Perceived clinical readiness of senior medical students asoutcomes of online clerkship in the Philippines: newnormal in medical education
Resumen
ABSTRACT
TITLE: Perceived Clinical Readiness of Senior Medical Students as Outcomes 0f Online Clerkship in the Philippines: New Normal in Medical Education
INTRODUCTION: COVID-19 formed new challenges to the medical institutions; it resulted in the transition from the usual face-to-face classes and direct clerkship training within the hospital to a new remote learning with online lectures and virtual clinical experience. Given the new online interactive setting, problems were raised given the limited patient care and interaction as well as restricted bedside teaching opportunities and its impact on how medical students can acquire and hone their clinical skills.
OBJECTIVE: To determine the perceived clinical readiness of the medical clerks in the new normal setting in the Philippines.
METHODOLOGY: Convenience sampling was used to gather respondents who were asked to answer an online survey questionnaire. The questions pertained to: academic training profile, clinical skills, patient management, communication, understanding clinical guidelines, and personal development. After analyzing the data, the scales of readiness from these subjects were gathered.
RESULTS: The medical clerks in the Philippines perceived that they were ready with regards to understanding clinical guidelines, communication, personal development, and patient management. They were moderately ready in the different clinical skills in the departments of Family and Community Medicine, Internal Medicine, Pediatrics, Surgery and Obstetrics and Gynecology with some specific skills in Surgery and Obstetrics and Gynecology being perceived as less ready than the rest.
CONCLUSION: The impact of the pandemic has disrupted the student’s confidence and readiness. This shows that online clerkship in this time of pandemic may have provided learning to a certain degree but it is not enough to replace what face-to-face training could offer.
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Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al. Impact of the COVID-19 pandemic on medical education: medical students’ knowledge, attitudes, and practices regarding electronic learning. Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PLoS One [Internet]. 2020 Nov [cited 2021 Jun 3];15(11):e0242905. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0242905
Roskvist R, Eggleton K, Goodyear-Smith F. Provision of e-learning programmes to replace undergraduate medical students’ clinical general practice attachments during COVID-19 stand-down. T&F Online [Internet]. 2020 May;31(4):247–54. Available from: https://www.tandfonline.com/doi/pdf/10.1080/14739879.2020.1772123?needAccess=true
Kim JW, Myung SJ, Yoon HB, Moon SH, Ryu H, Yim J-J. How medical education survives and evolves during COVID-19: our experience and future direction. PLoS One [Internet]. 2020 Dec [cited 2021 Jun 3];15(12):e0243958. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0243958
Wilcha R-J. Effectiveness of virtual medical teaching during the COVID-19 crisis: systematic review. JMIR Med Educ [Internet]. 2020 Nov [cited 2021 Jun 3];6(2):e20963. Available from: https://mededu.jmir.org/2020/2/e20963/PDF
Ferrel MN, Ryan JJ. The impact of COVID-19 on medical education. Cureus [Internet]. 2020 Mar [cited 2021 Jun 3];12(3):e7492. Available from: https://pdfs.semanticscholar.org/07ae/9e6b13b3b15eef45e8a69e85fb3022b54d63.pdf?_ga=2.222848850.85489844.1622648307-723369447.1622648307
Commission on Higher Education. Guidelines on the gradual reopening of campuses of higher education institutions for limited face-to-face classes during the COVID-19 pandemic, JMC no. 2021-001. [Internet]. 2021 [cited 2021 Jun 4]. Available from: https://ched.gov.ph/wp-content/uploads/CHED-DOH-Joint-Memorandum-Circular-No.-2021-001-Guidelines-on-the-Gradual-Reopening-of-Campuses-of-Higher-Education-Institutions-for-Limited-Face-to-Face-Classes-during-the-COVID-19-Pandemic.pdf
Dhawan S. Online learning: a panacea in the time of COVID-19 crisis. J Educ Technol Syst [Internet]. 2020 Sep [cited 2021 Jun 4];49(1):5–22. Available from: https://journals.sagepub.com/doi/epub/10.1177/0047239520934018
Rabe A, Sy M, Cheung W, Lucero-Prisno D. COVID-19 and health professions education: a 360° view of the impact of a global health emergency. MedEdPublish [Internet]. 2020 Jul [cited 2021 Jun 4];9(1):148. Available from: https://www.mededpublish.org/manuscripts/3166
Carrascosa MMC, Campos T de, Sampaio JE, Souza RRF, Ribeiro VL, Maia MLN, et al. Medical interns and COVID-19: results of national research. Rev Assoc Med Bras [Internet]. 2020 Jun [cited 2021 Jun 4];66(6):812–17. Available from: https://www.scielo.br/j/ramb/a/7Lk8gV6LJXwRqVxTT5LySDt/?lang=en&format=pdf
Rogers PL, Jacob H, Thomas EA, Harwell M, Willenkin RL, Pinsky MR. Medical students can learn the basic application, analytic, evaluative, and psychomotor skills of critical care medicine. Crit Care Med [Internet]. 2000 Feb [cited 2021 Jun 4];28(2):550–4. Available from: https://journals.lww.com/ccmjournal/Abstract/2000/02000/Medical_students_can_learn_the_basic_application,.43.aspx
Mian A, Khan S. Medical education during pandemics: a UK perspective. BMC Med [Internet]. 2020 Dec [cited 2021 Jun 4];18(1):100. Available from: https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/s12916-020-01577-y.pdf
Cedeño TDD, Rocha IC , Ramos KG, Uy NM. Learning strategies and innovations among medical students in the Philippines during the COVID-19 pandemic. Int J Med Students [Internet]. 2021 Jan-Apr [cited 2021 Jun 2];9(1):77-9. Available from: https://www.ijms.info/IJMS/article/view/908/462
Gurmeet SS. Is a physician armed with soft skills more successful?. Int J Pul & Res Sci [Internet]. 2019 July [cited 2021 Jun 2];4(1):555626. Available from: https://juniperpublishers.com/ijoprs/pdf/IJOPRS.MS.ID.555626.pdf
Dolev N, Goldental N, Reuven-Lelong A, Tadmor T. The evaluation of emotional intelligence among medical students and its links with non-cognitive acceptance measures to medical school. Rambam Maimonides Med J [Internet]. 2019 Apr [cited 2021 Jun 2];10(2):e0010. Available from: https://www.rmmj.org.il/userimages/896/1/PublishFiles/907Article.pdf
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open [Internet]. 2020 Nov [cited 2021 Jun 2];10(11):1-10. Available from: https://bmjopen.bmj.com/content/bmjopen/10/11/e042378.full.pdf
Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ [Internet]. 2020 Dec [cited 2021 Jun 2];20(1):206. Available from: https://bmcmededuc.biomedcentral.com/track/pdf/10.1186/s12909-020-02117-1.pdf
Compton S, Sarraf-Yazdi S, Rustandy F, Radha Krishna LK. Medical students' preference for returning to the clinical setting during the COVID-19 pandemic. Med Educ [Internet]. 2020 Oct [cited 2021 Jun 2];54(10):943-50. Available from: https://onlinelibrary.wiley.com/doi/pdf/10.1111/medu.14268
Commission on Higher Education. Policies, standards and guidelines for the doctor of medicine (M.D.) program, CMO no. 18. [Internet]. 2016 [cited 2021 Jun 3]. Available from: https://ched.gov.ph/wp-content/uploads/2017/10/CMO-18-s.-2016.pdf
Akers A, Blough C, Iyer MS. COVID-19 Implications on Clinical Clerkships and the Residency Application Process for Medical Students. Cureus [Internet]. 2020 Apr [cited 2021 Feb 15];12(4):e7800 Available from: https://www.cureus.com/articles/30829-covid-19-implications-on-clinical-clerkships-and-the-residency-application-process-for-medical-students
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