Knowledge, attitudes, social responsibilities and  career plans toward Corona Virus Disease 2019 (Covid-19)  among Chinese clinical medical students

2020 ◽  
Author(s):  
Haojun Yang ◽  
Yue Zheng ◽  
Fang Yu ◽  
Bohao Cheng ◽  
Ziqing Zhu ◽  
...  
Keyword(s):  
Medical Students ◽  
Education Reform ◽  
Career Planning ◽  
Virus Disease ◽  
Clinical Manifestations ◽  
Clinical Learning ◽  
Learning Stage ◽  
Social Responsibilities ◽  
Basic Learning ◽  
Better Than

Abstract Purpose: To assess knowledge, attitudes and social responsibilities toward Covid-19 among Chinese clinical medical students. Method: Self-administered questionnaires were used to collect data for 889 clinical medical students from 3 well-known Chinese medical universities. The questionnaire was comprised of three domains which consisted of 7 items for knowledge, 5 items for attitudes and social responsibilities and 4 items for career planning. Results: It was found that 47.2%, 46.9% of the clinical medical students were willing to be volunteers in Hubei Province or stick to their own hospitals if they had been back to work, mainly because of responsibilities of doctors(92.7%). About 74.1% of the participants had a clear career plan for the future. 12.5% of the participants preferred several departments with the heaviest workload during the outbreak(Department of infectious disease, 1.2%; Department of respiration, 3.6%; ICU or emergency, 7.7%). Besides, students at clinical learning stage mastered better than basic learning students in the knowledge of Covid-19 especially in clinical manifestations(p < 0.001). There were significant differences between graduated and new-enrolled medical students in the attitudes of becoming a front-line doctor of Wuhan and the professional happiness of doctors(p < 0.001). Conclusions: Students at clinical learning stage mastered better than basic learning students in the knowledge of Covid-19 especially in clinical manifestations. The expectations of professional happiness and social responsibilities in new-enrolled clinical medical students were higher than those in graduated medical students which could be easily influenced and had no relation with different clinical major. Therefore, future strategies for medical education reform in China should focus on keeping the professional identity and sense of belonging of medical students.

Discussion on the Influence and Enlightenment of Corona Virus Disease 2019 (COVID-19) on Medical Students in China (Preprint)

2020 ◽  
Author(s):  
Hong Wan ◽  
Yujie Tu ◽  
Yu Fu ◽  
Zhao Yan ◽  
Yalin Chen ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Student ◽  
Medical Students ◽  
Education Reform ◽  
Clinical Medicine ◽  
Virus Disease ◽  
First Line ◽  
Medical Education Reform ◽  
The Future ◽  
New Ideas

UNSTRUCTURED COVID-19 spread in Wuhan in January 2020 and the whole country worked together to fight the epidemic. Up to now, more than 80,000 people have been diagnosed, and more than 40,000 medical staffs have assisted first-line rescue in Wuhan. As a reserve force for clinical medicine, medical students bear the heavy responsibility of future medical development. The author, as a medical student, has considered carefully about facing the present and looking forward to the future after this epidemic. The author mainly discusses about the influence of COVID-19 on medical students and its enlightenment on medical students and medical education reform in this paper, and hopes to resonate with medical students and provide some new ideas for future medical education reform.

scholarly journals Utilization of high-fidelity simulation to address challenges with the basic science immunology education of preclinical medical students

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marie Cavuoto Petrizzo ◽  
Maria-Louise Barilla-LaBarca ◽  
Youn Seon Lim ◽  
Artemio M. Jongco ◽  
Michael Cassara ◽  
...  
Keyword(s):  
Medical Students ◽  
Education Reform ◽  
Medical School ◽  
Clinical Reasoning ◽  
Basic Science ◽  
Clinical Medicine ◽  
Clinical Manifestations ◽  
Primary Immunodeficiency Disease ◽  
Theory And Practice ◽  
Science Content

Abstract Background Immune function and dysfunction are highly complex basic science concepts introduced in the preclinical medical school curriculum. A challenge for early learners is connecting the intricate details and concepts in immunology with clinical manifestations. This impedes relevance and applicability. The impetus in medical education reform is promoting consolidation of basic science and clinical medicine during the first two years of medical school. Simulation is an innovation now widely employed in medical schools to enhance clinical learning. Its use in basic science curriculums is largely deficient. The authors piloted simulation as a novel curricular approach to enhance fundamental immunology knowledge and clinical integration. Methods The authors introduced a Primary Immunodeficiency Disease (PIDD) simulation during a basic science immunology course for second-year medical students at the Zucker School of Medicine at Hofstra/Northwell. The simulation tasked small groups of students with evaluating, diagnosing and managing an infant with previously undiagnosed immunodeficiency. Joint facilitation by clinical and science faculty during terminal debriefings engaged students in Socratic discussion. Debriefing aimed to immerse basic science content in the context of the clinical case. Students completed a post-simulation Likert survey, assessing utility in reinforcing clinical reasoning, integration of basic science and clinical immunology, enhanced knowledge and understanding of immunodeficiency, and enhanced learning. A summative Immunodeficiency Objective Structured Clinical Examination (OSCE) question was created by faculty to assess students’ recognition of a PIDD and clinical reasoning. Results The simulation was well received by students with > 90% endorsing each of the objectives on the post-simulation survey. The authors also determined a statistically significant score variance on the summative OSCE question. Higher scores were achieved by the cohort of students completing the OSCE post-simulation versus the cohort completing the OSCE pre-simulation. Conclusions The innovative use of simulation in a highly complex basic science immunology course provides relevance and consolidation for preclinical learners. Additional data will be collected to continuously assess application of concepts and proficiency stemming from this novel curricular intervention. The authors advocate the initiation and/or expansion of simulation in non-clinical basic science courses such as immunology to bridge the gap between theory and practice.

scholarly journals Knowledge, Attitudes, and Social Responsiveness Toward Corona Virus Disease 2019 (COVID-19) Among Chinese Medical Students—Thoughts on Medical Education

2021 ◽  
Vol 8 ◽  
Author(s):  
Haojun Yang ◽  
Yue Zheng ◽  
Fang Yu ◽  
Bohao Cheng ◽  
Ziqing Zhu ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Clinical Skills ◽  
Clinical Manifestations ◽  
Social Responsiveness ◽  
Learning Stage ◽  
Chinese Medical Students ◽  
Group A ◽  
Group B ◽  
Group D

Purpose: To assess knowledge, attitudes, and social responsiveness toward COVID-19 among Chinese medical students.Methods: Self-administered questionnaires were used to collect data from 889 medical students in three well-known Chinese medical universities. The questionnaire was comprised of three domains which consisted of demographic characteristic collection, seven items for knowledge, and eight items for attitudes and social responsiveness toward COVID-19. Data from different universities were lumped together and were divided into different groups to compare the differences, including (1) students at the clinical learning stage (Group A) or those at the basic-medicine stage (Group B) and (2) students who have graduated and worked (Group C) or those newly enrolled (Group D).Results: Medical students at group B had a weaker knowledge toward COVID-19 than did students at group A, especially in the question of clinical manifestations (p &lt; 0.001). The percentage of totally correct answers of COVID-19 knowledge in group C was higher than that in Group D (p &lt; 0.001). There were significant differences between groups C and D in the attitudes and social responsiveness toward COVID-19. Surprisingly, we found that the idea of newly enrolled medical students could be easily affected by interventions.Conclusions: In light of this information, medical education should pay attention not only to the cultivation of professional knowledge and clinical skills but also to the positive interventions to better the comprehensive qualities including communicative abilities and empathy.

COVID 19: REALS AND CHALLENGES AGAINST DOCTORS

2020 ◽  
Vol 2 (1) ◽  
pp. 65-87
Author(s):  
Zen Ahmad
Keyword(s):  
Virus Disease ◽  
Clinical Manifestations ◽  
World Health ◽  
Unknown Etiology ◽  
Wuhan City ◽  
Traditional Markets ◽  
Pneumonia Case ◽  
The World ◽  
New Type ◽  
Health Organization

Corona Virus Disease (Covid-19) is a contagious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) which was discovered in December 2019 in China. This disease can cause clinical manifestations in the airway, lung and systemic. The World Health Organization (WHO) representative of China reported a pneumonia case with unknown etiology in Wuhan City, Hubei Province, China on December 31, 2019. The cause was identified as a new type of coronavirus on January 7, 2020 with an estimated source of the virus from traditional markets (seafood market). ) Wuhan city

scholarly journals SURG-22. CUSHING’S DISEASE: A DIFFICULT TO TREAT NEURO-ONCOLOGICAL CONDITION

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi244-vi244
Author(s):  
Santanu Bora ◽  
Ashish Suri
Keyword(s):  
Cortisol Level ◽  
Remission Rate ◽  
Univariate Analysis ◽  
Clinical Manifestations ◽  
Plasma Cortisol Level ◽  
Cushing Disease ◽  
Factors Affecting ◽  
Microscopic Surgery ◽  
Acth Secreting ◽  
Better Than

Abstract BACKGROUND Cushing disease (CD) comprises a spectrum of clinical manifestations secondary to hypercortisolism due to ACTH-secreting pituitary adenoma. Transsphenoidal adenomectomy remains the standard treatment. Because of the significant rate of recurrence or persistence of CD, it is of interest to determine factors that may correlate with long-term outcomes following surgical intervention. OBJECTIVE The objective of our study is to determine the remission rate after surgery with special emphasis on factors affecting remission. METHODS Data of all patients undergoing surgery for CD from 2009 to 2017 was analyzed retrospectively. Transphenoidal resection was the preferred treatment with a recent trend in favor of endonasal endoscopic skull base approach. Post-operative cortisol level of < 2 μg/dL was taken as remission and value between 2 and 5 μg/dL as possible remission. RESULTS 104 patients operated primarily for CD were included for analysis. 47 patients underwent microscopic surgery, 55 endoscopic surgery and two were operated trans-cranially. Remission was achieved in 76.47% of patients. In univariate analysis, factors significantly associated with remission were (1) type of surgery (p=0.01); endoscopy (88.23% remission) better than microscopy (56.6% remission) (2) postoperative day-1 morning cortisol (p=0.004) and; (3) postoperative day-1 morning ACTH (p=0.015). In multivariate analysis, however only postoperative day-1 cortisol was found to be significant as predictor of remission (p=0.02). CONCLUSION Postoperative plasma cortisol level is a strong independent predictor of remission and value less than 10.7µgm/dl can be taken as cut off for predicting remission. Remission provided by endoscopy appears to be significantly better than microscopic approach.

scholarly journals CORRELATION BETWEEN PERCEPTION ON CLINICAL LEARNING ENVIRONMENTS AND CAREER CHOICE ON CLERKSHIP STUDENTS IN FACULTY OF MEDICINE UNIVERSITAS SEBELAS MARET

2019 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Adinda Kharisma Apriliani ◽  
Eti Poncorini Pamungkasari ◽  
Amandha Boy Timor Randita
Keyword(s):  
Medical Students ◽  
Learning Environment ◽  
Career Choice ◽  
Learning Environments ◽  
Career Choices ◽  
Health Workers ◽  
Observational Research ◽  
Clinical Learning ◽  
Weak Correlation ◽  
Clinical Learning Environment

Background: Needs of health workers, especially general practitioners, relatively high in Indonesia. Career choices among medical students are various, such as general practitioner, specialist, medical researcher, etc. Many factors affect medical students’ career choices, one of them is learning environments. This study aims to prove the correlation between clerkship students’ perceptions of clinical learning environments and their career choices.Methods: This research was an analytical observational research with cross sectional approach. The subjects were clerkship students who underwent clinical rotation. The samples were 178 clerkship students from all departments. They were chosen by probability proportional to size sampling. Every respondent was given career choices questionnaire and PHEEM questionnaire which has analyzed for its validity and reliability with α≥0,6 (α=0,826) and r≥0,30 (r=0,442). The result of this study was analyzed by Chi-square test and followed by Contingency Coefficient with 95% confidence level (α = 0,05). Result: The result showed that students’ perception of clinical learning environment “good but still need improvement” category was nearly the same as “plenty of problems” category. The result on the students’ career choices, most students choose clinical career. There was significant correlation between perception of clinical learning environment and career choices on clerkship students of medical faculty, Sebelas Maret University with p <0,05 (p= 0,018), x2 count (x2=5,625) > x2 table (x2=3,841) and also very weak correlation (C= 0,189).Conclusion: There was very weak correlation between perception of clinical learning environments and career choice on clerkship students. 

scholarly journals Impact of the COVID-19 Pandemic on Career Intention Among Undergraduate Medical Students: A Single-center Cross-Sectional Study in Hubei Province

2021 ◽  
Author(s):  
Xue-lin Wang ◽  
Ming-xiu Liu ◽  
Shuai Peng ◽  
Lei Yang ◽  
Chen Lu ◽  
...  
Keyword(s):  
Medical Students ◽  
Health Worker ◽  
Large Scale ◽  
Career Planning ◽  
Limited Information ◽  
Undergraduate Medical Students ◽  
Career Intentions ◽  
Cross Sectional ◽  
Career Intention ◽  
The Impact

Abstract Background：Undergraduate medical (UM) students faced the realities of the difficulties inherent in medical careers due to the coronavirus 2019 (COVID-19) outbreak. Thus imperative containment measures could affect UM students’ career intentions. There is limited information regarding the factors potentially associated with these students’ career change intentions.Methods：we conducted a cross-sectional survey to investigate the impact of the COVID-19 pandemic on career intention and the associated factors in UM students in August 2020. Univariate analyses and logistic regression analysis were used to identify the factors that contributed to any change of career intention.Results: A total of 2,040 medical students were contained from Hubei University of Medicine. The change of career intention was related to grade, attitude towards being a health worker and the impact of the COVID-19 pandemic.Conclusions: Changes in career intentions were particularly influenced by grade, attitude towards being a health worker, and the degree of COVID-19’s impact on the participants’ lives. Treating large-scale public health emergencies in rational way, setting up correct views of occupation choice and building reasonable career planning may reduce the loss of medical talents.

scholarly journals Anxiety, Uncertainty, and Resilience of Medical Students Worldwide during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Mohammad Abdullah Sarkar ◽  
Ahmad Ozair
Keyword(s):  
Medical Students ◽  
Psychological Impact ◽  
Clinical Learning ◽  
Clinical Rotations ◽  
Clinical Phase ◽  
Advisory Boards ◽  
The World ◽  
Clinical Curriculum ◽  
Laboratory Training ◽  
Anxiety Depression

The COVID-19 pandemic significantly impacted medical education worldwide. While healthcare professionals labored to ensure proper care for COVID-19 patients, medical students suffered from high rates of anxiety, uncertainty, burnout, and depressive symptoms. Whilst students in the pre-clinical phase of education faced disruption of didactic lectures and laboratory training, senior medical students faced uncertainty regarding their clinical rotations and internships, which are vital for practical exposure to healthcare. Several studies across the world demonstrated that clinical learning was significantly affected, with students in many countries completely cut off from in-person rotations. The disruption of the clinical curriculum coupled with a sense of failure to contribute at a time of significant need often led to despair. Reforms proposed and/or implemented by governments, medical advisory boards, medical schools, and other administrative bodies were felt to be insufficient by the medical student fraternity at large. Consequently, these students continue to face high rates of anxiety, depression, and a general sense of cynicism. In this student-authored perspective, we highlight the challenges faced by and the psychological impact on medical students directly or indirectly from the pandemic.

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