Perception and attitudes of medical students on clinical clerkship in the era of the Coronavirus Disease 2019 pandemic
Perception and attitudes of medical students on clinical clerkship in the era of the Coronavirus Disease 2019 pandemic
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DOI：
10.1080/10872981.2020.1809929
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发表时间：
2020-01-01
影响因子：
4.6
通讯作者：
Song, Il Han
中科院分区：
文献类型：
--
作者：
Kim, So Mi;Park, Seok Gun;Song, Il Han
2019冠状病毒病（COVID-19）给全球医疗系统和医学教育项目带来了严重压力，导致对医学生承担初级医疗服务提供者角色的需求不断增长。目的了解新冠肺炎疫情期间医学生对临床见习培训的看法和态度。设计2020年4月7日至14日，采用基于网络的3字段/14项问卷进行横断面调查，以评估他们在COVID-19爆发和传播下对医院实践实习培训的自评感知和态度，共161人（78人参加见习课程，83人参加临床见习课程）大韩民国天安丹国大学医学院医学生。结果在完成调查的151名医学生中，81名学生（53.7%）认为自己熟悉COVID-19。虽然学生担心病毒的传播在临床见习培训，118（78.1%）的学生更喜欢见习培训在医院的做法。临床实习项目的学生比实习前项目的学生更喜欢这一点（85.7%对70.2%，P = 0.03），主要是因为在COVID-19大流行期间，临床实习不能被在线课程所取代。此外，他们的回答表明，按照重要性的顺序，担心不能按时完成实习课程，愿意参与作为一个初步的医疗保健提供者在大流行病，潜在的浪费学费，并相信医院是相当安全的。校历的改变对许多学生的生活方式没有产生积极影响。结论在COVID-19大流行的情况下，应制定医学生临床实习培训的教育策略，为他们提供机会，在严格的安全指导下积极参与医院实践，重点是预防病毒感染和传播。
Background The Coronavirus Disease 2019 (COVID-19) has been placing severe strain on global healthcare systems and medical education programs, leading to growing demands for medical students to assume the role of preliminary healthcare providers. Objectives To assess the perception and attitudes of medical students about clinical clerkship training during the COVID-19 pandemic. Design A cross-sectional survey with web-based 3-fields/14-items questionnaire was conducted, from April 7 to 14, 2020, to evaluate their self-assessed perception and attitudes on clerkship training of hospital practice under the COVID-19 outbreak and spread among 161 (78 on pre-clerkship course, 83 on clinical clerkship course) medical students at Dankook University College of Medicine, Cheonan, Republic of Korea. Results Of the 151 medical students who completed the survey, 81 students (53.7%) considered themselves familiar with COVID-19. Although the students were concerned about the spread of the virus during clinical clerkship training, 118 (78.1%) students preferred the clerkship training in a hospital practice. The students in the clinical clerkship program preferred this over those in the pre-clerkship program (85.7% vs. 70.2%,P= 0.03), primarily because a clinical clerkship could not be replaced by an online class during the COVID-19 pandemic. In addition, their responses indicated, in order of significance, fear of not completing the clerkship course on time, willingness to participate as a preliminary healthcare provider in pandemic, the potential waste of tuition, and belief that a hospital is rather safe. The change in the academic calendar had not a positive impact on the lifestyles of many students. Conclusions In circumstances such as the COVID-19 pandemic, educational strategies to clinical clerkship training for medical students should be developed to provide them with the opportunity to be actively involved in hospital practice under strict safety guidance focused on preventing virus infection and transmission.