新冠疫情期间面向医学生的虚拟健康与学习社区项目。
A Virtual Wellness and Learning Communities Program for Medical Students during the COVID-19 Pandemic.
机构信息
From the Departments of Pediatrics and Plastic Surgery, Vanderbilt University Medical Center, and the Vanderbilt University School of Medicine, Nashville, Tennessee.
出版信息
South Med J. 2021 Dec;114(12):807-811. doi: 10.14423/SMJ.0000000000001330.
OBJECTIVES
Numerous studies have demonstrated the high risk for burnout and mental illness in medical students. Because of the coronavirus disease 2019 (COVID-19) pandemic, our medical school transitioned to an all-virtual learning environment from March to June 2020, which raised concerns among student leaders and administrators, as reduced interpersonal attachments have known associations with decreased mental health. In an effort to facilitate student well-being during the pandemic, the Virtual Wellness and Learning Communities (VWLC) program was established. VWLC consisted of hour-long events that offered students the opportunity to engage with their peers online.
METHODS
More than 20 events and workshops were conducted from March to June 2020, including trivia nights, song and guitar performances, sketching, video editing tutorials, chess lessons, yoga, and personal investing tips. An institutional review board-approved survey to assess the efficacy of the VWLC program was sent to medical student participants and nonparticipants.
RESULTS
The overall response rate of this study was 43% (53/123). The response rate for students who attended a VWLC event was 51% (33/65), and the response rate for students who did not attend a VWLC event was 34% (20/58). Of all of the respondents, 85% (45/53) reported a decreased sense of connectivity with peers because of the pandemic, and 40% (21/53) reported a decrease in their sense of wellness. After attending a VWLC event, 79% (26/33) reported an increased sense of peer connectivity, 61% (20/33) reported improved wellness, and 55% (18/33) believed that these events should continue postpandemic to supplement in-person programming. Those who did not attend a virtual event stated that the main barriers to attending were unfamiliarity with attendees and screen fatigue.
CONCLUSIONS
The COVID-19 pandemic has worsened medical student well-being and sense of community. VWLC programming may be an effective strategy for promoting medical student wellness and community while social distancing during the COVID-19 pandemic. To our knowledge, this is the first virtual wellness program for promotion of medical student mental health during the COVID-19 pandemic to be described in the literature.
目的
大量研究表明，医学生存在高度倦怠和精神疾病风险。由于 2019 年冠状病毒病（COVID-19）大流行，我们的医学院于 2020 年 3 月至 6 月过渡到全虚拟学习环境，这引起了学生领导人和管理人员的关注，因为减少人际联系与心理健康下降有关。为了在大流行期间促进学生的幸福感，设立了虚拟健康与学习社区（VWLC）计划。VWLC 由长达一小时的活动组成，为学生提供了在线与同龄人互动的机会。
方法
从 2020 年 3 月至 6 月，共举办了 20 多场活动和研讨会，包括琐事之夜、歌曲和吉他表演、素描、视频编辑教程、国际象棋课程、瑜伽和个人投资技巧。向医学生参与者和非参与者发送了一项经机构审查委员会批准的评估 VWLC 计划效果的调查。
结果
本研究的总体回复率为 43%（53/123）。参加 VWLC 活动的学生的回复率为 51%（33/65），未参加 VWLC 活动的学生的回复率为 34%（20/58）。在所有受访者中，85%（45/53）报告称由于大流行，他们与同龄人之间的联系感减弱，40%（21/53）报告称他们的健康幸福感下降。参加 VWLC 活动后，79%（26/33）报告说与同伴的联系感增强，61%（20/33）报告说健康幸福感提高，55%（18/33）认为这些活动应该在大流行后继续进行，以补充面对面的计划。那些没有参加虚拟活动的人表示，参加的主要障碍是不熟悉与会者和屏幕疲劳。
结论
COVID-19 大流行使医学生的幸福感和社区意识恶化。VWLC 计划可能是在 COVID-19 大流行期间促进医学生健康和社区意识的有效策略，同时保持社交距离。据我们所知，这是文献中首次描述的在 COVID-19 大流行期间促进医学生心理健康的虚拟健康计划。
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