新型冠状病毒肺炎疫情对墨西哥去年医学生临床培训的影响：一项全国性横断面研究。
Impact of the COVID-19 pandemic on the clinical training of last year medical students in Mexico: a cross-sectional nationwide study.
机构信息
Faculty of Medicine, Universidad Autónoma del Estado de Morelos, Cuernavaca, Morelos, Mexico.
Department of Biostatistics, University of Washington, Seattle, Washington, USA.
出版信息
BMC Med Educ. 2022 Jan 8;22(1):24. doi: 10.1186/s12909-021-03085-w.
BACKGROUND
The COVID-19 pandemic has brought unprecedented changes to medical education. However, no data are available regarding the impact the pandemic may have on medical training in Mexico. The aim of our study was to evaluate and identify the medical school students' perceptions of the changes in their clinical training due to the pandemic in Mexico.
METHODS
This was a cross-sectional study where a previous validated online survey was translated and adapted by medical education experts and applied to senior medical students from March to April of 2021. The 16-item questionnaire was distributed online combining dichotomous, multiple-choice, and 5-point Likert response scale questions. Descriptive and multivariate analyses were performed to compare the student's perceptions between public and private schools.
RESULTS
A total of 671 responses were included in the study period. Most participants were from public schools (81%) and female (61%). Almost every respondent (94%) indicated it was necessary to obtain COVID-19 education, yet only half (54%) received such training. Students in private schools were less likely to have their clinical instruction canceled (53% vs. 77%, p = 0.001) and more likely to have access to virtual instruction (46% vs. 22%, p = 0.001) when compared to students from public schools. Four out of every five students considered their training inferior to that of previous generations, and most students (82%) would consider repeating their final year of clinical training.
CONCLUSIONS
The impact of the COVID-19 on medical education in Mexico has been significant. Most final-year medical students have been affected by the cancellation of their in-person clinical instruction, for which the majority would consider repeating their final year of training. Efforts to counterbalance this lack of clinical experience with virtual or simulation instruction are needed.
背景
COVID-19 大流行给医学教育带来了前所未有的变化。然而，关于大流行可能对墨西哥医学培训产生的影响，尚无数据。我们的研究旨在评估和确定墨西哥医学生对其临床培训因大流行而发生变化的看法。
方法
这是一项横断面研究，其中之前经过验证的在线调查由医学教育专家翻译成中文并进行改编，然后于 2021 年 3 月至 4 月期间应用于高年级医学生。该 16 项问卷以在线形式分发，结合了二分、多项选择和 5 点 Likert 反应量表问题。对描述性和多变量分析进行了比较，以比较公立和私立学校学生的看法。
结果
在研究期间共纳入了 671 份回复。大多数参与者来自公立学校（81%）和女性（61%）。几乎每个受访者（94%）都表示有必要获得 COVID-19 教育，但只有一半（54%）接受了此类培训。与公立学校的学生相比，私立学校的学生临床指导被取消的可能性较小（53%比 77%，p=0.001），并且更有可能接受虚拟指导（46%比 22%，p=0.001）。每五个学生中有四个认为他们的培训不如前几代人，大多数学生（82%）会考虑重复他们的临床实习最后一年。
结论
COVID-19 对墨西哥医学教育的影响是重大的。大多数高年级医学生的面对面临床指导被取消，对此大多数人会考虑重复他们的临床实习最后一年。需要努力通过虚拟或模拟指导来弥补这一缺乏临床经验的问题。
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