The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey
The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey
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DOI：
10.1186/s12909-020-02117-1
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发表时间：
2020-06-29
影响因子：
3.6
通讯作者：
Mutengesa, Ernest
中科院分区：
文献类型：
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作者：
Choi, Byung;Jegatheeswaran, Lavandan;Mutengesa, Ernest
背景冠状病毒病（COVID-19）全球大流行导致前所未有的公共卫生措施。这影响了英国教育部门，许多大学停止了校园教学和考试。这项研究的目的是确定COVID-19对英国医学生最后一年考试和实习的影响，以及它如何影响他们进入第一年基础培训的信心和准备。方法对英国33所医学院的最后一年医学生进行了10项在线调查。该调查是通过结合二分，多项选择和李克特反应量表的问题。参与者被问及COVID-19全球大流行对最后一年医学笔试、选修课、助教奖学金和客观结构化临床考试（OSCE）的影响。该调查还探讨了学生的信心和准备进入他们的第一年的培训在这些新的前所未有的情况下。结果来自32所英国医学院的440名学生做出了回应。38.4%（n = 169）的受访者的最终OSCE被取消，43.0%（n = 189）的受访者在限制前已经完成了最终OSCE。43.0%（n = 189）的助教职位被推迟，而77.3%（n = 340）的选修课被取消。COVID-19对OSCE、笔试和助学金的影响显著影响了学生的准备程度（分别为p = 0. 025、0. 008、0. 0005）。相比之下，在测量信心时，只有学生助学金的变化有显着影响（p = 0.0005）。大多数学生认为，在这一流行病期间采取措施修改课程是必要的。受访者也同意，在疫情期间协助医院将是一个宝贵的学习机会。结论医学生教育的影响是显着的，特别是影响从学生到医生的过渡。这项研究表明，学生助学金的中断对学生的信心和准备的影响最大。对于那些愿意在医院协助加入前线工作的人来说，通过适当的引导，支持和监督等保障措施来维持他们的健康至关重要。
Background The coronavirus disease (COVID-19) global pandemic has resulted in unprecedented public health measures. This has impacted the UK education sector with many universities halting campus-based teaching and examinations. The aim of this study is to identify the impact of COVID-19 on final year medical students' examinations and placements in the United Kingdom (UK) and how it might impact their confidence and preparedness going into their first year of foundation training. Methods A 10-item online survey was distributed to final year medical students across 33 UK medical schools. The survey was designed by combining dichotomous, multiple choice and likert response scale questions. Participants were asked about the effect that the COVID-19 global pandemic had on final year medical written exams, electives, assistantships and objective structured clinical examinations (OSCEs). The survey also explored the student's confidence and preparedness going into their first year of training under these new unprecedented circumstances. Results Four hundred forty students from 32 UK medical schools responded. 38.4% (n = 169) of respondents had their final OSCEs cancelled while 43.0% (n = 189) had already completed their final OSCEs before restrictions. 43.0% (n = 189) of assistantship placements were postponed while 77.3% (n = 340) had electives cancelled. The impact of COVID-19 on OSCEs, written examinations and student assistantships significantly affected students' preparedness (respectivelyp = 0.025, 0.008, 0.0005). In contrast, when measuring confidence, only changes to student assistantships had a significant effect (p = 0.0005). The majority of students feel that measures taken during this pandemic to amend their curricula was necessary. Respondents also agree that assisting in hospitals during the outbreak would be a valuable learning opportunity. Conclusions The impact on medical student education has been significant, particularly affecting the transition from student to doctor. This study showed the disruptions to student assistantships had the biggest effect on students' confidence and preparedness. For those willing to assist in hospitals to join the front-line workforce, it is crucial to maintain their wellbeing with safeguards such as proper inductions, support and supervision.