Ardekani Ali, Rahimian Zahra, Feili Afrooz, Amini Mitra, Tabari Parinaz, Moosavi Mahsa
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Educ Health Promot. 2021 Sep 30;10:326. doi: 10.4103/jehp.jehp_1358_20. eCollection 2021.
The outbreak of coronavirus disease 2019 (COVID-19) has turned attention to the essential competencies needed to confront pandemics for a physician. However, medical students, as future physicians, are not adequately trained for such a situation. This study aimed to determine the essential competencies for a medical student to face the COVID-19 pandemic.
We performed this mixed-method needs assessment study at Shiraz University of Medical Sciences in May-June 2020 in three steps: the first step was a brainstorming session followed by a nominal group technique with the experts' participation. The second step was determining the validity of competencies by calculating the content validity ratio. In the third and last step, three rounds of the modified Delphi technique were held with the participation of 22 medical faculty members and 45 undergraduate medical students to reach a consensus about the competencies utilizing quantitative analysis.
A total of 30 key competencies essential for a medical student were obtained through the current study. They were categorized into four major themes: (1) developing knowledge and abilities for effective diagnosis and treatment of COVID-19, (2) demonstrating safety principles correctly, (3) demonstrating effective behavior, and (4) determining the meta-competencies.
Although medical students will be the frontline physicians in the future pandemics, they are not prepared to display the diversity of requisite skills to practice effectively and safely. This study provides essential competencies for medical students during the COVID-19 pandemic and underlines the importance of a paradigm shift from traditional time-based to competency-based education.
2019年冠状病毒病（COVID-19）的爆发使人们将注意力转向了医生应对大流行所需的核心能力。然而，医学生作为未来的医生，并未针对这种情况接受充分的培训。本研究旨在确定医学生应对COVID-19大流行所需的核心能力。
2020年5月至6月，我们在设拉子医科大学进行了这项混合方法需求评估研究，分三个步骤进行：第一步是头脑风暴会议，随后是有专家参与的名义小组技术。第二步是通过计算内容效度比来确定能力的有效性。在第三步也是最后一步中，22名医学教师和45名医科本科生参与了三轮改进的德尔菲技术，以通过定量分析就这些能力达成共识。
通过本研究共获得了医学生所需的30项关键能力。它们被分为四个主要主题：（1）培养有效诊断和治疗COVID-19的知识和能力，（2）正确展示安全原则，（3）展示有效行为，（4）确定元能力。
尽管医学生将成为未来大流行中的一线医生，但他们并未准备好展示有效且安全执业所需的各种技能。本研究为COVID-19大流行期间的医学生提供了核心能力，并强调了从传统的基于时间的教育向基于能力的教育转变的重要性。
