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      Medical student’s perception of the COVID-19 pandemic effect on their education and well-being: a cross-sectional survey in the United States

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          Abstract

          Background

          The effects of drastic curricular changes necessitated by the COVID-19 pandemic on medical students’ education and wellbeing have remained largely unstudied. Out study aimed to characterize how medical students were affected by the pandemic, specifically how limitations introduced by the pandemic may have affected the quality, delivery, and experience of medical education.

          Methods

          Three hundred students from 5 U.S. allopathic medical schools were surveyed to determine students’ perceptions about their quality of medical education, professional development, and mental health during the COVID-19 pandemic (October 2020-December 2020).

          Results

          A large majority of students report that while lecture-based learning has not been significantly affected by the pandemic, small-group and clinical learning have greatly declined in quality. Students also reported higher levels of depression, anxiety, and uncertainty with regards to their futures as physicians.

          Conclusions

          The COVID-19 pandemic has greatly affected the medical student education and wellbeing. Although medical schools have implemented measures to continue to train medical students as effectively as they can, further strategies must be devised to ensure the well-being of students in the present and for future national emergencies.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-022-03197-x.

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          Most cited references20

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          Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis.

          Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies.
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            Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis

            Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary.
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              The relevance of psychosocial variables and working conditions in predicting nurses’ coping strategies during the SARS crisis: An online questionnaire survey

              Objectives The purpose of this investigation was to examine the relationship between psychosocial variables and working conditions, and nurses’ coping methods and distress in response to the severe acute respiratory syndrome (SARS) crisis in Canada. Participants and procedure The sample consisted of 333 nurses (315 women, 18 men) who completed an Internet-mediated questionnaire that was posted on the Registered Nurses’ Association of Ontario (RNAO) website between March and May 2004. The questionnaire was restricted to respondents who had to authenticate their RNAO membership with a valid username and password before accessing the questionnaire. This served a dual purpose: to ensure that only RNAO nurses completed the questionnaire and thereby safeguarding the generalizability of the findings; and second, to prevent any one nurse from contributing more than once to the overall sample. Results Correlational analysis yielded several significant relationships between psychosocial variables and working conditions, and the traditional correlates of burnout and stress. Three multiple regression analysis revealed that the model we evolved—including higher levels of vigor, organizational support, and trust in equipment/infection control initiative; and lower levels of contact with SARS patients, and time spent in quarantine—predicted to lower levels of avoidance behavior, emotional exhaustion, and state anger. Conclusions By employing models of stress and burnout that combine psychosocial variables and working conditions, researchers can account for significant amounts of variance in outcomes related to burnout. These findings highlight the importance of vigor and perceived organizational support in predicting nurses’ symptoms of burnout. For healthcare administrators, this means that a likely strategy for assuaging the negative outcomes of stress should address nurses’ psychosocial concerns and the working conditions that they face during novel times of crisis.
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                Author and article information

                Contributors
                rongkeko@health.ucsd.edu
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                5 March 2022
                5 March 2022
                2022
                : 22
                : 149
                Affiliations
                [1 ]GRID grid.266100.3, ISNI 0000 0001 2107 4242, Division of Otolaryngology-Head and Neck Surgery, Department Surgery, , University of California, ; La Jolla, San Diego, California USA
                [2 ]GRID grid.410371.0, ISNI 0000 0004 0419 2708, Research Service, , VA San Diego Healthcare System, ; San Diego, CA 92161 USA
                [3 ]GRID grid.266100.3, ISNI 0000 0001 2107 4242, UC San Diego School of Medicine, University of California, ; San Diego, CA 92093 USA
                [4 ]GRID grid.168010.e, ISNI 0000000419368956, Stanford University School of Medicine, ; Stanford, CA 94305 USA
                [5 ]GRID grid.38142.3c, ISNI 000000041936754X, Harvard Medical School, , Harvard University, ; Boston, MA 02115 USA
                [6 ]GRID grid.42505.36, ISNI 0000 0001 2156 6853, Keck School of Medicine, , University of Southern California, ; Los Angeles, CA 90089 USA
                [7 ]GRID grid.266756.6, ISNI 0000 0001 2179 926X, University of Missouri-Kansas City School of Medicine, ; Kansas City, MO 64110 USA
                [8 ]GRID grid.21729.3f, ISNI 0000000419368729, Vagelos College of Physicians and Surgeons, , Columbia University, ; New York, NY 10032 USA
                [9 ]GRID grid.21729.3f, ISNI 0000000419368729, Department of Internal Medicine, , Vagelos College of Physicians and Surgeons, Columbia University, ; New York, NY 10032 USA
                [10 ]GRID grid.16753.36, ISNI 0000 0001 2299 3507, Feinberg School of Medicine, , Northwestern University, ; Chicago, IL 60611 USA
                [11 ]GRID grid.266100.3, ISNI 0000 0001 2107 4242, Department of Radiology, , University of California, ; San Diego, CA 92093 USA
                [12 ]GRID grid.410371.0, ISNI 0000 0004 0419 2708, Radiology Service, , VA San Diego Healthcare System, ; San Diego, CA 92161 USA
                Article
                3197
                10.1186/s12909-022-03197-x
                8897763
                35248030
                ac39e3bb-e94c-4210-a90e-db8c5be89875
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 3 April 2021
                : 14 February 2022
                Funding
                Funded by: University of California, San Diego Academic Senate Grant
                Award ID: RG096651
                Categories
                Research
                Custom metadata
                © The Author(s) 2022

                Education
                covid-19,coronavirus,pandemic,medical education,student wellbeing,united states
                Education
                covid-19, coronavirus, pandemic, medical education, student wellbeing, united states

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