Medical education and mental health during COVID-19: a survey across 9 countries

被引：23

作者：

Michaeli, Daniel ^{[1
]}

Keough, Gregory ^{[2
]}

Perez-Dominguez, Francisco ^{[3
]}

Polanco-Ilabaca, Francisca ^{[3
]}

Pinto-Toledo, Fernanda ^{[3
]}

Michaeli, Julia ^{[4
]}

Albers, Sebastian ^{[5
]}

Achiardi, Jadi ^{[6
]}

Santana, Valeria ^{[7
]}

Urnelli, Chiara ^{[8
]}

Sawaguchi, Yoshihiro ^{[9
]}

Rodriguez, Perla ^{[10
]}

Maldonado, Monica ^{[11
]}

Raffeeq, Zaheer ^{[12
]}

Madeiros, Otavio de Araujo ^{[13
]}

Michaeli, Thomas ^{[4
]}

机构：

[1] Heidelberg Univ, Univ Hosp Mannheim, Dept Personalized Oncol, Mannheim, Germany

[2] London Sch Econ & Polit Sci, Dept Hlth Policy, London, England

[3] Univ Chile, Fac Med, Escuela Salud Publ, Santiago, Chile

[4] Asklepios Hosp Grp, Dept Obstet & Gynecol, Asklepios Clin Hamburg Altona, Hamburg, Germany

[5] ATOS Klin Fleetinsel Hamburg, Dept Orthoped Surg, Hamburg, Germany

[6] Univ Mil Nueva Granada, Fac Med & Ciencias Salud, Bogota, Colombia

[7] Univ Cent Venezuela, Escuela Luis Razetti, Caracas, Venezuela

[8] Univ Piemonte Orientale, Fac Med & Chirurg, Novara, Italy

[9] Tokyo Med & Dent Univ, Fac Med, Tokyo, Japan

[10] Univ Panamer, Fac Med, Ciudad De Mexico, Mexico

[11] Univ Seville, Fac Med, Seville, Spain

[12] Humanitas Univ Hunimed, Milan, Italy

[13] Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, Brazil

来源：

INTERNATIONAL JOURNAL OF MEDICAL EDUCATION | 2022年 / 13卷

关键词：

COVID-19; mental health; medical student; depression; insomnia; STUDENTS;

D O I：

10.5116/ijme.6209.10d6

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Objectives: To investigate students' experience with medical education alongside their mental and physical health since the onset of the COVID-19 pandemic across nine countries. Methods: A cross-sectional online survey was distributed by local collaborators to 2,280 medical students across 148 medical schools in Brazil, Chile, Colombia, Germany, Italy, Japan, Mexico, Spain, and Venezuela using non-probability convenience sampling from June 22 to July 24, 2020. Students answered questions regarding teaching, internet use, COVID-19, physical and mental well-being. A multivariate logistic regression examined factors associated with depressed mood, insomnia, and headache. Results: Academic teaching shifted to a virtual (67%, n=1,534) or hybrid environment (23%, n=531), whilst bedside teaching was suspended or cancelled (93%, n=2,120). Across all countries students were equally satisfied with the teaching modality, quantity, quality, and the evaluation system of in-person, hybrid, and online curricula. Negative changes in mental (40% (n=912) insomnia, 57% (n=1,300) emotional irritability, 47% (n=1,072) emotional instability, 41% (n=935) anhedonia, 40% (n=912) depressed mood) and physical (36% (n=821) headache, 57% (n=1,299) ocular tiredness, 49% (n=1,117) backache) health symptoms were frequently observed. Positive associations between the number of daily screen hours and depressed mood (adjusted odds ratio (AOR)=1.09, 95%CI: 1.05-1.12, p<.001), insomnia (AOR=1.08, 95%CI: 1.05-1.11, p<.001), and headache (AOR=1.11, 95%CI: 1.07-1.14, p<.001) were identified. Conclusions: Students' experience with digital and hybrid medical curricula was diverse during the pandemic. Education modality, quantity, and quality were positively evaluated. However, students' mental and physical health worsened. Besides bedside teaching, faculties ought to digitalize and strengthen social communities and extend support services for students.

引用

页码：35 / 46

页数：12

共 53 条

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