Tel./Fax: +86-0754-8890-0409
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Domaradzki J, Walkowiak D. Does Religion Influence the Motivations of Future Healthcare Professionals to Volunteer During the COVID-19 Pandemic in Poland? An Exploratory Study. JOURNAL OF RELIGION AND HEALTH 2021. [DOI: https:/doi.org/10.1007/s10943-021-01231-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/05/2021] [Indexed: 07/24/2023]
Abstract
AbstractThis study was designed to determine the relation between religion and the motivations of future healthcare professionals to volunteer during the COVID-19 outbreak in Poland. Data were collected from 417 healthcare students via an online questionnaire. The results indicated that although students’ religiosity was not a significant predictor of volunteering during the pandemic, it played a key role in determining their motivations to join the fight against COVID-19. There was a significant positive relationship between students’ religiosity and their eagerness to commit for the sake of the community rather than for personal or egoistic motives.
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30
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Wu A, Maddula V, Yu ACX, Goel R, Shimizu H, Chien CL, Wingate R, Sagoo MG, Kielstein H, Traxler H, Brassett C, Waschke J, Vielmuth F, Keay K, Zeroual M, Sakurai T, Olsen J, El-Batti S, Viranta-Kovanen S, Kitahara S, Kunzel C, Bernd P, Noel GP. An Observation of Healthcare Professions Students' Perceptions During the COVID-19 Pandemic. MEDICAL SCIENCE EDUCATOR 2021; 31:401-409. [PMID: 33619444 PMCID: PMC7889410 DOI: 10.1007/s40670-021-01240-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/03/2021] [Indexed: 06/12/2023]
Abstract
This study conveys preclinical healthcare professions students' sentiments at 14 universities during the 2020 COVID-19 pandemic. Essays about students' thoughts and experiences were thematically sorted and revealed a variety of sentiments spanning from positive (e.g., pride, respect) to the more negative (e.g., anxiety, guilt, disappointment, anger). Themes revealed respect for the healthcare profession, but also the realization of its limitations, sacrifices, and risks. Healthcare profession educators need to be aware that the COVID-19 pandemic has affected students emotionally and may have long-term effects on the global healthcare profession. This study can serve as a historic documentation of how this generation of students felt and adds to the literature on how the pandemic affected the healthcare profession.
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Affiliation(s)
- Anette Wu
- Columbia University, New York, NY USA
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Saied SM, Saied EM, Kabbash IA, Abdo SAEF. Vaccine hesitancy: Beliefs and barriers associated with COVID-19 vaccination among Egyptian medical students. J Med Virol 2021; 93:4280-4291. [PMID: 33644891 PMCID: PMC8013865 DOI: 10.1002/jmv.26910] [Citation(s) in RCA: 231] [Impact Index Per Article: 77.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 02/22/2021] [Accepted: 02/24/2021] [Indexed: 12/12/2022]
Abstract
Background Vaccine hesitancy poses serious challenges for achieving coverage for population immunity. It is necessary to achieve high COVID‐19 vaccination acceptance rates and medical students’ coverage as future health care providers. The study aimed to explore the level of COVID‐19 vaccine hesitancy and determine the factors and barriers that may affect vaccination decision‐making. Methods A cross‐sectional study was carried out among medical students in Tanta and Kafrelsheikh Universities, Egypt. Data collection was done via an online questionnaire during January 2021 from 2133 students. Results The majority of the participant students (90.5%) perceived the importance of the COVID‐19 vaccine, 46% had vaccination hesitancy, and an equal percentage (6%) either definitely accepted or refused the vaccine. Most of the students had concerns regarding the vaccine's adverse effects (96.8%) and ineffectiveness (93.2%). The most confirmed barriers of COVID‐19 vaccination were deficient data regarding the vaccine's adverse effects (potential 74.17% and unknown 56.31%) and insufficient information regarding the vaccine itself (72.76%). Conclusion The government, health authority decision‐makers, medical experts, and universities in Egypt need to work together and make efforts to reduce hesitancy and raise awareness about vaccinations, consequently improving the acceptance of COVID‐19 vaccines.
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Affiliation(s)
- Shimaa M Saied
- Faculty of Medicine, Public Health and Community Medicine Department, Tanta University, Tanta, Egypt
| | - Eman M Saied
- Faculty of Medicine, Pathology Department, Kafrelsheikh University, Kafr El-Sheikh, Egypt
| | - Ibrahim Ali Kabbash
- Faculty of Medicine, Public Health and Community Medicine Department, Tanta University, Tanta, Egypt
| | - Sanaa Abd El-Fatah Abdo
- Faculty of Medicine, Public Health and Community Medicine Department, Tanta University, Tanta, Egypt
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Lincango-Naranjo E, Espinoza-Suarez N, Solis-Pazmino P, Vinueza-Moreano P, Rodriguez-Villafuerte S, Lincango-Naranjo J, Barberis-Barcia G, Ruiz-Sosa C, Rojas-Velasco G, Gravholt D, Golembiewski E, Soto-Becerra P, Khan M, Ortiz-Prado E. Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students. BMC MEDICAL EDUCATION 2021; 21:128. [PMID: 33627116 PMCID: PMC7903404 DOI: 10.1186/s12909-021-02559-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 01/27/2021] [Indexed: 05/03/2023]
Abstract
BACKGROUND As the disease caused by the novel coronavirus has spread globally, there has been significant economic instability in the healthcare systems. This reality was especially accentuated in Ecuador where, the shortage of healthcare workers combined with cultural and macroeconomic factors has led Ecuador to face the most aggressive outbreak in Latin America. In this context, the participation of final-year medical students on the front line is indispensable. Appropriate training on COVID-19 is an urgent requirement that universities and health systems must guarantee. We aimed to describe the knowledge, attitudes, and practices of Ecuadorian final-year medical students that could potentially guide the design of better medical education curricula regarding COVID-19. METHODS This was a cross-sectional 33-item online survey conducted between April 6 to April 2020 assessing the knowledge, attitudes, and practices toward the diagnosis, treatment, prevention, and prognosis toward COVID-19 in Ecuadorian final-year medical students. It was sent by email, Facebook, and WhatsApp. RESULTS A total of 309 students responded to the survey. Out of which 88% of students scored high (≥ 70% correct) for knowledge of the disease. The majority of students were pessimistic about possible government actions, which is reflected in the negative attitude towards the control of COVID-19 and volunteering during the outbreak in Ecuador (77%, and 58% of the students, respectively). Moreover, 91% of students said they did not have adequate protective equipment. The latter finding was significantly associated with negative attitudes. CONCLUSIONS Although a large number of students displayed negative attitudes, the non-depreciable percentage of students who were willing to volunteer and the coexisting high level of knowledge displayed by students, suggests that Ecuador has a capable upcoming workforce that could benefit from an opportunity to strengthen, improve and advance their training in preparation for COVID-19. Not having personal protective equipment was significantly associated to negative attitudes. Providing the necessary tools and creating a national curriculum may be one of the most effective ways to ensure all students are trained, whilst simultaneously focusing on the students' most pressing concerns. With this additional training, negative attitudes will improve and students will be better qualified.
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Affiliation(s)
- Eddy Lincango-Naranjo
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA
- Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador
| | | | - Paola Solis-Pazmino
- Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Stanford University, Stanford, CA, USA
| | | | - Santiago Rodriguez-Villafuerte
- Facultad de Medicina, Programa de Pós-graduação em Hepatología, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
- Hospital Vozandes Quito, Quito, Ecuador
| | | | | | - Carlos Ruiz-Sosa
- Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador
| | - Giovanni Rojas-Velasco
- Facultad de Ciencias Médicas, Universidad Central del Ecuador, Quito, Ecuador
- Universidad de Sao Paulo, Sao Paulo, Brazil
| | - Derek Gravholt
- Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA
| | | | | | - Maryam Khan
- Centro de Excelencia en Investigaciones Económicas y Sociales de Salud, Universidad San Ignacio de Loyola, Lima, Peru
| | - Esteban Ortiz-Prado
- University Hospital Southampton NHS Foundation Trust, Southampton, UK.
- OneHealth Global Research Group, Universidad de las Americas, Ecuador Calle de los Colimes y Avenida De los Granados, 170137, Quito, Ecuador.
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Michno DA, Tan J, Adelekan A, Konczalik W, Woollard ACS. How can we help? Medical students' views on their role in the COVID-19 pandemic. J Public Health (Oxf) 2021; 43:479-489. [PMID: 33550386 PMCID: PMC7928712 DOI: 10.1093/pubmed/fdaa271] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 12/17/2020] [Accepted: 12/19/2020] [Indexed: 01/20/2023] Open
Abstract
Background The ongoing COVID-19 pandemic has resulted in a sharp rise in demand for healthcare workers worldwide. This has been coupled with reduced numbers of available medical professionals due to confirmed or suspected infections with SARS-CoV-2. To counteract these shortages, governments of several countries have considered the enrolment of medical students into the workforce in order to help to tackle the ongoing crisis. Methods Questionnaire-based study assessing the perceived role of medical students in assisting in the COVID-19 pandemic. The primary aim was to determine factors contributing to the willingness of medical students to actively assist in the pandemic. The secondary aim was to evaluate their perspectives regarding the associated changes in medical education. Results Out of 760 responses, 71.18% of medical students were willing to assist the medical workforce during the pandemic. Clinical year students were more likely to help in a medical capacity than pre-clinical students (OR = 0.384, 95%CI [0.167, 0.883, P < 0.05)]. Respondents concerned about their own well-being were less likely to engage in clinical work (OR = 0.680, 95%CI [0.491, 0.941], P < 0.020). Students who agreed that online lectures will negatively impact their education were inclined to think that the academic year should be extended (95%CI [0.065, 0.271], P = 0.001). Conclusions Most students are willing to help in both a medical and non-medical capacity. Their primary concerns when working in a medical setting are the risk of infecting their relatives and patients, lack of protective equipment and necessary knowledge as well as legal uncertainty whilst working without a medical qualification.
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Affiliation(s)
- D A Michno
- School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences & Medicine, King's College London, London WC2R 2LS, UK
| | - J Tan
- University College London Medical School, London WC1E 6DE, UK
| | - A Adelekan
- Faculty of Medicine, Medical University of Lodz, Lodz 90-647, Poland
| | - W Konczalik
- Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London NW3 2QG, UK
| | - A C S Woollard
- Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London NW3 2QG, UK
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Timerman S, Guimarães HP, Rochitte CE, Polastri TF, Lopes MACQ. COVID-19 Chain of Survival 2020. Arq Bras Cardiol 2021; 116:351-354. [PMID: 33656088 PMCID: PMC7909961 DOI: 10.36660/abc.20201171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 11/04/2020] [Accepted: 11/04/2020] [Indexed: 01/06/2023] Open
Affiliation(s)
- Sergio Timerman
- Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilUniversidade de São Paulo Instituto do Coração, São Paulo, SP - Brasil
| | - Helio Penna Guimarães
- Hospital Israelita Albert EinsteinSão PauloSPBrasilHospital Israelita Albert Einstein, São Paulo, SP - Brasil
| | - Carlos Eduardo Rochitte
- Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilUniversidade de São Paulo Instituto do Coração, São Paulo, SP - Brasil
- Hospital do CoraçãoSão PauloSPBrasilHospital do Coração, São Paulo, SP - Brasil
| | - Thatiane Facholi Polastri
- Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilUniversidade de São Paulo Instituto do Coração, São Paulo, SP - Brasil
| | - Marcelo Antônio Cartaxo Queiroga Lopes
- Hospital Alberto Urquiza WanderleyJoão PessoaPBBrasilHospital Alberto Urquiza Wanderley - Hemodinâmica e Cardiologia Intervencionista, João Pessoa, PB - Brasil
- Hospital Metropolitano Dom José Maria PiresJoão PessoaPBBrasilHospital Metropolitano Dom José Maria Pires, João Pessoa, PB - Brasil
- Sociedade Brasileira de CardiologiaRio de JaneiroRJBrasilSociedade Brasileira de Cardiologia, Rio de Janeiro, RJ - Brasil
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Harries AJ, Lee C, Jones L, Rodriguez RM, Davis JA, Boysen-Osborn M, Kashima KJ, Krane NK, Rae G, Kman N, Langsfeld JM, Juarez M. Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study. BMC MEDICAL EDUCATION 2021; 21:14. [PMID: 33407422 PMCID: PMC7786337 DOI: 10.1186/s12909-020-02462-1] [Citation(s) in RCA: 128] [Impact Index Per Article: 42.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 12/16/2020] [Indexed: 05/20/2023]
Abstract
BACKGROUND The COVID-19 pandemic disrupted the United States (US) medical education system with the necessary, yet unprecedented Association of American Medical Colleges (AAMC) national recommendation to pause all student clinical rotations with in-person patient care. This study is a quantitative analysis investigating the educational and psychological effects of the pandemic on US medical students and their reactions to the AAMC recommendation in order to inform medical education policy. METHODS The authors sent a cross-sectional survey via email to medical students in their clinical training years at six medical schools during the initial peak phase of the COVID-19 pandemic. Survey questions aimed to evaluate students' perceptions of COVID-19's impact on medical education; ethical obligations during a pandemic; infection risk; anxiety and burnout; willingness and needed preparations to return to clinical rotations. RESULTS Seven hundred forty-one (29.5%) students responded. Nearly all students (93.7%) were not involved in clinical rotations with in-person patient contact at the time the study was conducted. Reactions to being removed were mixed, with 75.8% feeling this was appropriate, 34.7% guilty, 33.5% disappointed, and 27.0% relieved. Most students (74.7%) agreed the pandemic had significantly disrupted their medical education, and believed they should continue with normal clinical rotations during this pandemic (61.3%). When asked if they would accept the risk of infection with COVID-19 if they returned to the clinical setting, 83.4% agreed. Students reported the pandemic had moderate effects on their stress and anxiety levels with 84.1% of respondents feeling at least somewhat anxious. Adequate personal protective equipment (PPE) (53.5%) was the most important factor to feel safe returning to clinical rotations, followed by adequate testing for infection (19.3%) and antibody testing (16.2%). CONCLUSIONS The COVID-19 pandemic disrupted the education of US medical students in their clinical training years. The majority of students wanted to return to clinical rotations and were willing to accept the risk of COVID-19 infection. Students were most concerned with having enough PPE if allowed to return to clinical activities.
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Affiliation(s)
- Aaron J Harries
- Department of Emergency Medicine, University of California San Francisco School of Medicine, San Francisco General Hospital, 1001 Potrero Avenue, Building 5, Room #6A4, San Francisco, California, 94110, USA.
| | - Carmen Lee
- Department of Emergency Medicine, University of California San Francisco School of Medicine, San Francisco General Hospital, 1001 Potrero Avenue, Building 5, Room #6A4, San Francisco, California, 94110, USA
| | - Lee Jones
- University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Robert M Rodriguez
- Department of Emergency Medicine, University of California San Francisco School of Medicine, San Francisco General Hospital, 1001 Potrero Avenue, Building 5, Room #6A4, San Francisco, California, 94110, USA
| | - John A Davis
- University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Megan Boysen-Osborn
- Clinical Emergency Medicine, University of California Irvine School of Medicine, Irvine, CA, USA
| | | | - N Kevin Krane
- Deming Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Guenevere Rae
- Basic Science Education, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Nicholas Kman
- Emergency Medicine, Ohio State College of Medicine, Columbus, OH, USA
| | - Jodi M Langsfeld
- Department of Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
| | - Marianne Juarez
- Department of Emergency Medicine, University of California San Francisco School of Medicine, San Francisco General Hospital, 1001 Potrero Avenue, Building 5, Room #6A4, San Francisco, California, 94110, USA.
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Azar AJ, Khamis AH, Naidoo N, Lindsbro M, Boukhaled JH, Gonuguntla S, Davis D, Banerjee Y. Design, Implementation and Evaluation of a Distance Learning Framework to Expedite Medical Education during COVID-19 pandemic: A Proof-of-Concept Study. JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT 2021; 8:23821205211000349. [PMID: 35392266 PMCID: PMC8981515 DOI: 10.1177/23821205211000349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 02/16/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND The COVID-19 pandemic has forced medical schools to suspend on-campus live-sessions and shift to distance-learning (DL). This precipitous shift presented medical educators with a challenge, 'to create a "simulacrum" of the learning environment that students experience in classroom, in DL'. This requires the design of an adaptable and versatile DL-framework bearing in mind the theoretical underpinnings associated with DL. Additionally, effectiveness of such a DL-framework in content-delivery followed by its evaluation at the user-level, and in cognitive development needs to be pursued such that medical educators can be convinced to effectively adopt the framework in a competency-based medical programme. MAIN In this study, we define a DL-framework that provides a 'simulacrum' of classroom experience. The framework's blueprint was designed amalgamating principles of: Garrison's community inquiry, Siemens' connectivism and Harasim's online-collaborative-learning; and improved using Anderson's DL-model. Effectiveness of the DL-framework in course delivery was demonstrated using the exemplar of fundamentals in epidemiology and biostatistics (FEB) course during COVID-19 lockdown. Virtual live-sessions integrated in the framework employed a blended-approach informed by instructional-design strategies of Gagne and Peyton. The efficiency of the framework was evaluated using first 2 levels of Kirkpatrick's framework. Of 60 students, 51 (85%) responded to the survey assessing perception towards DL (Kirkpatrick's Level 1). The survey-items, validated using exploratory factor analysis, were classified into 4-categories: computer expertise; DL-flexibility; DL-usefulness; and DL-satisfaction. The overall perception for the 4 categories, highlighted respondents' overall satisfaction with the framework. Scores for specific survey-items attested that the framework promoted collaborative-learning and student-autonomy. For, Kirkpatrick's Level 2 that is, cognitive-development, performance in FEB's summative-assessment of students experiencing DL was compared with students taught using traditional methods. Similar, mean-scores for both groups indicated that shift to DL didn't have an adverse effect on students' learning. CONCLUSION In conclusion, we present here the design, implementation and evaluation of a DL-framework, which is an efficient pedagogical approach, pertinent for medical schools to adopt (elaborated using Bourdieu's Theory of Practice) to address students' learning trajectories during unprecedented times such as that during the COVID-19 pandemia.
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Affiliation(s)
- Aida J Azar
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
| | - Amar Hassan Khamis
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
| | - Nerissa Naidoo
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
| | - Marjam Lindsbro
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
| | - Juliana Helena Boukhaled
- Faculty of Health, Medicine and Life
Sciences, Maastricht University, Maastricht, The Netherlands
| | - Suneetha Gonuguntla
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
| | - David Davis
- Department of Family and Community
Medicine, University of Toronto, Toronto, Canada
| | - Yajnavalka Banerjee
- College of Medicine and Health
Sciences, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU),
Dubai Health Care City, Dubai, AE
- Centre for Medical Education,
University of Dundee, Nethergate, Dundee, UK
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López-Hernández LB, Díaz BG, Zamora González EO, Montes-Hernández KI, Tlali Díaz SS, Toledo-Lozano CG, Bustamante-Montes LP, Vázquez Cárdenas NA. Quality and Safety in Healthcare for Medical Students: Challenges and the Road Ahead. Healthcare (Basel) 2020; 8:healthcare8040540. [PMID: 33291837 PMCID: PMC7768411 DOI: 10.3390/healthcare8040540] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/23/2020] [Accepted: 11/29/2020] [Indexed: 01/25/2023] Open
Abstract
Background: The development of skills, behaviors and attitudes regarding patient safety is of utmost importance for promoting safety culture for the next generation of health professionals. This study describes our experience of implementing a course on patient safety and quality improvement for fourth year medical students in Mexico during the COVID-19 outbreak. The course comprised essential knowledge based on the patient safety curriculum provided by the WHO. We also explored perceptions and attitudes of students regarding patient safety. Methods: Fourth year medical students completed a questionnaire regarding knowledge, skills, and attitudes on patient safety and quality improvement in medical care. The questionnaire was voluntarily answered online prior to and after the course. Results: In total, 213 students completed the questionnaires. Most students were able to understand medical error, recognize failure and the nature of causation, perform root-cause analysis, and appreciate the role of patient safety interventions. Conversely, a disapproving perspective prevailed among students concerning the preventability of medical errors, utility of reporting systems, just culture and infrastructure (p < 0.05). Conclusion: We found students had a positive perspective concerning learning quality in healthcare and patient safety during our course; nevertheless, their perception of the usefulness of reporting systems to prevent future adverse events and prevent medical errors is uncomplimentary. Medical education should promote error reporting and just culture to change the current perception of medical students.
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Affiliation(s)
- Luz Berenice López-Hernández
- Departamento de Calidad y Seguridad en la Atención Médica, Ciclo de vida, Universidad Autónoma de Guadalajara, Jalisco 45134, Mexico; (K.I.M.-H.); (S.S.T.D.); (L.P.B.-M.); (N.A.V.C.)
- Correspondence:
| | | | | | - Karen Itzel Montes-Hernández
- Departamento de Calidad y Seguridad en la Atención Médica, Ciclo de vida, Universidad Autónoma de Guadalajara, Jalisco 45134, Mexico; (K.I.M.-H.); (S.S.T.D.); (L.P.B.-M.); (N.A.V.C.)
| | - Stephanie Simone Tlali Díaz
- Departamento de Calidad y Seguridad en la Atención Médica, Ciclo de vida, Universidad Autónoma de Guadalajara, Jalisco 45134, Mexico; (K.I.M.-H.); (S.S.T.D.); (L.P.B.-M.); (N.A.V.C.)
| | | | - Lilia Patricia Bustamante-Montes
- Departamento de Calidad y Seguridad en la Atención Médica, Ciclo de vida, Universidad Autónoma de Guadalajara, Jalisco 45134, Mexico; (K.I.M.-H.); (S.S.T.D.); (L.P.B.-M.); (N.A.V.C.)
| | - Norma Alejandra Vázquez Cárdenas
- Departamento de Calidad y Seguridad en la Atención Médica, Ciclo de vida, Universidad Autónoma de Guadalajara, Jalisco 45134, Mexico; (K.I.M.-H.); (S.S.T.D.); (L.P.B.-M.); (N.A.V.C.)
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Omar UF, Kharlukhi J, Kaliya-Perumal AK. Time to include pandemic preparedness training to healthcare curriculum. MEDICAL EDUCATION ONLINE 2020; 25:1820229. [PMID: 32924884 PMCID: PMC7534333 DOI: 10.1080/10872981.2020.1820229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
| | - Jacquilyne Kharlukhi
- Department of Paediatrics, Sree Balaji Medical College and Hospital, Chennai, TN, India
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Byrnes YM, Civantos AM, Go BC, McWilliams TL, Rajasekaran K. Effect of the COVID-19 pandemic on medical student career perceptions: a national survey study. MEDICAL EDUCATION ONLINE 2020; 25:1798088. [PMID: 32706306 PMCID: PMC7482653 DOI: 10.1080/10872981.2020.1798088] [Citation(s) in RCA: 106] [Impact Index Per Article: 26.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
BACKGROUND & OBJECTIVE The COVID-19 pandemic and resulting cancellation of medical student clinical rotations pose unique challenges to students' educations, the impact of which has not yet been explored. DESIGN This cross-sectional survey study collected responses from 13 April 2020 until 30 April 2020. Students at US allopathic medical schools completed the survey online. RESULTS 1,668 responses were analyzed. A total of 337 (20.2%) respondents thought the pandemic would affect their choice of specialty, with differences across class years: 15.2% (53) of first-years (MS1s), 26.4% (92) of second-years (MS2s), 23.7% (162) of third-years (MS3s), and 9.7% (22) of fourth-years (MS4s) (p < 0.0001). Among all classes, the most common reason chosen was inability to explore specialties of interest (244, 72.4%), and the second was inability to bolster their residency application (162, 48.1%). Out of the MS3s who chose the latter, the majority were concerned about recommendation letters (68, 81.0%) and away rotations (62, 73.8%). As high as 17.4% (119) of MS3s said they were more likely to take an extra year during medical school as a result of the pandemic. Region of the US, number of local COVID cases, and number of local COVID deaths had no effect on whether respondents thought the pandemic would affect their specialty choice. CONCLUSIONS Our study found that about one-fifth of surveyed medical students currently believe that the COVID-19 pandemic will affect their choice of specialty, with many of these citing concerns that they cannot explore specialties or obtain recommendation letters. With prolonged suspension of clinical rotations, targeted efforts by medical schools to address these concerns through enhanced virtual curriculum development and advising strategies will become increasingly important. Further study is needed to explore whether these cross-sectional student perspectives will manifest as changes in upcoming National Residency Matching Program data.
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Affiliation(s)
- Yasmeen M. Byrnes
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Alyssa M. Civantos
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Beatrice C. Go
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Tara L. McWilliams
- Biostatistics Analysis Center, University of Pennsylvania, Philadelphia, PA, USA
| | - Karthik Rajasekaran
- Department of Otorhinolaryngology - Head & Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA
- CONTACT Karthik Rajasekaran Department of Otorhinolaryngology - Head & Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA19107, USA
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Wang Y, Li Y, Jiang J, Feng Y, Lu D, Zhang W, Song H. COVID-19 outbreak-related psychological distress among healthcare trainees: a cross-sectional study in China. BMJ Open 2020; 10:e041671. [PMID: 33082197 PMCID: PMC7577057 DOI: 10.1136/bmjopen-2020-041671] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVES The COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak. DESIGN, SETTING AND PARTICIPANTS A cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7-13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency). MAIN OUTCOMES COVID-19-related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale-Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression. RESULTS Significant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed. CONCLUSIONS Medical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.
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Affiliation(s)
- Yue Wang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Yuchen Li
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
| | - Jingwen Jiang
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
| | - Yuying Feng
- Student Affairs Office, West China Hospital, Sichuan University, Chengdu, China
| | - Donghao Lu
- Clinical Research Center for Breast Diseases, West China Hospital, Sichuan University, Chengdu, China
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Wei Zhang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
| | - Huan Song
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
- Center of Public Health Sciences, University of Iceland, Reykjavik, Iceland
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Bank I, Wijnen-Meijer M. Why should medical students (not) be recruited to care for patients with COVID-19? BMC MEDICAL EDUCATION 2020; 20:342. [PMID: 33008374 PMCID: PMC7530858 DOI: 10.1186/s12909-020-02261-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 09/28/2020] [Indexed: 05/16/2023]
Abstract
Worldwide it is being discussed whether medical students might be of help during the present COVID-19 epidemic. Although this question is probably a legitimate one, one should however discuss this thoroughly before deciding whether medical students are to be included in this kind of medical care on a larger scale.Various arguments should be weighted, and potential tasks should be chosen carefully. This period could however be also an opportunity for medical students to learn things they would probably never learn about. Nevertheless, medical students have a deficit concerning knowledge about epidemics, and they are also not really well skilled in many hygiene measures. Furthermore, some of the known medical students' behaviour could be a risk factor for further spread of the virus as well. Then, young adults are at risk of getting infected themselves. Last but not least, medical students in general are under a great deal of pressure from their studies which could lead to the development of anxiety and other mental disorders. One could only speculate on the effects of this epidemic on their further mental well-being. Therefore, medical students participating in direct care of patients with COVID-19 should first be trained well, and then properly supervised at all times. Only then it might be a really useful and exceptional experience, for healthcare, medical schools as well as for society.
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Affiliation(s)
- Ivan Bank
- Department of Transfusion Medicine, Sanquin Blood Bank, Amsterdam, The Netherlands
| | - Marjo Wijnen-Meijer
- Technical University of Munich, School of Medicine, TUM Medical Education Center, Ismaninger Straße 22, 81675, Munich, Germany.
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Komasawa N, Terasaki F, Nakano T, Saura R, Kawata R. A text mining analysis of perceptions of the COVID-19 pandemic among final-year medical students. Acute Med Surg 2020; 7:e576. [PMID: 33024569 PMCID: PMC7531178 DOI: 10.1002/ams2.576] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 09/08/2020] [Indexed: 12/24/2022] Open
Abstract
Aim The coronavirus disease 2019 (COVID‐19) pandemic has presented various challenges to medical schools. We performed a text mining analysis via essay task to clarify perceptions among final‐year medical students toward the COVID‐19 pandemic. Methods We posed the following essay question to 124 final‐year medical students: “What should medical staff do during the COVID‐19 pandemic; what should you do?” Responses were subjected to quantitative analysis using a text mining approach. Frequently occurring key words were extracted, followed by multidimensional scaling and co‐occurrence network calculations. Results Of the 124 students, 123 (99.2%) responded to the essay question. The following seven key words were identified as high‐frequency words: medical, infection, patient, human, myself, doctor, and information. Co‐occurrence network calculations revealed that the word “medical” had a high degree of correlation with most key words, except for “doctor.” The word “myself” was correlated with not only “medical” but also “infection,” “human,” and “doctor.” Conclusion Our analysis of perceptions among final‐year medical students toward the COVID‐19 pandemic revealed that most medical students are strongly affected by the COVID‐19 pandemic and are motivated to work as physicians among health care professionals.
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Affiliation(s)
| | - Fumio Terasaki
- Medical Education Center Osaka Medical College Takatsuki Japan
| | - Takashi Nakano
- Medical Education Center Osaka Medical College Takatsuki Japan
| | - Ryuichi Saura
- Medical Students' Life Support Center Osaka Medical College Takatsuki Japan
| | - Ryo Kawata
- Medical Education Center Osaka Medical College Takatsuki Japan
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Jackman D, Konkin J, Yonge O, Myrick F, Cockell J. Crisis and continuity: Rural health care students respond to the COVID-19 outbreak. Nurse Educ Pract 2020; 48:102892. [PMID: 32980557 PMCID: PMC7505875 DOI: 10.1016/j.nepr.2020.102892] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 09/20/2020] [Indexed: 11/30/2022]
Abstract
The COVID-19 outbreak in Winter (2020) has caused widespread disruption for health sciences students undergoing clinical placements-vital periods of experiential learning that cannot be substituted with distance alternatives. For students placed in rural areas, already coping with isolation, precarious supply chains and shortages of essential personnel, the effects of the COVID-19 outbreak may have far-reaching implications for psychosocial wellness, self-efficacy and clinical judgment. Four nursing and eight medical students (n = 12) supplied photographs and commentary documenting the experience of withdrawing suddenly from clinical sites in rural Alberta. Collaborative, thematic analysis revealed continuities between pre- and post-outbreak life, both for the students and their rural hosts. Social determinants of health such as seclusion, environmental hazards, and health-seeking behaviors carried over and compounded the effects of the outbreak on the placement communities and clinical sites. Other continuities included the reliance on technology for clinical and social connectivity, and capitalizing on natural settings to cope with isolation and confinement. Prolonged liminality, lack of closure, and the loss of team identity were the greatest stressors brought on by the suspension of clinical activities. However, the participants felt well equipped to deal with these circumstances through the resilience, adaptability, and community ethos acquired during their placements.
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Affiliation(s)
- Deirdre Jackman
- Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada.
| | - Jill Konkin
- Faculty of Medicine & Dentistry, Department of Family Medicine, 2-115A Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada.
| | - Olive Yonge
- Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada.
| | - Florence Myrick
- Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada.
| | - Jim Cockell
- Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, 11405-87 Avenue, University of Alberta, Edmonton, Alberta, T6G 1C9, Canada.
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Wang K, Zhang L, Ye L. A nationwide survey of online teaching strategies in dental education in China. J Dent Educ 2020; 85:128-134. [PMID: 32954532 PMCID: PMC7537095 DOI: 10.1002/jdd.12413] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 08/31/2020] [Accepted: 09/05/2020] [Indexed: 02/05/2023]
Abstract
Objectives Due to the time and cost effectiveness, online teaching has played a significant role in the provision of education and has been a well‐accepted strategy for higher education in the world. The aim of this study was to survey the current online undergraduate education status in dental medicine in mainland China during the critical stage of the COVID‐19 outbreak, as well to provide a better understanding of practicing this learning strategy for the improvement and development of dental education. Methods For the cross‐sectional survey, recruitment emails regarding to the implementation of online education were sent to 42 dental colleges and universities in mainland China between March and April 2020. Results Ninety‐seven percent of the respondents have opened online courses during COVID‐19 pandemic in China, 74% of which chose live broadcast as the major teaching way. As compared with theoretical courses, fewer specialized practical curriculums were set up online with a lower satisfaction from students in most dental schools. For the general evaluation of online learning from students of different dental schools, the “online learning content” received the highest support, while the “interaction between teachers and students” showed the lowest satisfaction. Most schools reported that the difficulty in assurance of students’ learning motivation was the main problem in online education. Conclusions Our findings indicate the necessity and efficacy of the overall online teaching for dental education during the epidemic that can be further improved with the education model and pedagogical means to boost the informationization of dental education for future reference.
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Affiliation(s)
- Kun Wang
- West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Linglin Zhang
- West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Ling Ye
- West China Hospital of Stomatology, Sichuan University, Chengdu, China
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Drexler R, Hambrecht JM, Oldhafer KJ. Involvement of Medical Students During the Coronavirus Disease 2019 Pandemic: A Cross-Sectional Survey Study. Cureus 2020; 12:e10147. [PMID: 33014645 PMCID: PMC7526758 DOI: 10.7759/cureus.10147] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic affects the education of medical students around the world and countries have had differing responses in dealing with this dynamic situation. The role of medical students in fighting this pandemic is controversial and it is yet to be elucidated how they can best be of service. The aim of this study is to evaluate the working fields of volunteering students and the impact of the pandemic on final year students from a student's perspective. METHODS An anonymous online survey was conducted amongst 219 medical students from Hamburg (Germany), using an institutional online data collection program. RESULTS A total of 137 questionnaires (63.5%) were completed. Of these, 97 participants were students from academic year three to five (70.8%) and 40 students were in the final year of medical school (29.2%). Of the 97 students from academic year three to five, 68 students (70.1%) signed up for voluntary duties during the pandemic. Interestingly, only 25.0% of the students were called for voluntary work in hospitals or health authorities. Final year students had already been working in hospitals since before the outbreak, with 35.0% of them assisting doctors in the treatment of COVID-19 positive patients during their placements. Using a 5-Point Likert Scale, the students who volunteered self-assessed their work as more useful and received more gratitude than final year students (p<0.01). CONCLUSIONS The majority of medical students are willing to make a significant contribution in the response to COVID-19 and do not wish to be overlooked. Furthermore, the current pandemic offers novel educational opportunities for medical students.
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Crumb L, Campbell KM, Crowe A, Harris JA, Acheampong C, Little J. Responding to COVID-19: Perspectives on Curricular Changes in a Rural Medical School. South Med J 2020; 113:368-371. [PMID: 32747962 PMCID: PMC8055085 DOI: 10.14423/smj.0000000000001124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Coronavirus disease 2019 swiftly led to global human devastation, including multiple deaths, sicknesses, and financial reverberations for many individuals and communities. This review provides an overview of rapid decision-making processes that can be used by curriculum leaders and medical school administrators to continue to meet accreditation requirements while attempting to keep medical students safe and prepared for graduation in response to the pandemic health crisis. Coronavirus disease 2019 (COVID-19) rapidly led to global human devastation, including multiple deaths, sicknesses, and financial reverberations across many individuals and communities. As COVID-19 gained its foothold in the United States, medical school administrators, faculty, and students had to undergo rapid change to mitigate the disease spread, putting all parties in dubious situations. Medical school administrators had to make swift and judicious decisions that would best serve the student body and the diverse patient population at clinical sites. Medical schools with students practicing in rural, remote regions with a dearth of healthcare resources have even more complicated decisions to make in these unprecedented times. We provide an overview of rapid decision-making processes that can be used by curriculum leaders and medical school administrators to continue to meet accreditation requirements while attempting to keep medical students safe and prepared for graduation in response to the COVID-19 health crisis.
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Affiliation(s)
- Loni Crumb
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Kendall M Campbell
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Allison Crowe
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Janeé Avent Harris
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Cassandra Acheampong
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Janae Little
- From the Counselor Education Program, Department of Interdisciplinary Professions, East Carolina University, Greenville, North Carolina, Division of Academic Affairs, Brody School of Medicine, East Carolina University, Greenville, North Carolina, and the Office of Student Development and Academic Counseling, Brody School of Medicine, East Carolina University, Greenville, North Carolina
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Villela EFDM, de Oliveira FM, Leite ST, Bollela VR. Student engagement in a public health initiative in response to COVID-19. MEDICAL EDUCATION 2020; 54:763-764. [PMID: 32344450 PMCID: PMC7267486 DOI: 10.1111/medu.14199] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 04/22/2020] [Accepted: 04/24/2020] [Indexed: 05/11/2023]
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Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In Vivo 2020; 34:1603-1611. [PMID: 32503818 DOI: 10.21873/invivo.11950] [Citation(s) in RCA: 339] [Impact Index Per Article: 84.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 05/13/2020] [Accepted: 05/14/2020] [Indexed: 12/17/2022]
Abstract
The aim of this systematic review was to identify the challenges imposed on medical and surgical education by the COVID-19 pandemic, and the proposed innovations enabling the continuation of medical student and resident training. A systematic review on the MEDLINE and EMBASE databases was performed on April 18th, 2020, and yielded 1288 articles. Sixty-one of the included manuscripts were synthesized in a qualitative description focused on two major axes, "challenges" and "innovative solutions", and two minor axes, "mental health" and "medical students in the frontlines". Shortage of personal protective equipment, suspension of clinical clerkships and observerships and reduction in elective surgical cases unavoidably affect medical and surgical education. Interesting solutions involving the use of virtual learning, videoconferencing, social media and telemedicine could effectively tackle the sudden cease in medical education. Furthermore, trainee's mental health should be safeguarded, and medical students can be involved in the COVID-19 clinical treatment if needed.
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Affiliation(s)
- Aikaterini Dedeilia
- Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Marinos G Sotiropoulos
- Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, U.S.A
| | | | - Deepa Janga
- North Middlesex University Hospital NHS Trust, London, U.K
| | - Panagiotis Dedeilias
- Cardiovascular and Thoracic Surgery Department, Evangelismos General Hospital of Athens, Athens, Greece
| | - Michail Sideris
- Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, U.K.
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The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg 2020; 72:269-280. [PMID: 32557207 PMCID: PMC7298929 DOI: 10.1007/s13304-020-00811-9] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Accepted: 05/18/2020] [Indexed: 02/06/2023]
Abstract
Introduction Recently, Italy has been heavily hit by COVID-19 pandemic and today it is still one of the most affected countries in the world. The subsequent necessary lockdown decreed by the Italian Government had an outstanding impact on the daily life of the entire population, including that of Italian surgical residents’ activity. Our survey aims to evaluate the impact of COVID-19 on the training programme of Italian surgical residents. Materials and methods We designed a 12-item-electronic anonymous questionnaire on SurveyMonkey© web application. The survey was composed of different sections concerning demographic characteristics and impacts of COVID-19 on the concrete participation in clinical, surgical and research activities. Future perspectives of responders after the pandemic were also investigated. Results Eighty hundred responses were collected, and 756 questionnaires were considered eligible to be included in the study analysis. Almost 35 and 27% of respondents experienced, respectively, complete interruption of surgical and clinical activities. A subgroup analysis, comparing the COVID-19 impact on clinical activities with demographics data, showed a statistically significant difference related to specialties (p = 0.0062) and Italian regions (p < 0.0001). Moreover, 112 residents have been moved to non-surgical units dealing with COVID-19 or, in some case, they voluntarily decided to interrupt their residency programme to support the ongoing emergency. Conclusion Our survey demonstrated that COVID-19 pandemic has severely impacted the educational programme of Italian surgical residents. Despite many regional differences, this survey highlighted the overall shortage of planning in the re-allocation of resources facing this unexpected health emergency. Electronic supplementary material The online version of this article (10.1007/s13304-020-00811-9) contains supplementary material, which is available to authorized users.
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Plachouri KM, Georgiou S. How well prepared are dermatologists redeployed to COVID-19 wards? Int J Dermatol 2020; 59:e247-e248. [PMID: 32452020 PMCID: PMC7283766 DOI: 10.1111/ijd.14978] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 05/05/2020] [Indexed: 11/28/2022]
Affiliation(s)
| | - Sophia Georgiou
- Dermatology Department, University General Hospital of Patras, Patras, Greece
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