Wickramasinghe Nuwan Darshana, Jayarathne Shamalee Wasana, Pilapitiya Senaka Devendra
Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, 50008, Sri Lanka.
Medical Education Unit, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, 50008, Sri Lanka.
Int J Gen Med. 2021 Jul 5;14:3187-3196. doi: 10.2147/IJGM.S309021. eCollection 2021.
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.
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.
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 (<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%).
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.
鉴于2019冠状病毒病(COVID-19)大流行是引入医学生增值作用的契机,本研究评估了斯里兰卡医学生对通过增值作用协助COVID-19卫生部门防范和应对的认知及意愿。
2020年6月,对斯里兰卡拉贾拉特大学医学与联合科学学院六个批次的所有医学生进行了横断面在线调查。使用一份英文谷歌表单,其中包含10条关于医学生对自身角色的个人认知以及他们通过增值作用协助COVID-19卫生部门应对的意愿的陈述,来收集数据。回答采用五点李克特量表记录。独立性卡方检验用于探究学年与对每条陈述的回答之间的关联。
在856名研究参与者中(回复率79.6%),大多数为女性(n = 601,70.2%)。大多数人(n = 804,9百分之九十三点九)报告称他们有责任为该国COVID-19卫生部门的应对做出贡献。医学生感知到的临床知识水平、具备协助COVID-19卫生部门应对的临床技能与学年之间存在统计学显著关联(<0.001)。常见的增值作用包括开展(n = 770,89.9%)和传播(n = 744,86.9%)健康教育信息以及现场接触者追踪活动(n = 653,76.3%)。其他增值作用包括在COVID-19患者管理中协助治疗性卫生部门(n = 380,44.4%)和其他非COVID-19患者管理(n = 463,54.1%)。
在COVID-19疫情期间,医学生大多愿意参与预防性卫生部门的增值作用,在较小程度上也愿意参与治疗性卫生部门的增值作用。然而,医学教育工作者需要明确界定增值作用,并为各学年的医学生提供充分的培训和监督,以使他们能够在COVID-19大流行期间将学习与为医疗保健系统做出有意义的贡献相结合。