Tsiartas E, Kontopyrgou D, Kyprianou H, Haidich A B, Dardavessis T
Department of Hygiene, Social & Preventive Medicine, and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Hippokratia. 2022 Apr-Jun;26(2):55-61.
Medical education was widely affected by the Coronavirus disease 2019 (COVID-19) pandemic. Long-distance learning was implemented over the traditional educational paradigm. Clinical clerkships were canceled, and evaluation methods were altered. This study aims to assess this multifaceted impact on the Greek undergraduate medical community.
A cross-sectional survey study was conducted. All undergraduate medical students at Greek Universities were addressed using social media. The data were post-stratified according to the population's male-to-female ratio and underwent descriptive and inferential statistical analysis. Associations were determined using chi-square and Fisher's exact test. A linear regression model was developed to investigate the factors that contributed to the overall impact of the pandemic on medical education.
A total of 905 responses were analyzed, representing 9.8 % of Greece's medical students. Most reported decreased duration of laboratory (n =711, 78.5 %) and clinical (n =526, 96.7 %) practice. The majority stated that their ability to perform practical skills was affected negatively (n =805, 89.0 %). The impact on student's education was positively associated with their psychological impact. Therefore, a more negative effect on the student's education was observed on those whose psychology was affected more negatively [β =0.49, 95 % confidence interval (CI): 0.40, 0.58, p <0.001). Additionally, the pandemic's overall impact on medical education was much more unfavorable for the clinical than the pre-clinical students (β =-0.30, 95 % CI: -0.40, -0.20, p <0.001).
This study's findings agree that the COVID-19 pandemic has severely impacted the education and personal life of medical students, especially in the advanced years. An insight into their specific needs to overcome the impact on their education is provided. The necessity of future mitigating actions is underlined. Emphasis should be given to clinical skills and enhancing the students' adaptive behavior to attenuate the consequences on their psychology, social life, and future healthcare provider careers. HIPPOKRATIA 2022, 26 (2):55-61.
2019年冠状病毒病（COVID-19）大流行对医学教育产生了广泛影响。远程学习取代了传统教育模式。临床实习被取消，评估方法也发生了改变。本研究旨在评估这一多方面影响对希腊本科医学群体的作用。
开展了一项横断面调查研究。通过社交媒体对希腊各大学的所有本科医学生进行了调查。数据根据人群的男女比例进行事后分层，并进行描述性和推断性统计分析。使用卡方检验和费舍尔精确检验确定关联性。建立了线性回归模型以研究导致大流行对医学教育产生总体影响的因素。
共分析了905份回复，占希腊医学生的9.8%。大多数人报告实验室实习（n = 711，78.5%）和临床实习（n = 526，96.7%）的时长减少。大多数人表示他们进行实践技能的能力受到了负面影响（n = 805，89.0%）。对学生教育的影响与他们的心理影响呈正相关。因此，在那些心理受到更负面影响的学生中，观察到对其教育的负面影响更大[β = 0.49，95%置信区间（CI）：0.40，0.58，p < 0.001]。此外，大流行对医学教育的总体影响对临床医学生比对临床前医学生更不利（β = -0.30，95% CI：-0.40，-0.20，p < 0.001）。
本研究结果表明，COVID-19大流行严重影响了医学生的教育和个人生活，尤其是高年级学生。提供了对他们克服教育影响的具体需求的洞察。强调了未来采取缓解行动的必要性。应重视临床技能并增强学生的适应行为，以减轻对他们心理、社会生活和未来医疗保健提供者职业的影响。《希波克拉底》2022年，26（2）：55 - 61。
