scholarly journals Internal medicine clerkship amidst COVID-19 pandemic: clinical learning experience of undergraduate medical students at Makerere University, Uganda: a cross-sectional study

2020 ◽  
Author(s):  
Felix Bongomin ◽  
Ronald Olum ◽  
Lydia Nakiyingi ◽  
Lalitha Rejani ◽  
Isaac Ssinabulya ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medical Students ◽  
Teaching And Learning ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Clinical Learning ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Medicine Clerkship ◽  
Internal Medicine Clerkship

ABSTRACTBackgroundThe coronavirus-2019 (COVID-19) pandemic continues to impose a significant impact on medical education. We aimed to describe the clinical learning experience of undergraduate medical students undertaking internal medicine clerkship during the COVID-19 pandemic at Makerere University, Uganda.MethodsA descriptive, cross-sectional study among medical students in clinical years of study pursuing the Bachelor of Medicine and Bachelor of Surgery undergraduate degree program was conducted in November 2020. Only 3rd (junior clerks) and 5th (senior clerks) year medical students whose internal medicine clerkships were interrupted by the COVID-19 pandemic were studied.ResultsData of 188 (95%) eligible clinical year students; junior (101, 54.0%) and senior (86, 46.0%) were analysed. Median age was 24 (range: 22-42) years. Majority (70.1%) were male and Ugandan nationals (94.1%). Sixty-four (30.3%) students reported inadequate personal protective equipment, 152 (81.7%) felt at risk of contracting COVID-19, and 127 (67.9%) said it was difficult to observe COVID-19 standard operating procedures. Twenty-two students (11.9%) were discouraged from pursuing a career in internal medicine. Overall, most students reported good or excellent clinical experience pre-COVID-19 era compared to during the COVID-19 era (4.0 vs. 3.5, p<0.0001). Senior clerks significantly believed that the time allocated for the rotation was adequate (p<0.0001) and they were able to complete their study objectives (p<0.001), compared to the junior clerks. Senior clerks believed that learning was difficult when combined with junior clerks (p=0.013). About half of the students (51.4%, n=95) reported clinical teaching should remain as it was in the pre-COVID-19 era.ConclusionsThe COVID-19 pandemic has had a significantly negative effect on the clinical learning experience of the students. There is need to review the current teaching and learning methods to suit teaching and learning during pandemics of highly infectious diseases to ensure safe and effective learning experience.HighlightsNearly half of the medical students reported a negative clinical learning experience during their internal medicine clerkship in the COVID-19 pandemic.Over two-thirds of the participants expressed that it was difficult to observe COVID-19 prevention standard operating procedures during their clinical rotations.Over 80% of the medical students felt at risk of contracting COVID-19 during their clinical rotation.About one-third of the medical students reported inadequacy in personal protective equipment like masks during their rotation.

scholarly journals EXPECTATIONS AND PERCEPTIONS OF UNDERGRADUATE MEDICAL STUDENTS IN OPERATION THEATRE: HOW CAN WE IMPROVE THIS LEARNING EXPERIENCE?

1969 ◽  
Vol 2 (2) ◽  
pp. 172-177
Author(s):  
Manzoor Ali ◽  
Muhammad Hussain ◽  
Samiullah ◽  
Shahkar Ali Khan
Keyword(s):  
Medical Students ◽  
Undergraduate Students ◽  
Care Pathway ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Teaching Staff ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Operation Theatre ◽  
Faculty Expectations

Objective: Most of the experience of students in theatre depends upon the interaction between student andsurgeon, also as a result of the opportunity in taking part in the procedures. Theatre-based learning has littleinherent benefit otherwise. We wished to identify other factors happening in the operation theatre,contributing to this opportunity.Design: This was a cross-sectional study. A questionnaire was designed, which included forced-choice andopen questions. This was given to the undergraduate students of 4th and 5th year MBBS of Saidu MedicalCollege, Swat, who had just finished their surgical attachment.Analysis: Responses from the closed questions were presented as percentages and those from openquestions were identified as themes and the relationship among these further explored.Results: A total of 96 students returned the completed questionnaire. Overall rating was given by 98%, outof which, 39% very good, 7% excellent, 30% good and 22% poor. Thirty five percent felt welcomed inoperation theatre, and 45% students received instructions beforehand. Only 52% students knew beforehand,what operation they are going to see that day. Operation theatre etiquettes were taught to 38% and 40% ofstudents were unclear about the learning objective of attending operation theatre. Unfriendliness of theatrestaff was reported by 48%. 31% stated that they should improve their communication skills and another 44%said that they should leam, how to explain things to undergraduate medical students. The experience wasstressful for 12% and another 39% experienced poor visibility. Student's expectations of learning weremainly focused on acquiring knowledge. Their learning experience varied widely. Students did not feeladequately prepared for getting the most out of this learning opportunityConclusion: The student experience may be distorted by unrealistic expectations of theatre-based learning.Clear and realistic learning objectives, familiarizing the students with the environment, explaining staffroles, involving students in patient's care pathway, faculty expectations being clearly communicated to theclinical teaching staff and most important, the approachability and welcoming behavior of the operationtheatre staff are likely to improve this learning experience.

scholarly journals Factors Associated with Medical Students’ Career Choices Regarding Internal Medicine in Uganda 

2022 ◽  
Author(s):  
Felix Bongomin ◽  
Ronald Olum ◽  
Jonathan Kajjimu ◽  
Andrew Marvin Kanyike ◽  
Linda Atulinda ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Medical Students ◽  
Career Choices ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Undergraduate Medical Students ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated ◽  
Interest In Research

Abstract Background There is an unmet need for internal medicine physicians in Uganda owing to the growing burden of diseases. This study aimed at evaluating the factors associated with career choices of undergraduate medical students regarding internal medicine in Uganda. Methods We conducted a cross-sectional study in the first 3 weeks of October 2021 via WhatsApp messenger. Medical students in the 3rd to 5th year of study who had completed internal medicine clinical rotations and pursuing a Bachelor of Medicine and Bachelor of Surgery (MBChB) degree at 7 Ugandan universities (4 public and 3 private) were enrolled. Multivariable logistic regression model was constructed to determine factors associated with a career choice in internal medicine. Results We enrolled 418 participants, median age 24 (interquartile range (IQR): 23 – 26) years, 67.7% were male, and 36.1% had a family member or relative who was a doctor. Most of the students (84.0%) were interested in research. The top three most preferred specialties were internal medicine (52.6%), surgery (51.2%), and obstetrics & gynaecology (51.0%). Overall, 186 (44.5%) participants reported plans to pursue a Master of Medicine degree in internal medicine. Interest in research was the only factor independently associated with 2.5-fold higher odds of pursuing a career in internal medicine (adjusted odds ratio: 2.5, 95% CI: 1.4 — 4.6, p=0.003). About 73% of the participants strongly agreed that internal medicine requires wide reading. Conclusions There is strong interest to pursue a career in internal medicine among Ugandan medical students. We recommend increase in training opportunities in Internal Medicine especially in view of the growing disease burden and increasing population growth.

scholarly journals Perception of Medical Students Towards COVID-19 Outbreak and Movement Control Order (MCO) in Malaysia and Impact on Education

2021 ◽  
Author(s):  
Mogesh Sababathy ◽  
Aida Hani Mohd Kalok ◽  
Abdul Muzhill Hannaan Abdul Hafizz ◽  
Shalisah Sharip ◽  
Zulkifli Md Zainud ◽  
...  
Keyword(s):  
Medical Students ◽  
Online Teaching ◽  
Teaching And Learning ◽  
Control Measure ◽  
Movement Control ◽  
Cross Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Modes Of Transmission ◽  
Control Order

Abstract Background: A Movement Control Order (MCO) was imposed as a control measure to curb the spread of COVID-19 virus in Malaysia, eventually led to the closing of all public premises including educational institutions nationwide. The purpose of this study is to offer an understanding of undergraduate medical students’ perception towards the occurrence of COVID-19 pandemic, the implementation of MCO and their impacts on education. Methods: A cross-sectional study design was used to collect data from 772 medical students over 2 weeks in September 2020 through an online self-reported survey. Results: In total, 80% of the participants were aware about the COVID-19 outbreak ranging from the modes of transmission, global and local scenario of the pandemic, its seriousness and measures to break the chain of transmission. Conclusions: Majority of them agreed on the implementation of MCO in the country, however it’s reported to have caused psychological and physical distress in various degrees. The present finding also provides evidence of a high prevalence of anxiety and worriness in regard to the teaching and learning process during the MCO and agreed that online teaching is not as effective as face-to-face teaching.

scholarly journals Perceptions of undergraduate medical students regarding the Educational Environment: A Baseline study.

2020 ◽  
Vol 3 (1) ◽  
pp. 11-17
Author(s):  
Saadia Shahzad
Keyword(s):  
Medical Students ◽  
Teaching And Learning ◽  
Cross Sectional Study ◽  
Educational Environment ◽  
Study Data ◽  
T Test ◽  
P Value ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Residential Status

Background: Perception regarding the educational environment in an institute is related to various factors like motivation, satisfaction, and effective learning of medical students. Objective: To determine undergraduate medical students’ perceptions of 1st – final year class, regarding the educational environment in their institute. Methodology: Descriptive cross-sectional study conducted at a private Medical and Dental College in Lahore; during the time period of July 19-Oct 19. A sample of 375 was taken, equally divided among all five classes and across gender & Purposive sampling was applied. The data collection instrument was DREEM Questionnaire. Socio-demographic and variables of DREEM were included in the study. Data was analyzed on SPSS 20 planned as 1) Descriptive statistics, mean and standard deviation for all categories, frequency trends will be noted for total and subunit scores of DREEM 2) Independent sample t-test will be applied to identify gender and residential status-related difference in all subcategories and total score of DREEM 3) ANOVA will be applied to identify variation among all five classes. Results: 163 male and 203 female students participated. DREEM total mean score was 118.44±19.41, and 299(81.7%) had responded to it to be more positive than negative. Independent sample t-test found a significant P-value <0.05 with gender & residential status for total as well as subunit domains of DREEM. One-way ANOVA again showed significant P-values <0.05 for total as well as subunit domains of DREEM. Conclusion: Assessment of the educational environment should be conducted on regular basis as per policy in order to have a successful environment. This will in turn be beneficial for the students as well as the institution in a timely manner; and will definitely help in improving the teaching and learning environment in the institution by taking the necessary actions in weaker areas. Keywords: Educational environment, DREEM, undergraduate, medical student

scholarly journals Measuring the Stressors in Undergraduate Medical Students: A Cross Sectional Study

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Ayesha Sadiq ◽  
Muhammad Furqan Ashraf ◽  
Paris Zakaullah ◽  
Ammara Asghar
Keyword(s):  
Medical Students ◽  
Teaching And Learning ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
First Year ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Medical College ◽  
Related Stress ◽  
Academic Year

Purpose: The purpose of this study is to identify and measure the possible potential stressors among undergraduate medical students and explore the correlation of stress with gender and level of academic year. Methodology: This was a cross sectional, questionnaire-based study to identify and measure possible stressors in undergraduate medical students. This study was conducted from 1stAugust 2016 to 1st September 2016 at Independent Medical College, Faisalabad. A sample size of 243 was calculated using openepi; with a confidence level of 97%. The Medical Student Stressor Questionnaire (MSSQ) was used in this study, which is a validated instrument to identify sources of stress. The items in MSSQ represent 20 possible sources of stress in medical students identified from the literature grouped into six main factors as Academic Related Stressor (ARS), Intrapersonal and Interpersonal Related Stressor (IRS), Teaching and Learning Related Stressor (TLRS), Social Related Stressor (SRS), Drive and Desire Related Stressor (DRS), and Group Activities Related Stressor (GARS). Analysis of data is done using SPSS version 20. Descriptive analysis of levels of stress in all six main factor domains was done, stratified by gender variation and level of academic years and presented as frequency & percentages of subjects having that level of stress. Reliability analysis was also performed to determine the reliability of the MSSQ questionnaire for any demographic variations. Findings: Study proved that the major source of stress experienced by the students was related to academics that was represented by ARS factor, showing the highest mean degree off 2. 0453.Females perceive more stress than males in all domains but no significant correlation found on statistical analysis. Level of academic related stress remains same in all levels of academic years whereas IRS, DRS, TLRS, GARS, SRS related stress levels shows progressive reduction from first year to final year. Implication: Academics related stress is the leading cause of stress in undergraduate medical students, followed by stress related to interpersonal and intrapersonal factors.

scholarly journals Perspectives of Indian medical students on e-learning as a tool for medical education in the country: a quantitative study

2020 ◽  
Vol 7 (9) ◽  
pp. 3610
Author(s):  
Neel N. Lawande ◽  
Trusha D. Kenkre ◽  
Nuala A. Mendes ◽  
Lydia M. Dias ◽  
Amit S. Dias
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Student Perspective ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Indian Medical ◽  
E Learning ◽  
Medical Colleges

Background: In view of the COVID-19 pandemic, medical colleges resorted to e-learning to continue teaching; giving us a unique opportunity to explore the potential of this tool, understand the student perspective, help improve its structure and assess its scope for future use.Methods: A quantitative cross-sectional study was conducted across Indian medical colleges using Google forms. The questionnaire consisted of sections on e-learning experience, technological readiness, effects of COVID-19 on education and attitude towards e-learning.Results: From 32 medical colleges in India, 556 undergraduate medical students participated in the study. The results showed that 93.3% students were exposed to e-learning, from which 99% were introduced to it following the COVID-19 pandemic-imposed lockdown. The study reported the pros and cons of e-learning for medical education. E-learning methods were deemed fit for theory lectures, but wasn’t preferred for clinics and demonstrations. Students believed that e-learning- preferably short live online classes, together with efficient portals, provision of offline videos and discussion of clinical cases- had great scope to support the traditional methods of teaching.Conclusions: According to the students, e-learning has immense potential and is an irreplaceable ally to the traditional method of medical education, even beyond the COVID-19 pandemic.

Awareness of basic life support among undergraduate medical students in Syria, Iraq and Jordan: a cross sectional study

2021 ◽  
Author(s):  
Mohammad Nour Shashaa ◽  
Mohamad Shadi Alkarrash ◽  
Mohammad Nour Kitaz ◽  
Roaa Rhayim ◽  
Mohammed Ismail ◽  
...  
Keyword(s):  
Medical Students ◽  
Basic Life Support ◽  
Life Support ◽  
Clinical Stage ◽  
Sudden Cardiac Arrest ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background Sudden cardiac arrest considers one of the most leading cause for death in all over the world. It is important for all medical students to train basic life support. This study evaluated the awareness of basic life support among medical students. Methods An electronic questionnaire based cross sectional study was conducted in November 2020 among 2114 medical student in Syria, Iraq and Jordan. We evaluated BLS skills according to mean score. A chi-squared test was used to determine if there were differences between those who attended a basic life support course and those who did not. Results 1656 of the participants (78.3%) stated that they did not attend a basic life support course. There was a significant difference between the participants from different countries where the mean score in Syria, Jordan and Iraq was 18.3, 24.3 and 18.8 respectively (p < 0.05). The participants were divided into 3 level according to total score; low (0–12), moderate (13–24) and high (25–37). In total, 18.3%, 72.8% and 8.9% of participants had high, intermediate and low level respectively. Conclusions The overall knowledge of basic life support among medical students is not adequate and need significant improvements. This study showed that an attendance a basic life support course previously had an effect on knowledge level. Hence, there is an urgent need to apply basic life support courses into the pre-clinical stage at universities.

Internet Addiction and the Pattern of Internet Use among Under Graduate Medical Students: A Cross- Sectional Study from North India

2022 ◽  
Author(s):  
Priyanka . ◽  
R K Pal
Keyword(s):  
Medical Students ◽  
Internet Addiction ◽  
Internet Use ◽  
Cross Sectional Study ◽  
North India ◽  
The Internet ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Significance Level

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was  Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA).  The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.

Determining Major Stressors for Students at a Private Medical College in Lahore, Pakistan, Using MSSQ.

2021 ◽  
Vol 15 (9) ◽  
pp. 2880-2886
Author(s):  
Syed Hussain Raza Zaidi ◽  
Sara Mukhtar ◽  
Rahila Yasmeen ◽  
Rehan Ahmed Khan ◽  
Tayyaba Azhar ◽  
...  
Keyword(s):  
Medical Student ◽  
Teaching And Learning ◽  
Well Being ◽  
Cross Sectional Study ◽  
Mental Wellbeing ◽  
Mild Stress ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Medical Undergraduates ◽  
Moderate Stress

Background: Undergraduate medical studies are tough and require long hours of study and thus can lead to significant stress for the students both physically and emotionally. Stress can affect a student’s mental wellbeing and can lead to anxiety, fatigue and depression. Medical undergraduates report a greater level of perceived stress then general population. We need to understand the stressors affecting the health of our students in order to prevent psychological and emotional consequences. Methods: A descriptive cross-sectional study using the Medical student stressor questionnaire (MSSQ) was designed to determine the different stressors that a medical student deals with during their educational career at the University College of Medicine (UCM) at University of Lahore (UOL). Student participation in this study was voluntary. 1st, 2nd and 3rd year MBBS students of UCM were included in the study. The questionnaire has 20 questions that determine the academic, interpersonal & intrapersonal, teaching and learning, social, drive and desire, and group activities related stressors. The students were further asked to answer questions related to their gender, study routine and physical activity. They were also asked about family and social support available to them. SPSS software version 23 was utilized for data analysis. Results: Data revealed that the 2nd and 3rd year students regard academic related stressors as the most bothersome for them, whereas the desire related stressors were regarded by them as causing mild to moderate stress. The remaining four domains were rated as causing only moderate stress. 1st year students graded the academic related stressors as the cause of most stress for them, while the teaching and learning related stressors, interpersonal related stressors and social related stressors were rated less than it. Drive and desire related stressors were regarded as causing mild stress. When we compared the data from all three years, we found that group activates related stressors were regarded as least stressful by 3rd year students. 3rd year MBBS students rated the intrapersonal & interpersonal stressors, social related stressors, drive and desire related stressors and group activity related stressors at a level that was lower than the 1st & 2nd year MBBS students. Conclusions: Academic related stressors and teaching and learning related stressors were rated as being most stressful by students of all three years. Institutions should take to make the learning environment less stressful for the students as continued stress can adversely affect the health and mental well-being of the students. Keywords: Undergraduate Medical Students, Stress, Medical student stressor questionnaire (MSSQ)

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