Impact of the first COVID-19 lockdown on study satisfaction and burnout in medical students in Split, Croatia: a cross-sectional presurvey and postsurvey

ObjectivesTo evaluate the impact of the first COVID-19 lockdown in 2020 on the burnout and study satisfaction of medical students.DesignA cross-sectional study with a presurvey and postsurvey.SettingUniversity of Split School of Medicine (USSM), Split, Croatia. The lockdown in the COVID-19 pandemic lasted from late March to mid-May 2020. There was a full switch to e-learning at the USSM during this period, and all clinical teaching was stopped.ParticipantsStudents enrolled in the 2019/2020 academic year. Data were collected before lockdown in December 2019 and January 2020 and again after the end of lockdown in June 2020.Primary and secondary outcome measuresStudy satisfaction was assessed using the study satisfaction survey. Burnout was assessed using two instruments: Oldenburg Burnout Inventory and Copenhagen Burnout Inventory. We used Bayesian statistics to compare before-and-after differences.Results437 independent responses (77.2% response rate) were collected before and 235 after lockdown (41.5% response rate). 160 participant responses were eligible for pairing. There was no significant difference for both paired and unpaired participants in study satisfaction before (3.38 on a 1–5 scale; 95% credible interval (95% CrI) 3.32 to 3.44) and after (3.49, 95% CrI 3.41 to 3.57) lockdown. We found no evidence (Bayes factor (BF10) >3.00 as a cut-off value) for an increase in the level of burnout before and after lockdown, both in independent and paired samples.ConclusionsIt seems that the first pandemic-related lockdown and a switch to e-learning did not affect burnout levels among medical students or their perception of their study programme. More insight is needed on the short-term and long-term effects of the COVID-19 pandemic on medical students and their education. Well-structured longitudinal studies on medical student burnout during the COVID-19 pandemic are needed.

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Replicating Anatomical Teaching Specimens using 3D Modelling Embedded within a Multimodal E-Learning Course: A Pre/Post Study Exploring the Impact on Medical Education during COVID-19 (Preprint)

10.2196/preprints.30533 ◽

2021 ◽

Author(s):

Chelsea Stunden ◽

Sima Zakani ◽

Avery Martin ◽

Shreya Moodley ◽

John Jacob

Keyword(s):

Medical Students ◽

Learning Outcomes ◽

Test Scores ◽

Student Attitudes ◽

Congenital Heart ◽

Secondary Outcome ◽

First Year ◽

Undergraduate Medical Students ◽

E Learning ◽

The Impact

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has had significant effects on anatomy education. During the pandemic, students have had no access to cadavers, which has been the principal way of learning anatomy. We created and tested a customized congenital heart disease e-learning course for medical students that contained interactive 3D models of anonymized pediatric congenital heart defects. OBJECTIVE To assess if a multimodal e-learning course contributed to learning outcomes in a cohort of first year undergraduate medical students study congenital heart diseases. Secondarily, we assess student attitudes and experiences associated with multimodal e-learning. METHODS The pre/post study design involved 290 first year undergraduate medical students. Recruitment was conducted through the course instructors. Data were collected before using the course and after using the course. The primary outcome was knowledge acquisition (test scores). The secondary outcome included attitudes and experiences, as well as time to complete the modules, and browser metadata. RESULTS A total of 141 students were included in the final analysis (N=141). Students’ knowledge significantly improved by an average of 44.6% when using the course (SD 1.73, Z = -10.287, p < 0.001). 88.26% of students were highly motivated to learn with the course and 93.5% of students reported positive experiences with the course. There was a strong correlation between attitudes and experiences, which was statistically significant (rs = 0.687, p<0.001, N = 122). There were no relationships found between change test scores and attitudes or experiences (p>0.05). Students most frequently completed the e-learning course with Chrome (77.3%), and on Apple MacOS (61.0%) or Windows 10 (36.9%). Most students had devices with high-definition screens (83.0%). Most students (58.9%) completed the course in under 3 hours. CONCLUSIONS Multi-modal e-learning could be a viable solution to improving learning outcomes and experiences for undergraduate medical students, who do not have access to cadavers. Future research should focus on validating long-term learning outcomes. CLINICALTRIAL n/a

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Knowledge and Attitudes Towards First Aid Measures Among Medical Students at Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2018.18.04.013 ◽

2019 ◽

Vol 18 (4) ◽

pp. 507

Author(s):

Abdulrahman Alshuwayrikh ◽

Abdulrahman Aljethaily ◽

Faris Alosaimi ◽

Osama Alshaya ◽

Abdullah Alasmari ◽

...

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Response Rate ◽

First Aid ◽

Cross Sectional Study ◽

Attitude Score ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Validated Questionnaire ◽

Significant Difference

Objectives: This study aimed to evaluate knowledge and attitudes towards first aid (FA) measures among medical students at the Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. Methods: This cross-sectional study was conducted between September and December 2016 among 600 medical students in different academic years at Al-Imam Mohammad Ibn Saud Islamic University. Knowledge and attitudes towards FA measures were evaluated using a modified version of a previously validated questionnaire. Data were compared between students with previous FA training and those without previous FA training. Results: A total of 259 medical students were included (response rate: 43%). Of these, 43% had previously received FA training and 63% had witnessed an emergency first-hand. Mean theoretical (5.93 ± 2.50 versus 4.49 ± 2.08; P <0.001) and practical (4.29 ± 2.62 versus 2.90 ± 2.17; P <0.001) knowledge scores were significantly higher among students with previous FA training compared to those without training; however, there was no significant difference in mean attitude score (5.60 ± 1.66 versus 5.39 ± 1.66; P = 0.329). Conclusion: The medical students, particularly those without previous FA training, demonstrated weak levels of FA knowledge. Such findings necessitate the inclusion of FA training in medical curricula in Saudi Arabia.Keywords: First Aid; Emergency Treatment; Medical Education; Knowledge; Attitudes; Saudi Arabia.

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Increase of internalized mental health symptoms among adolescents during the last three decades

European Journal of Public Health ◽

10.1093/eurpub/ckz028 ◽

2019 ◽

Vol 29 (5) ◽

pp. 925-931 ◽

Cited By ~ 1

Author(s):

Ida Blomqvist ◽

Eva Henje Blom ◽

Bruno Hägglöf ◽

Anne Hammarström

Keyword(s):

Mental Health ◽

Conduct Problems ◽

Internalizing Symptoms ◽

Response Rate ◽

Self Report ◽

Mental Health Symptoms ◽

Cross Sectional ◽

Health Symptoms ◽

Significant Difference ◽

The Impact

Abstract Background Previous studies suggest an overall increase of adolescent mental health symptoms globally since the 1980s until today, especially an increase of internalizing symptoms in girls. Due to methodological limitations of these studies, further studies are warranted to obtain a more solid knowledgebase. Methods This study was cross-sectional and compared two separate but geographically identical groups of adolescents in a middle-sized industrial municipality in Northern Sweden at two time-points [(i) 1981, n = 1083, (505 girls, 577 boys), response rate 99.7%; (ii) 2014, n = 682, (338 girls, 344 boys), response rate 98.3%]. All students in their last year of compulsory school were included. The same self-report questionnaire, consisting of four sub-scales (functional somatic-, anxiety-, depressive symptoms and conduct problems), was used at both occasions. Data were analyzed with descriptive statistics, two-way ANOVA and general linear model. Results Symptoms of anxiety and depression and functional somatic symptoms, increased among both boys and girls from 1981 until 2014 (P < 0.001 for all subscales), and the increase of these symptoms was higher in girls. Conduct problems were significantly higher in boys in 1981 and decreased over time so that in 2014 there was no longer a significant difference between boys and girls regarding conduct problems (P = 0.286). Conclusion In this population-based study spanning over 30 years, both girls and boys showed increasing internalizing problems, while conduct problems decreased. To halt this trend, we need a deeper understanding of the impact of the major societal changes that have occurred during the last three decades.

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Establishing and evaluating a Balint group for fourth-year medical students at an Irish University

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2019.28 ◽

2019 ◽

Vol 37 (2) ◽

pp. 99-105 ◽

Cited By ~ 1

Author(s):

Sorcha McManus ◽

David Killeen ◽

Yvonne Hartnett ◽

Gearoid Fitzgerald ◽

Kieran C. Murphy

Keyword(s):

Medical Students ◽

Qualitative Assessment ◽

Self Reflection ◽

Balint Groups ◽

Resilience Scale ◽

Significant Difference ◽

Before And After ◽

Fourth Year Medical Students ◽

Balint Group ◽

The Impact

ObjectiveThe study was designed to establish and evaluate the impact of a 6-week Balint group on empathy and resilience in fourth-year medical students during their psychiatry rotation.MethodologyThis prospective study used the Jefferson Scale of Empathy – Student Version and the Brief Resilience Scale before and after 6-week Balint groups. Participating students also completed a qualitative assessment of their experience.ResultsStudents who participated were enthusiastic regarding the value of Balint groups in promoting self-reflection and gaining insight into self- and patient-care dynamics. There was a significant difference in empathy scores pre- and post-Balint intervention. There was no significant difference in resilience scores.ConclusionThe establishment of a 6-week Balint group for fourth-year medical students was successful in increasing empathy. Students reported a positive view of Balint and its beneficial role in this study group.

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Effect of clinical rotation on attitude of medical students towards psychiatry and mental patients: a cross-sectional study from Western Rajasthan

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213919 ◽

2021 ◽

Vol 9 (10) ◽

pp. 2981

Author(s):

Aditi Agrawal ◽

Sanjay Gehlot ◽

Ashok Singhal ◽

Amandeep .

Keyword(s):

Mental Illness ◽

Medical Students ◽

Cross Sectional Study ◽

Mental Illnesses ◽

Urban Setting ◽

Sectional Study ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

Significant Difference ◽

The Impact

Background: People with mental illnesses experience extreme stigmatization and discrimination despite their ubiquitous presentation. Studies have reported that these negative stereotypes are shared by health care professionals too. Attitude of undergraduate medical students towards psychiatry is vital as it reflects their willingness to deal with psychiatric and behavioral disorders in general practice.Methods: A descriptive cross-sectional study was conducted in a government medical college in Rajasthan to explore the impact of sociodemographic variables and undergraduate psychiatry training on the attitude of medical students towards mental illness and psychiatry. 105 first year MBBS students and 75 interns participated in the study. Attitude towards mental illness (AMI) scale and attitude towards psychiatry-30 (ATP-30) scale were used to document AMI and ATP respectively. Data collected were analyzed using SPSS statistical software and appropriate tests were used to compare mean scores of both groups.Results: There was no statistically significant difference on AMI and ATP scores between the undergraduate medical students and interns. Females, students belonging to urban setting and more educated families had a favorable attitude towards psychiatric patients. A notable shift in scores on ATP scale towards positive side was reflected between male MBBS students and interns and among students coming from rural background with exposure to medical curriculum.Conclusions: No attitude change was observed in majority of participants indicating need for greater emphasis on mental health and psychiatry.

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Exploring attitudes of medical students towards intellectual disabilities

Advances in Mental Health and Intellectual Disabilities ◽

10.1108/amhid-01-2020-0002 ◽

2020 ◽

Vol 14 (5) ◽

pp. 125-136

Author(s):

Rubab Abdi ◽

Elizabeth Metcalf

Keyword(s):

Medical Students ◽

Intellectual Disabilities ◽

Student Attitudes ◽

Patient Contact ◽

Teaching Session ◽

Content Type ◽

Significant Difference ◽

Before And After ◽

Inclusive Teaching ◽

The Impact

Purpose This paper aims to determine whether an inclusive teaching session changes student attitudes towards people with intellectual disabilities (ID). To investigate the impact of an inclusive teaching session in terms of student perceptions. Design/methodology/approach 66 years 4 students at Cardiff University completed the attitudes towards disabled people form B questionnaire (ATDP-B) before and after a communication skills session on ID. Before and after scores were collated and compared using a paired t-test analysis. Common perceptions were identified using anonymised ATDP-B results to conduct five semi-structured interviews and one focus group with nine students. The common perceptions were discussed, alongside how the teaching session tackled them and suggestions for further improvements. Findings Mean ATDP-B score before the teaching session was 115 (SD = 14.5). Mean ATDP-B score after the teaching session was 122 (SD = 17.2). The teaching session improved scores in the ATDP-B by a mean of 6.92 (4.69, 9.16). A paired t-test found this to be a statistically significant difference, t(65) = 6.20, p < 0.001. Qualitative data was thematically analysed and three main themes were identified: Student identity, patient contact and curriculum content. Originality/value This is the first study to investigate the origin of the negative attitudes of medical students, and found they stem from a lack of confidence in their abilities and failure to develop a professional identity. The impact of the teaching session stems from its focus on meaningful patient contact and identifying and overcoming communication barriers.

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Impact of pandemic control measures on physical activities and sedentary behaviour of medical students in Kozhikode

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213026 ◽

2021 ◽

Vol 8 (8) ◽

pp. 3946

Author(s):

Ajith S. K. ◽

Alan Gangadaran ◽

Prabin Pradeep ◽

Pranav K. Purushothaman ◽

Jayakrishnan Thayyil

Keyword(s):

Medical Students ◽

Sedentary Behaviour ◽

Control Measure ◽

Psychological Impact ◽

Physical Activities ◽

Control Measures ◽

Cross Sectional ◽

Medical College ◽

Before And After ◽

The Impact

Background: For a highly contagious disease like COVID-19, restriction of movement and public gatherings is an age-old control measure. But these measures can have some physical and psychological impact on people. This study aimed at investigating the impact of such restrictions on the physical activities (PA) and sedentary behaviour (SB) of students at a medical college in Kozhikode. The objective was to find out the changes in PA and SB among the medical students at government medical college, Kozhikode before and after COVID-19 restrictions.Methods: Cross-sectional study was conducted using modified WHO GPAQ questionnaire sent as google form to potential candidates through whatsapp messenger. Collected data were analysed using Microsoft excel software and statistical comparison was done using the paired t test. Quantitative data was expressed as mean and SD and qualitative data as percentage.Results: The average BMI of the candidates was 21.1 kg/m2 and 21.7 kg/m2 pre and post COVID-19 restrictions, respectively. The PA was 1790.2 and 1445.4 MET minutes before and after the period of study. There is significant reduction in PA (p=0.033) and increment in SB (p<0.01). Weight gain was significant in females (p=0.02).Conclusions: There was decline in the total PA and increase in SB significantly post restriction. There was also an increase in the self-reported weight and BMI of medical students. Almost half of the students made effort to change their physical activity pattern indicating their awareness of increasing SB.

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The Effectiveness of Online Education in Basic Medical Sciences Courses during the COVID-19 Pandemic in Saudi Arabia: Cross-Sectional Study

Sustainability ◽

10.3390/su14010224 ◽

2021 ◽

Vol 14 (1) ◽

pp. 224

Author(s):

Mohamed A. Alblihed ◽

Syed Moyn Aly ◽

Ashraf Albrakati ◽

Ahmed Fathy Eldehn ◽

Shaimaa Ahmed Awad Ali ◽

...

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Online Education ◽

Blended Learning ◽

Student Perception ◽

Dental Students ◽

Educational Process ◽

Cross Sectional ◽

Significant Difference ◽

The Impact

Coronavirus-19 (COVID-19) is an emerging pandemic that has caused significant disruptions to education, resulting in marked scholar closures across the world. The present study documents the student perception of the online educational process at six universities in Saudi Arabia during the COVID-19 lockdown period. The individual variable factors, i.e., institution, sex, and blended learning, that might influence student perception were also investigated. In this respect, a questionnaire that assessed the impact of COVID-19 on the online learning process and student perception was emailed to a total of 17,230 students from 3 institutions (medical, applied health and dental students) affiliated with six universities in Saudi Arabia. Principal component analysis (PCA) was performed to determine the validity of the questionnaire. A total of 4850 (28%) students responded to the questionnaire and 46.9% (n = 2275) of the respondents were highly satisfied with their online education. Analyses of the scores from the students showed a highly significant difference (p = 0.000) between the male and female students. Applied health students (highly satisfied score = 63.13) were the most satisfied with their online education, while medical students (highly satisfied score = 39.3) were the least satisfied with this education. In addition, applied health, dental and medical students showed a significantly higher score in favor of blended learning after schools re-open (p = 0.000). Collectively, student satisfaction with online education was common, and blended learning was preferred over the traditional format by both genders and all the students. The present data provide interesting contributions and evidence for policy makers and implementers, which might be helpful for the judgment side of decision making.

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Impact of traumatic perinatal events on burnout rates among midwives

Occupational Medicine ◽

10.1093/occmed/kqaa156 ◽

2020 ◽

Vol 70 (8) ◽

pp. 602-605

Author(s):

Z Amir ◽

A J Reid

Keyword(s):

Response Rate ◽

Traumatic Event ◽

Maternity Hospital ◽

Cross Sectional Study ◽

Tertiary Referral ◽

Cross Sectional ◽

Work Related ◽

Significant Difference ◽

The Impact ◽

Negative Linear Relationship

Abstract Background Little is known about the prevalence of burnout among Irish midwives and how traumatic perinatal events in work contributes to this. Aims To establish the prevalence of burnout among midwives in Ireland and whether exposure to traumatic perinatal events in work contributes to this. Methods A cross-sectional study utilizing a designed questionnaire was carried out in a tertiary-referral maternity hospital involving all clinical midwives (n = 248). Demographic details and frequency of perinatal events deemed traumatic were recorded. The extent of distress was documented on two visual analogues read in combination to reflect the impact of the distressing events. Burnout severity was assessed using the Copenhagen Burnout Inventory. Results The response rate was 55% (n = 137). Mean scores for personal, work-related and patient-related burnout were 56.0, 55.9 and 34.3, respectively. Over 90% of respondents experienced exposure to a traumatic event in work in the previous year, with 58% reporting a frequency of monthly or greater. No significant relationship was demonstrated between frequency of trauma and burnout; however, the extent of distress experienced was positively related to burnout in each domain (R2 = 0.18, 0.15 and 0.09, respectively, P < 0.01). A modest negative linear relationship exists between personal and work-related burnout and increasing age (ρ = −0.25 and −0.27, P < 0.01). A significant difference in work-related burnout score was evident between midwives with less experience and more experienced colleagues (P < 0.01). Conclusions Burnout is common among midwives. Exposure to discrete traumatic perinatal events experienced by women under their care contributes to this.

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Digital Vision Syndrome (DVS) Among Medical Students During Covid-19 Pandemic Curfew

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3557 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 1128-1133

Author(s):

Niveditha K P ◽

Dheepak Sundar M

Keyword(s):

Medical Students ◽

Screen Time ◽

Undergraduate Medical Students ◽

Digital Device ◽

Cross Sectional ◽

Dry Eyes ◽

Display Devices ◽

Significant Difference ◽

Before And After ◽

Level Of Significance

In the present era, mobiles and other digital display devices have become an essential part of our daily life. But due to the COVID-19 pandemic curfew, the use of digital gadgets has increased many folds, with direct proportion to increased health risks, especially eyes. In this study, we aim to assess the prevalence, risk factors and symptomatology of Digital vision syndrome (DVS) among medical students during the COVID-19 lockdown. This is a descriptive cross-sectional questionnaire-based study. The undergraduate medical students were asked to fill an electronic self-administered survey. The survey included questions regarding their digital device usage before and after the curfew and various factors related to DVS. Among 250 medical students during this lockdown period, it was observed the screen time or hours spent on using a digital screen by the respondents increased significantly in the 2-3 hours and 3-4 hours category and a significant difference (p=0.000) was observed in 1% level of significance in pre and post lockdown. No significant change was observed in the type and illumination of gadgets used. Around 60% of the students were in intensive lockdown, and up to 51% of the students felt the upsurge in DVS symptoms. Nearly 82.3% of students experienced one or more symptoms of DVS. The most commonly reported symptom was headache which shot up after the lockdown to 51.6% from 32.7%. It was followed by eye strain and dry eyes, which increased from 19.5% to 40.3% and 10% to 21% respectively after curfew. During the COVID-19 pandemic lockdown, there appeared to be an exacerbated increase in DVS symptoms among medical students, one of the leading reasons being increased screen time. A significant association was found between the rise in symptoms and intensive lockdown.

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