Department of Clinical Skills & Simulation Center, International Medical University, Kuala Lumpur, Malaysia.
IMU Center for Education, International Medical University, Kuala Lumpur, Malaysia.
Korean J Med Educ. 2022 Jun;34(2):95-106. doi: 10.3946/kjme.2022.222. Epub 2022 May 31.
The impact of the coronavirus disease 2019 crisis on medical education includes reduced clinical training, a significant loss of learning time and a probable decline in confidence of being a doctor. These recent changes will have significant effect on the well-being of medical students and interventional support needs to be given early. This study explores the challenges faced and coping strategies used by preclinical medical students during the crisis.
A qualitative study involving 13 preclinical medical students was conducted between August and September 2020 at a medical school in Malaysia. An in-depth individual interview via Microsoft Teams (Microsoft Corp.) with semi-structured questions was conducted. The recorded interview data were thematically analyzed using the six phases of Braun and Clarke's Thematic Analysis.
The challenges faced were identified under three themes: psychosocial impact of lockdown, significant lifestyle changes, and impact on professional progression. Meanwhile, four themes emerged in coping strategies that include behavioral strategies, re-appraisal of the uncertainties of situation, active coping mechanisms, and regulation of emotion with coping reserve. There are indications that personality traits determine strategies to cope with challenges faced during the crisis which may either lead to resilience building or experiencing burnout.
The findings of the study highlighted the urgent need to develop early preventive and intervention strategies to address the mental health of medical students to mitigate stress and promote positive well-being in times of crisis.
2019 年冠状病毒病危机对医学教育的影响包括临床培训减少、学习时间大量流失以及医生自信心可能下降。这些近期的变化将对医学生的福祉产生重大影响，因此需要及早提供干预支持。本研究探讨了临床前医学生在危机期间所面临的挑战和应对策略。
2020 年 8 月至 9 月，在马来西亚的一所医学院进行了一项涉及 13 名临床前医学生的定性研究。通过 Microsoft Teams（微软公司）进行了深度的个人访谈，采用半结构化问题。使用 Braun 和 Clarke 的主题分析的六个阶段对录制的访谈数据进行了主题分析。
所面临的挑战确定为三个主题：封锁的心理社会影响、生活方式的重大变化以及对专业进展的影响。同时，应对策略中出现了四个主题，包括行为策略、对不确定情况的重新评估、积极的应对机制以及用应对储备调节情绪。有迹象表明，人格特质决定了应对危机期间面临的挑战的策略，这可能导致韧性的建立或经历倦怠。
研究结果强调迫切需要制定早期预防和干预策略，以解决医学生的心理健康问题，减轻压力，在危机时期促进积极的幸福感。
