Lessons for Medical and Health Education Learned from the COVID-19 Pandemic
Status PubMed-not-MEDLINE Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články
PubMed
37444754
PubMed Central
PMC10340380
DOI
10.3390/healthcare11131921
PII: healthcare11131921
Knihovny.cz E-zdroje
- Klíčová slova
- COVID-19 pandemic, anxiety, digital technologies, health education, medical education, wellbeing,
- Publikační typ
- časopisecké články MeSH
Our paper analyzes lessons for medical education and health education stemming from the experience gained in the course of the COVID-19 pandemic. Moreover, it tackles the issue of the social health and psychological wellbeing of medical students involved in online education during the COVID-19 pandemic. The paper systematizes up-to-date data on how medical schools and universities have adapted to the conditions of the COVID-19 pandemic and implemented novel effective solutions for the learning process, such as transitioning from traditional in-person classes to online learning, incorporating virtual simulations and telemedicine experiences for clinical training, and collaborating with health authorities to provide support in testing and contact tracing efforts. The paper contains an analysis of various aspects of medical education, such as the changes in practical classes, the impact of the pandemic on the formation of communication skills, methods for assessing students' knowledge and skills, and many others. It also considers case studies related to the implementation of educational programs, methodologies, and novel digital technologies in a pandemic. Additionally, the paper features an empirical study that is based on the results of our own survey that was carried out with the help of a snowball convenient sampling that involved 710 medical students between 19 and 25 years of age (56% females and 44% males) from 4 Russian regions (Moscow, Krasnodar, Kazan, and Saint Petersburg). We applied the correlation between stress scores, anxiety scores, factors of stress, and strategies for coping with stress and various economic and demographic variables (age, environment, and gender) that were analyzed using the chi-square test. Our results demonstrate that over 85% of the students in our sample yielded an above-average vulnerability to stress due to the COVID-19 restrictions. At the same time, around 61% of the students experienced severe anxiety during online education in the COVID-19 pandemic. The important factors leading to stress and anxiety were the fear of getting infected and social distancing, and the best strategy to deal with stress and increase wellbeing was self-control. Through a comprehensive review of the literature and empirical estimations, our paper identifies key areas of improvement, including curriculum adaptation, technology integration, faculty development, student support, and interprofessional collaboration. The proposed recommendations aim at strengthening medical education systems and preparing healthcare professionals to effectively navigate future pandemics.
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Zis P., Artemiadis A., Bargiotas P., Nteveros A., Hadjigeorgiou G.M. Medical studies during the COVID-19 pandemic: The impact of digital learning on medical students’ burnout and mental health. Int. J. Environ. Res. Public Health. 2021;18:349. doi: 10.3390/ijerph18010349. PubMed DOI PMC
Sahi P.K., Mishra D., Singh T. Medical education amid the COVID-19 pandemic. Indian Pediatr. 2020;57:652–657. doi: 10.1007/s13312-020-1894-7. PubMed DOI PMC
Kamssu A.J., Kouam R.B. The Effects of the COVID-19 Pandemic on University Student Enrollment Decisions and Higher Education Resource Allocation. J. High. Educ. Theory Pract. 2021;21:143–153. doi: 10.33423/jhetp.v21i12.4707. DOI
Gorina L., Gordova M., Khristoforova I., Sundeeva L., Strielkowski W. Sustainable education and digitalization through the prism of the COVID-19 pandemic. Sustainability. 2023;15:6846. doi: 10.3390/su15086846. DOI
Hall A.K., Nousiainen M.T., Campisi P., Dagnone J.D., Frank J.R., Kroeker K.I., Oswald A. Training disrupted: Practical tips for supporting competency-based medical education during the COVID-19 pandemic. Med. Teach. 2020;42:756–761. doi: 10.1080/0142159X.2020.1766669. PubMed DOI
Guadalajara H., Palazón Á., Lopez-Fernandez O., Esteban-Flores P., Garcia J.M., Gutiérrez-Misis A., Garcia-Olmo D. Towards an Open Medical School without Checkerboards during the COVID-19 Pandemic: How to Flexibly Self-Manage General Surgery Practices in Hospitals? Healthcare. 2021;9:743. doi: 10.3390/healthcare9060743. PubMed DOI PMC
Jiang Z., Wu H., Cheng H., Wang W., Xie A.N., Fitzgerald S.R. Twelve tips for teaching medical students online under COVID-19. Med. Educ. Online. 2021;26:1854066. doi: 10.1080/10872981.2020.1854066. PubMed DOI PMC
Alsoufi A., Alsuyihili A., Msherghi A., Elhadi A., Atiyah H., Ashini A., Elhadi M. Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge; attitudes; and practices regarding electronic learning. PLoS ONE. 2020;15:e0242905. doi: 10.1371/journal.pone.0242905. PubMed DOI PMC
Dhawan S. Online learning: A panacea in the time of COVID-19 crisis. J. Educ. Technol. Syst. 2020;49:5–22. doi: 10.1177/0047239520934018. DOI
Butnaru G.I., Niță V., Anichiti A., Brînză G. The effectiveness of online education during COVID 19 pandemic—A comparative analysis between the perceptions of academic students and high school students from Romania. Sustainability. 2021;13:5311. doi: 10.3390/su13095311. DOI
Iancu A.M., Kemp M.T., Alam H.B. Unmuting medical students’ education: Utilizing telemedicine during the COVID-19 pandemic and beyond. J. Med. Internet Res. 2020;22:e19667. doi: 10.2196/19667. PubMed DOI PMC
Said D., Brinkwirth S., Taylor A., Markwart R., Eckmanns T. The containment scouts: First insights into an initiative to increase the public health workforce for contact tracing during the COVID-19 pandemic in Germany. Int. J. Environ. Res. Public Health. 2021;18:9325. doi: 10.3390/ijerph18179325. PubMed DOI PMC
Moustakas L., Robrade D. The challenges and realities of e-learning during COVID-19: The case of university sport and physical education. Challenges. 2022;13:9. doi: 10.3390/challe13010009. DOI
Gopal R., Singh V., Aggarwal A. Impact of online classes on the satisfaction and performance of students during the pandemic period of COVID-19. Educ. Inf. Technol. 2021;26:6923–6947. doi: 10.1007/s10639-021-10523-1. PubMed DOI PMC
Colclasure B.C., Marlier A., Durham M.F., Brooks T.D., Kerr M. Identified challenges from faculty teaching at predominantly undergraduate institutions after abrupt transition to emergency remote teaching during the COVID-19 pandemic. Educ. Sci. 2021;11:556. doi: 10.3390/educsci11090556. DOI
De Ponti R., Marazzato J., Maresca A.M., Rovera F., Carcano G., Ferrario M.M. Pre-graduation medical training including virtual reality during COVID-19 pandemic: A report on students’ perception. BMC Med. Educ. 2020;20:332. doi: 10.1186/s12909-020-02245-8. PubMed DOI PMC
Sorokoumova E.A., Cherdymova E.I., Puchkova E.B., Temnova L.V., Bonkalo T.I., Vosheva N.A., Grebennikova V.M. Compliance of the expert with the self-isolation in the situation of the COVID-19 pandemic as a factor of the psychological well-being. Health Care Russ. Fed. 2021;64:358–363. doi: 10.46563/0044-197X-2020-64-6-358-363. DOI
Korneeva E., Strielkowski W., Krayneva R., Sherstobitova A. Social Health and Psychological Safety of Students Involved in Online Education during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health. 2022;19:13928. doi: 10.3390/ijerph192113928. PubMed DOI PMC
Cui Y., Ma Z., Wang L., Yang A., Liu Q., Kong S., Wang H. A survey on big data-enabled innovative online education systems during the COVID-19 pandemic. J. Innov. Knowl. 2023;8:100295. doi: 10.1016/j.jik.2022.100295. DOI
Asadzadeh A., Samad-Soltani T., Rezaei-Hachesu P. Applications of virtual and augmented reality in infectious disease epidemics with a focus on the COVID-19 outbreak. Inform. Med. Unlocked. 2021;24:100579. doi: 10.1016/j.imu.2021.100579. PubMed DOI PMC
Dhar P., Rocks T., Samarasinghe R.M., Stephenson G., Smith C. Augmented reality in medical education: Students’ experiences and learning outcomes. Med. Educ. Online. 2021;26:1953953. doi: 10.1080/10872981.2021.1953953. PubMed DOI PMC
Wilcha R.J. Effectiveness of virtual medical teaching during the COVID-19 crisis: Systematic review. JMIR Med. Educ. 2020;6:e20963. doi: 10.2196/20963. PubMed DOI PMC
Nimavat N., Singh S., Fichadiya N., Sharma P., Patel N., Kumar M., Pandit N. Online medical education in India-different challenges and probable solutions in the age of COVID-19. Adv. Med. Educ. Pract. 2021;2021:237–243. doi: 10.2147/AMEP.S295728. PubMed DOI PMC
Etando A., Amu A.A., Haque M., Schellack N., Kurdi A., Alrasheedy A.A., Godman B. Challenges and innovations brought about by the COVID-19 pandemic regarding medical and pharmacy education especially in Africa and implications for the future. Healthcare. 2021;9:1722. doi: 10.3390/healthcare9121722. PubMed DOI PMC
Weber A.M., Dua A., Chang K., Jupalli H., Rizwan F., Chouthai A., Chen C. An outpatient telehealth elective for displaced clinical learners during the COVID-19 pandemic. BMC Med. Educ. 2021;21:174. doi: 10.1186/s12909-021-02604-z. PubMed DOI PMC
Clemente M.P., Moreira A., Pinto J.C., Amarante J.M., Mendes J. The challenge of dental education after COVID-19 pandemic-present and future innovation study design. INQUIRY J. Health Care Organ. Provis. Financ. 2021;58:00469580211018293. doi: 10.1177/00469580211018293. PubMed DOI PMC
Babbar M., Gupta T. Response of educational institutions to COVID-19 pandemic: An inter-country comparison. Policy Futur. Educ. 2022;20:469–491. doi: 10.1177/14782103211021937. DOI
Driessen E.P., Beatty A.E., Ballen C.J. Evaluating open-note exams: Student perceptions and preparation methods in an undergraduate biology class. PLoS ONE. 2022;17:e0273185. doi: 10.1371/journal.pone.0273185. PubMed DOI PMC
Attardi S.M., Harmon D.J., Barremkala M., Bentley D.C., Brown K.M., Dennis J.F., Farkas G.J. An analysis of anatomy education before and during COVID-19: August-December 2020. Anat. Sci. Educ. 2022;15:5–26. doi: 10.1002/ase.2152. PubMed DOI PMC
Simionescu M., Pellegrini A., Bordea E.N. The effects of COVID-19 pandemic on stress vulnerability of nursing students according to labour market status. Healthcare. 2021;9:633. doi: 10.3390/healthcare9060633. PubMed DOI PMC
Burns D., Dagnall N., Holt M. Assessing the impact of the COVID-19 pandemic on student wellbeing at universities in the United Kingdom: A conceptual analysis. Front. Educ. 2020;5:582882. doi: 10.3389/feduc.2020.582882. DOI
Ungar P., Schindler A.K., Polujanski S., Rotthoff T. Online programs to strengthen the mental health of medical students: A systematic review of the literature. Med. Educ. Online. 2022;27:2082909. doi: 10.1080/10872981.2022.2082909. PubMed DOI PMC
Gaur U., Majumder M.A.A., Sa B., Sarkar S., Williams A., Singh K. Challenges and opportunities of preclinical medical education: COVID-19 crisis and beyond. SN Compr. Clin. Med. 2020;2:1992–1997. doi: 10.1007/s42399-020-00528-1. PubMed DOI PMC
Consorti F., Kanter S.L., Basili S., Ho M.J. A SWOT analysis of Italian medical curricular adaptations to the COVID-19 pandemic: A nationwide survey of medical school leaders. Med. Teach. 2021;43:546–553. doi: 10.1080/0142159X.2021.1877266. PubMed DOI
AlQhtani A., AlSwedan N., Almulhim A., Aladwan R., Alessa Y., AlQhtani K., Aldhafian O. Online versus classroom teaching for medical students during COVID-19: Measuring effectiveness and satisfaction. BMC Med. Educ. 2021;21:452. doi: 10.1186/s12909-021-02888-1. PubMed DOI PMC
Cheng X., Chan L.K., Pan S.Q., Cai H., Li Y.Q., Yang X. Gross anatomy education in China during the COVID-19 pandemic: A national survey. Anat. Sci. Educ. 2021;14:8–18. doi: 10.1002/ase.2036. PubMed DOI
Young-Mee L., Park H. Medical education adaptation in South Korea during the COVID-19 pandemic. Asia Pac. Sch. 2021;6:10. doi: 10.29060/TAPS.2021-6-3/GP2455. DOI
Taha M.H., Abdalla M.E., Wadi M., Khalafalla H. Curriculum delivery in Medical Education during an emergency: A guide based on the responses to the COVID-19 pandemic. MedEdPublish. 2020;9:69. doi: 10.15694/mep.2020.000069.1. PubMed DOI PMC
Saeki S., Okada R., Shane P.Y. Medical Education during the COVID-19: A Review of Guidelines and Policies Adapted during the 2020 Pandemic. Healthcare. 2023;11:867. doi: 10.3390/healthcare11060867. PubMed DOI PMC
Ryan M.S., Holmboe E.S., Chandra S. Competency-based medical education: Considering its past, present, and a post–COVID-19 era. Acad. Med. 2022;97:S90. doi: 10.1097/ACM.0000000000004535. PubMed DOI PMC
Kneifel F., Morgul H., Katou S., Hölzen J.P., Strücker B., Juratli M., Becker F. Struggle in the bubble—A prospective study on the effect of remote learning and distance education on confidence in practical surgical skills acquired during COVID-19. BMC Med. Educ. 2023;23:115. doi: 10.1186/s12909-023-04092-9. PubMed DOI PMC
Björndell C., Premberg Å. Physicians’ experiences of video consultation with patients at a public virtual primary care clinic: A qualitative interview study. Scand. J. Prim. Health Care. 2021;39:67–76. doi: 10.1080/02813432.2021.1882082. PubMed DOI PMC
Tariq E.F., Sah P.K., Malik A. The plight of COVID-19 pandemic on medical students and residency applicants. Ann. Med. Surg. 2020;60:1–4. doi: 10.1016/j.amsu.2020.10.010. PubMed DOI PMC
Maraqa B., Nazzal Z., Zink T. Mixed method study to explore ethical dilemmas and health care workers’ willingness to work amid COVID-19 pandemic in Palestine. Front. Med. 2021;7:576820. doi: 10.3389/fmed.2020.576820. PubMed DOI PMC
Strielkowski W., Firsova I., Azarova S., Shatskaya I. Novel Insights in the leadership in business and economics: A post-coronavirus update. Economies. 2022;10:48. doi: 10.3390/economies10020048. DOI
Kyaw B.M., Posadzki P., Paddock S., Car J., Campbell J., Tudor Car L. Effectiveness of digital education on communication skills among medical students: Systematic review and meta-analysis by the digital health education collaboration. J. Med. Internet Res. 2019;21:e12967. doi: 10.2196/12967. PubMed DOI PMC
Mohd Salim N.A., Roslan N.S., Hod R., Zakaria S.F., Adam S.K. Exploring Critical Components of Physician-Patient Communication: A Qualitative Study of Lay and Professional Perspectives. Healthcare. 2023;11:162. doi: 10.3390/healthcare11020162. PubMed DOI PMC
Donelan K., Chang Y., Berrett-Abebe J., Spetz J., Auerbach D.I., Norman L., Buerhaus P.I. Care management for older adults: The roles of nurses; social workers; and physicians. Health Aff. 2019;38:941–949. doi: 10.1377/hlthaff.2019.00030. PubMed DOI
Pagano G., Luglio G. Medical Education in Naples; Italy; at the Time of SARS-CoV-2. Int. J. Med. Stud. 2020;8:51–53. doi: 10.5195/ijms.2020.496. DOI
Thompson Burdine J., Thorne S., Sandhu G. Interpretive description: A flexible qualitative methodology for medical education research. Med. Educ. 2021;55:336–343. doi: 10.1111/medu.14380. PubMed DOI
Gardanova Z., Ponkratov V., Kuznetsov N., Nikitina N., Dudnik O., Latypova E., Shcherbatykh S. A model for optimizing the structure of teaching techniques for distance learning in the Russian higher education system. J. Open Innov. Technol. Mark. Complex. 2020;6:147. doi: 10.3390/joitmc6040147. DOI
Newman S.A., Ford R.C. Five steps to leading your team in the virtual COVID-19 workplace. Organ. Dyn. 2021;50:100802. doi: 10.1016/j.orgdyn.2020.100802. PubMed DOI PMC
Wamsley M., Cornejo L., Kryzhanovskaya I., Lin B.W., Sullivan J., Yoder J., Ziv T. Best practices for integrating medical students into telehealth visits. JMIR Med. Educ. 2021;7:e27877. doi: 10.2196/27877. PubMed DOI PMC
Vandenberg S., Magnuson M. A comparison of student and faculty attitudes on the use of Zoom; a video conferencing platform: A mixed-methods study. Nurse Educ. Pract. 2021;54:103138. doi: 10.1016/j.nepr.2021.103138. PubMed DOI PMC
Brown T., Yu M.L., Etherington J. Are listening and interpersonal communication skills predictive of professionalism in undergraduate occupational therapy students? Health Prof. Educ. 2020;6:187–200. doi: 10.1016/j.hpe.2020.01.001. DOI
Wittenberg E., Goldsmith J.V., Chen C., Prince-Paul M., Capper B. COVID 19-transformed nursing education and communication competency: Testing COMFORT educational resources. Nurse Educ. Today. 2021;107:105105. doi: 10.1016/j.nedt.2021.105105. PubMed DOI PMC
Muflih S., Abuhammad S., Al-Azzam S., Alzoubi K.H., Muflih M., Karasneh R. Online learning for undergraduate health professional education during COVID-19: Jordanian medical students’ attitudes and perceptions. Heliyon. 2021;7:e08031. doi: 10.1016/j.heliyon.2021.e08031. PubMed DOI PMC
Singh J., Steele K., Singh L. Combining the best of online and face-to-face learning: Hybrid and blended learning approach for COVID-19, post vaccine & post-pandemic world. J. Educ. Technol. Syst. 2021;50:140–171. doi: 10.1177/00472395211047865. DOI
Lo C.K., Hew K.F. Design principles for fully online flipped learning in health professions education: A systematic review of research during the COVID-19 pandemic. BMC Med. Educ. 2022;22:720. doi: 10.1186/s12909-022-03782-0. PubMed DOI PMC
Almousa O., Zhang R., Dimma M., Yao J., Allen A., Chen L., Qayumi K. Virtual reality technology and remote digital application for tele-simulation and global medical education: An innovative hybrid system for clinical training. Simul. Gaming. 2021;52:614–634. doi: 10.1177/10468781211008258. DOI
Singh J., Evans E., Reed A., Karch L., Qualey K., Singh L., Wiersma H. Online, hybrid, and face-to-face learning through the eyes of faculty, students, administrators, and instructional designers: Lessons learned and directions for the post-vaccine and post-pandemic/COVID-19 world. J. Educ. Technol. Syst. 2022;50:301–326. doi: 10.1177/00472395211063754. DOI
Alkhowailed M.S., Rasheed Z., Shariq A., Elzainy A., El Sadik A., Alkhamiss A., Al Abdulmonem W. Digitalization plan in medical education during COVID-19 lockdown. Inform. Med. Unlocked. 2020;20:100432. doi: 10.1016/j.imu.2020.100432. PubMed DOI PMC
Lall P., Rees R., Law G.C.Y., Dunleavy G., Cotič Ž., Car J. Influences on the implementation of mobile learning for medical and nursing education: Qualitative systematic review by the digital health education collaboration. J. Med. Internet Res. 2019;21:e12895. doi: 10.2196/12895. PubMed DOI PMC
So H.Y., Chen P.P., Wong G.K.C., Chan T.T.N. Simulation in medical education. J. R. Coll. Physicians Edinb. 2019;49:52–57. doi: 10.4997/JRCPE.2019.112. PubMed DOI
Anthony Jnr B. Implications of telehealth and digital care solutions during COVID-19 pandemic: A qualitative literature review. Inform. Health Soc. Care. 2021;46:68–83. doi: 10.1080/17538157.2020.1839467. PubMed DOI
Choukou M.A., Sanchez-Ramirez D.C., Pol M., Uddin M., Monnin C., Syed-Abdul S. COVID-19 infodemic and digital health literacy in vulnerable populations: A scoping review. Digit. Health. 2022;8:20552076221076927. doi: 10.1177/20552076221076927. PubMed DOI PMC
Jnr B.A. Use of telemedicine and virtual care for remote treatment in response to COVID-19 pandemic. J. Med. Syst. 2020;44:132. doi: 10.1007/s10916-020-01596-5. PubMed DOI PMC
Bokolo A.J. Application of telemedicine and eHealth technology for clinical services in response to COVID-19 pandemic. Health Technol. 2021;11:359–366. doi: 10.1007/s12553-020-00516-4. PubMed DOI PMC
Papapanou M., Routsi E., Tsamakis K., Fotis L., Marinos G., Lidoriki I., Schizas D. Medical education challenges and innovations during COVID-19 pandemic. Postgrad. Med. J. 2022;98:321–327. doi: 10.1136/postgradmedj-2021-140032. PubMed DOI
Kaul V., de Moraes A.G., Khateeb D., Greenstein Y., Winter G., Chae J., Dangayach N.S. Medical education during the COVID-19 pandemic. Chest. 2021;159:1949–1960. doi: 10.1016/j.chest.2020.12.026. PubMed DOI PMC
Tang Y.M., Ng G.W.Y., Chia N.H., So E.H.K., Wu C.H., Ip W.H. Application of virtual reality (VR) technology for medical practitioners in type and screen (T&S) training. J. Comput. Assist. Learn. 2021;37:359–369. doi: 10.1111/jcal.12494. DOI
Chang Y.M., Lai C.L. Exploring the experiences of nursing students in using immersive virtual reality to learn nursing skills. Nurse Educ. Today. 2021;97:104670. doi: 10.1016/j.nedt.2020.104670. PubMed DOI
Lee S.M., Lee D. Opportunities and challenges for contactless healthcare services in the post-COVID-19 Era. Technol. Forecast. Soc. Change. 2021;167:120712. doi: 10.1016/j.techfore.2021.120712. PubMed DOI PMC
Ladan A., Haruna B., Madu A.U. COVID-19 pandemic and social media news in Nigeria: The role of libraries and library associations in information dissemination. Int. J. Innov. Res. Educ. Sci. 2020;7:2349–5219.
Przymuszała P., Zielińska-Tomczak Ł., Kłos M., Kowalska A., Birula P., Piszczek M., Cerbin-Koczorowska M., Marciniak R. Distance Learning and Assessment During the COVID-19 Pandemic-Perspectives of Polish Medical and Healthcare Students. SAGE Open. 2022;12:21582440221085016. doi: 10.1177/21582440221085016. DOI
Remtulla R. The present and future applications of technology in adapting medical education amidst the COVID-19 pandemic. JMIR Med. Educ. 2020;6:e20190. doi: 10.2196/20190. PubMed DOI PMC
Franklin G., Martin C., Ruszaj M., Matin M., Kataria A., Hu J., Elkin P.L. How the COVID-19 pandemic impacted medical education during the last year of medical school: A class survey. Life. 2021;11:294. doi: 10.3390/life11040294. PubMed DOI PMC
Chatterjee I., Chakraborty P. Use of information communication technology by medical educators amid COVID-19 pandemic and beyond. J. Educ. Technol. Syst. 2021;49:310–324. doi: 10.1177/0047239520966996. DOI