CLINICAL EDUCATION DURING COVID-19 PANDEMIC: EXPLORING MEDICAL STUDENTS AND CLINICAL SUPERVISORS’ EXPERIENCES

https://doi.org/10.22146/jpki.76568

Stazia Noija(1*), Yoyo Suhoyo(2), Rachmadya Nur Hidayah(3)

(1) Faculty of Medicine, Universitas Pattimura
(2) Department of Medical and Health Education and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
(3) Department of Medical and Health Education and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: COVID-19 has become a global pandemic that has caused significant changes, including in the context of implementing clinical education. Medical students and clinical supervisors face various adjustments that become a dilemma. This study aims to explore the implementation of clinical education in the era of the COVID-19 pandemic based on the experiences of medical students and clinical supervisors.

Methods: Qualitative research was performed using purposive sampling. Informant interviews were arranged until data saturation was achieved, followed by an analysis process using thematic analysis.

Results: Seven themes were identified, including learning opportunities and engagement, interaction with patients, communication and interaction with colleagues and supervisors, facility and individual management, supervision process, awareness and confidence, and evaluation and assessment on clinical rotation. The results of this study indicate several changes in the implementation of clinical education during the COVID-19 pandemic compared to before the COVID-19 pandemic.

Conclusion: There are several noticeable changes in the implementation of clinical education during the COVID-19 pandemic compared to before the pandemic by referring to the experiences of medical students and clinical supervisors. It is related to the factors that influence the implementation of clinical education during the COVID-19 pandemic.

 


Keywords


clinical education, medical students, clinical supervisors, COVID-19 pandemic

Full Text:

PDF


References

  1. Sahi PK, Mishra D, Singh T. Medical education amid the COVID-19 pandemic. Indian Pediatr [Internet]. 2020;57:652-7. Available from: https://doi.org/10.1007/s13312-020-1894-7.
  2. Ashokka B, Ong SY, Tay KH, Loh NHW, Gee CF, Samarasekera DD. Coordinated responses of academic medical centres to pandemics: sustaining medical education during COVID-19. Med Teach [Internet]. 2020;42(7):762-71. Available from: https://doi.org/10.1080/0142159X.2020.1757634.
  3. Kelly, Hwei LRY, Octavius GS. Coronavirus outbreaks including COVID-19 and impacts on medical education: a systematic review. Journal of Community Empowerment for Health [Internet]. 2020;3(2):130-40. Available from: https://doi.org/10.22146/jcoemph.57082.
  4. Rafeh AJ, Azzi AJ. Emerging role of online virtual teaching resources for medical student education in plastic surgery: COVID-19 pandemic and beyond. J Plast Reconstr Aesthetic Surg [Internet]. 2020;73(8): 1575-92. Available from: https://doi.org/10.1016/j.bjps.2020.05.085.
  5. Almarzooq ZI, Lopes M, Kochar A. Virtual learning during the COVID-19 pandemic: A disruptive technology in graduate medical education. J Am Coll Cardiol [Internet]. 2020;75(20): 2635–8. Available from: https://doi.org/ 10.1016/j.jacc.2020.04.015.
  6. Kanneganti A, Lim KMX, Chan GMF, Choo S, Choolani M, Ismail-Pratt I, et al. Pedagogy in a pandemic – COVID-19 and virtual continuing medical education (vCME) in obstetrics and gynecology. Acta Obstet Gynecol Scand [Internet]. 2020;99(6):692–5. Available from: https://doi.org/ 10.1111/aogs.13885.
  7. Franklin G, et al. How the COVID-19 Pandemic Impacted Medical Education during the Last Year of Medical School: A Class Survey. Life (Basel) [Internet]. 2021;11(4): 294. Available from: https://doi.org/10.3390/life11040294.
  8. Weber AM, et al. An outpatient telehealth elective for displaced clinical learners during the COVID-19 pandemic. BMC Medical Education [Internet]. 2021;21 (174):1-8. Available from: https://doi.org/10.1186/s12909-021-02604-z.
  9. Calhoun KE, et al. The impact of COVID-19 on medical student surgical education: implementing extreme pandemic response measures in a widely distributed surgical clerkship experience. Am J Surg [Internet]. 2020; 220(1):44-47. Available from: https://doi.org/10.1016/j.amjsurg.2020.04.024.
  10. Nolan H, Owen K. Qualitative exploration of medical student experiences during the COVID-19 pandemic: implications for medical education. BMC Medical Education [Internet]. 2021;21 (285):1-11. Available from: https://doi.org/10.1186/s12909-021-02726-4.
  11. Drexler R, Hambrecht JM, Oldhafer KJ. Involvement of medical students during the coronavirus disease 2019 pandemic: a cross-sectional survey study. Cureus [Internet]. 2020; 12(8): e10147. Available from: https://doi.org/10.7759/cureus.10147.
  12. Dornan T, et al. Experience based learning (ExBL): Clinical teaching for the twenty-first century. Medical Teacher [Internet]. 2019; 41 (10): 1098-105. Available from: https://doi.org/10.1080/0142159X.2019.1630730.
  13. Dolmans DHJM, et al. The impacts of supervision, patient mix, and number of students on the effectiveness of clinical rotations. Acad Med [Internet]. 2002; 77(4): 332-5. Available from: https://doi.org/10.1097/00001888-200204000-00016.
  14. Findyartini A, et al. Development of Clinical Learning Environment Measure in the Undergraduate Medical Program. Advanced Science Letters [Internet]. 2018;24: 6097-108.
  15. Lopez KA, Willis DG. Descriptive versus interpretive phenomenology: their contributions to nursing knowledge. Qual Health Res [Internet]. 2004; 14: 726-35.
  16. Vallee A, Blacher J, Cariou A, Sorbets E. Blended Learning Compared to Traditional Learning in Medical Education: Systematic Review and Meta-Analysis. J Med Internet Res [Internet]. 2020;22(8): e16504.
  17. Mukhtar K, Javed K, Arooj M, et al. Advantages, limitations and recommendations for online learning during COVID-19 pandemic era. Pak J Med Sci [Internet]. 2020; 36: S27–31.
  18. Alqudah NM, Jammal HM, Saleh O, et al. Perception and experience of academic Jordanian ophthalmologists with e-learning for undergraduate course during the COVID-19 pandemic. Ann Med Surg [Internet]. 2020; 59:44–7.
  19. Kaul S, et al. Virtual clinical rotations during the COVID-19 pandemic: a perspective on the pros and cons. SKINmed [Internet]. 2020;18:316–7.
  20. Tsang ACO, Shih KC, Chen JY. Clinical skills education at the bed-side, web-side and lab-side. Med Educ [Internet]. 2021; 55: 112–4.
  21. Opuku D. Distractions towards the use of learning management system (LMS): evidence from students during the covid-19 lockdown in a developing country context. Journal of Education and Practice [Internet]. 2021; 12 (35): 1-10.
  22. Gallegos C, Nakashima H. Mobile Devices: A Distraction, or a Useful Tool to Engage Nursing Students? J Nurs Educ [Internet]. 2018; 57(3):170-173.
  23. Egilsdottir HO, et al. The value of a redesigned clinical course during COVID-19 pandemic: an explorative convergent mixed-methods study. BMC Nursing [Internet]. 2022; 21 (94): 1-10.
  24. Samuriwo R, Laws E, Webb K, Bullock A. “I didn’t realise they had such a key role.” Impact of medical educational curriculum change on medical student interactions with nurses: a qualitative exploratory study of student perceptions. Advances in Health Sciences Education [Internet]. 2019;1-20.
  25. Ahmady S, Minouei MS. Explanation of medical students’ experiences of educational clinical supervision: a qualitative study. J Educ Health Promot [Internet]. 2021; 10: 12-20.
  26. Teunissen PW, Wilkinso TJ. Learning and teaching in workplaces. In:
    Dornan T, Mann K, Scherpbier A, Spencer J, editors. Medical Education:
    Theory and Practice. Churchill Livingstone Elsevier. 2019. P. 193–209.
  27. Tabish SA. Assessment methods in medical education. Int J Health Sci (Qassim) [Internet]. 2008; 2(2): 3-7.
  28. Guraya SY. Workplace-based assessment; applications and educational impact. Malays J Med Sci [Internet]. 2015; 22(6): 5-10.



DOI: https://doi.org/10.22146/jpki.76568

Article Metrics

Abstract views : 754 | views : 660

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023 Stazia Noija, Yoyo Suhoyo, Rachmadya Nur Hidayah

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:

  

 JPKI Stats