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2019冠状病毒病对医学生学习行为、临床培训、未来医学专业人员表现及感知压力的影响:一项横断面网络调查

Impact of COVID-19 on Medical Students' Learning Behaviours, Clinical Training, Performance as Future Medical Professionals, and Perceived Stress: A Cross-Sectional Web Survey.

作者信息

Sa Bidyadhar, Rafeek Reisha N, Ali Asilah, Smith Aviel, Wickham Avonell, Johnston Bakhita, Stowe Betricia, Cross Brandon, Seenath Brandon, Rajkumar Brent, Seemungal Terence

机构信息

Centre for Medical Sciences Education, Faculty of Medical Sciences, The University of the West Indies, Mount Hope, TTO.

School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, Mount Hope, TTO.

出版信息

Cureus. 2025 Mar 31;17(3):e81540. doi: 10.7759/cureus.81540. eCollection 2025 Mar.

Abstract

INTRODUCTION

The COVID-19 pandemic prompted the implementation of online education worldwide but the impact on medical student learning in the Caribbean is unclear.

AIM

The study aims to assess the impact of COVID-19 on medical students' learning behaviours, clinical training, perception of performance as future medical professionals, and perceived stress.

METHODS

A cross-sectional web survey on selected variables, utilising purposive sampling amongst all year four and year five undergraduate medical students in the University of the West Indies in Trinidad was conducted. Quantitative data was examined using χ2, Median (IQR) and qualitative information from open-ended questions was integrated with the presentation of the results.

RESULTS

A total of 145 medical students responded of which 114 (78.6%, p<0.01) indicated that online learning strategies had brought a change in their learning behaviours and 136 (93.8%, p<0.01) respondents indicated that COVID-19 had affected the quality of their training, in most cases negatively. In the perception of future career performance, 90 (62.1%, p<0.01) respondents indicated that they felt a lack of preparation for working as a physician at the end of their training. It was found that 137 (94.5 %, p<0.01) fell into the moderate to high stress category.

CONCLUSIONS

COVID-19 had a significant impact on learning behaviours, clinical training and perception of performance in future career. Moderate to high levels of stress were observed among these students. These findings underscore the need for medical schools to adopt hybrid models that balance online education with practical clinical exposure to mitigate learning and psychological challenges experienced during the pandemic.

摘要

引言

新冠疫情促使全球实施在线教育,但对加勒比地区医学生学习的影响尚不清楚。

目的

本研究旨在评估新冠疫情对医学生学习行为、临床培训、对未来医学职业表现的认知以及感知压力的影响。

方法

对特立尼达西印度群岛大学所有四年级和五年级本科医学生进行了有目的抽样,就选定变量开展了一项横断面网络调查。使用卡方检验、中位数(四分位间距)对定量数据进行分析,并将开放式问题的定性信息纳入结果呈现。

结果

共有145名医学生做出回应,其中114名(78.6%,p<0.01)表示在线学习策略改变了他们的学习行为,136名(93.8%,p<0.01)受访者表示新冠疫情影响了他们的培训质量,在大多数情况下产生了负面影响。在对未来职业表现的认知方面,90名(62.1%,p<0.01)受访者表示他们觉得在培训结束时缺乏成为医生的准备。结果发现,137名(94.5%,p<0.01)学生属于中度至高度压力类别。

结论

新冠疫情对学习行为、临床培训以及对未来职业表现的认知产生了重大影响。在这些学生中观察到中度至高度压力水平。这些发现强调医学院校需要采用混合模式,平衡在线教育与实际临床接触,以减轻疫情期间经历的学习和心理挑战。

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