Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-28T09:52:42.462Z Has data issue: false hasContentIssue false

Impact of the COVID-19 Pandemic on the Professional Attitudes of Medical Students: A Pre-Post-Like Study

Published online by Cambridge University Press:  06 December 2023

Shuli Ma
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Jie Ge
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Yanbo Qi
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Linlin Du
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Yunfeng Han
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Zhiping Xie
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Xingsan Li
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Hongjie Li
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Zhe Chen
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Xiaoting Chen
Affiliation:
Sanitary Analysis Center, Scientific Research Office, Qiqihar Medical University, Qiqihar, China
Xiaowei Tang
Affiliation:
Sanitary Analysis Center, Scientific Research Office, Qiqihar Medical University, Qiqihar, China
Jiyuan Li
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Jiping Li
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Qiong Xiao
Affiliation:
School of Nursing, Qiqihar Medical University, Qiqihar, China
Yu Wu
Affiliation:
School of Nursing, Qiqihar Medical University, Qiqihar, China
Ying Gao
Affiliation:
School of mental health, Qiqihar Medical University, Qiqihar, China
Wenting Li
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
Lei Liu
Affiliation:
Modern Educational Technology Center, Qiqihar Medical University, Qiqihar, China
Yuehui Jia*
Affiliation:
School of Public Health, Qiqihar Medical University, Qiqihar, China
*
Corresponding author: Yuehui Jia; Email: superyuehui@163.com.

Abstract

Objective:

This study assesses the difference in professional attitudes among medical students, both before and after coronavirus disease 2019 (COVID-19), and identifies the determinants closely associated with it, while providing precise and scientific evidence for implementing precision education on such professional attitudes.

Methods:

A pre-post-like study was conducted among medical students in 31 provinces in mainland China, from March 23, to April 19, 2021.

Results:

The proportion of medical students whose professional attitudes were disturbed after the COVID-19 pandemic, was significantly lower than before the COVID-19 pandemic (χ2 = 15.6216; P < 0.0001). Compared with the “undisturbed -undisturbed” group, the “undisturbed-disturbed” group showed that there was a 1.664-fold risk of professional attitudes disturbed as grade increased, 3.269-fold risk when others suggested they choose a medical career rather than their own desire, and 7.557-fold risk for students with COVID-19 in their family, relatives, or friends; while the “disturbed-undisturbed” group showed that students with internship experience for professional attitudes strengthened was 2.933-fold than those without internship experience.

Conclusions:

The professional attitudes of medical students have been strengthened during the COVID-19 pandemic. The results provide evidence of the importance of education on professional attitudes among medical students during public health emergencies.

Type
Original Research
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Shuli Ma and Jie Ge contributed equally to this study.

References

Kanu, S, James, PB, Bah, AJ, et al. Healthcare workers’ knowledge, attitude, practice and perceived health facility preparedness regarding COVID-19 in Sierra Leone. J Multidiscip Healthc. 2021;14:67-80. doi: 10.2147/JMDH.S287156 CrossRefGoogle ScholarPubMed
Yang, X, Zhang, Y, Li, S, et al. Risk factors for anxiety of otolaryngology healthcare workers in Hubei province fighting coronavirus disease 2019 (COVID-19). Soc Psychiatry Psychiatr Epidemiol. 2021;56(1):39-45. doi: 10.1007/s00127-020-01928-3 CrossRefGoogle ScholarPubMed
Wang, D, Hu, B, Hu, C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. doi: 10.1001/jama.2020.1585 CrossRefGoogle ScholarPubMed
Gohel, KH, Patel, PB, Shah, PM, et al. Knowledge and perceptions about COVID-19 among the medical and allied health science students in India: an online cross-sectional survey. Clin Epidemiol Glob Health. 2021;9:104-109. doi: 10.1016/j.cegh.2020.07.008 CrossRefGoogle ScholarPubMed
Safiabadi Tali, SH, LeBlanc, JJ, Sadiq, Z, et al. Tools and techniques for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)/COVID-19 detection. Clin Microbiol Rev. 2021;34(3):e00228-20. doi: 10.1128/CMR.00228-20 CrossRefGoogle ScholarPubMed
Al Hourani, H, Alkhatib, B, Abdullah, M. Impact of COVID-19 lockdown on body weight, eating habits, and physical activity of Jordanian children and adolescents. Disaster Med Public Health Prep. 2022;16(5):1855-1863. doi: 10.1017/dmp.2021.48 CrossRefGoogle ScholarPubMed
Rossi, R, Socci, V, Talevi, D, et al. COVID-19 Pandemic and lockdown measures impact on mental health among the general population in Italy. Front Psychiatry. 2020;11:790. doi: 10.3389/fpsyt.2020.00790 CrossRefGoogle ScholarPubMed
Azzi, Y, Parides, M, Alani, O, et al. COVID-19 infection in kidney transplant recipients at the epicenter of pandemics. Kidney Int. 2020;98(6):1559-1567. doi: 10.1016/j.kint.2020.10.004 CrossRefGoogle ScholarPubMed
World Health Organization. WHO coronavirus disease (COVID-19) dashboard. 2022. Accessed April 22, 2022. https://covid19.who.int/ Google Scholar
Awadasseid, A, Wu, Y, Tanaka, Y, et al. Initial success in the identification and management of the coronavirus disease 2019 (COVID-19) indicates human-to-human transmission in Wuhan, China. Int J Biol Sci. 2020;16(11):1846-1860. doi: 10.7150/ijbs.45018 CrossRefGoogle ScholarPubMed
Jia, Y, Qi, Y, Bai, L, et al. Knowledge-attitude-practice and psychological status of college students during the early stage of COVID-19 outbreak in China: a cross-sectional study. BMJ Open. 2021;11(2):e045034. doi: 10.1136/bmjopen-2020-045034 CrossRefGoogle Scholar
Ren, Z, Xie, Z. Predictors of anxiety and depression in medical professionals during the time of COVID-19 outbreak. Disaster Med Public Health Prep. 2022;16(5):1929-1934. doi: 10.1017/dmp.2021.67 CrossRefGoogle ScholarPubMed
Chan, JF-W, Yip, CC-Y, To, KK-W, et al. Improved molecular diagnosis of COVID-19 by the novel, highly sensitive and specific COVID-19-RdRp/Hel real-time reverse transcription-pcr assay validated in vitro and with clinical specimens. J Clin Microbiol. 2020;58(5):e00310-20. doi: 10.1128/JCM.00310-20 CrossRefGoogle ScholarPubMed
Tu, HL, Tu, S, Gao, S, et al. Current epidemiological and clinical features of COVID-19; a global perspective from China. J Infect. 2020;81(1):1-9. doi: 10.1016/j.jinf.2020.04.011 CrossRefGoogle ScholarPubMed
Yang, K, Liu, H, Ma, L, et al. Knowledge, attitude and practice of residents in the prevention and control of COVID-19: an online questionnaire survey. J Adv Nurs. 2021;77(4):1839-1855. doi: 10.1111/jan.14718 CrossRefGoogle ScholarPubMed
The State Council Information Office of the People’s Republic of China. Information Release Dashboard. 2022. Accessed April 10, 2022. http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/42626/wz42628/Document/1674306/1674306.htm Google Scholar
Ashton, J. The nation’s doctor and the COVID-19 pandemic. J R Soc Med. 2021;114(9):451-453. doi: 10.1177/01410768211043442 CrossRefGoogle ScholarPubMed
Gillam, S. COVID-19 and the death of the family doctor. Br J Gen Pract. 2020;70(697):402-403. doi: 10.3399/bjgp20X712025 CrossRefGoogle ScholarPubMed
Gordon, L, Scanlan, GM, Tooman, TR, et al. Heard, valued, supported? Doctors’ wellbeing during transitions triggered by COVID-19. Med Educ. 2022;56(5):516-526. doi: 10.1111/medu.14698 CrossRefGoogle ScholarPubMed
The State Council Information Office of the People’s Republic of China. Information release dashboard. 2022. Accessed April 10, 2022. http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/42311/42682/wz42684/Document/1674782/1674782.htm Google Scholar
Elbay, RY, Kurtulmuş, A, Arpacıoğlu, S, et al. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020;290:113130. doi: 10.1016/j.psychres.2020.113130 CrossRefGoogle ScholarPubMed
Xiong, N, Fritzsche, K, Pan, Y, et al. The psychological impact of COVID-19 on Chinese healthcare workers: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2022;57(8):1515-1529. doi: 10.1007/s00127-022-02264-4 CrossRefGoogle ScholarPubMed
Muntz, MD, Franco, J, Ferguson, CC, et al. Telehealth and medical student education in the time of COVID-19-and beyond. Acad Med. 2021;96(12):1655-1659. doi: 10.1097/ACM.0000000000004014 CrossRefGoogle ScholarPubMed
Soled, D, Goel, S, Barry, D, et al. Medical student mobilization during a crisis: lessons from a COVID-19 medical student response team. Acad Med. 2020;95(9):1384-1387. doi: 10.1097/ACM.0000000000003401 CrossRefGoogle ScholarPubMed
Hu, J, Huang, Y, Liu, J, et al. COVID-19 related stress and mental health outcomes 1 year after the peak of the pandemic outbreak in China: the mediating effect of resilience and social support. Front Psychiatry. 2022;13:828379. doi: 10.3389/fpsyt.2022.828379 CrossRefGoogle Scholar
Salem, MR, Al Hanafy, SH, Bayad, AT, et al. Assessment of knowledge, attitudes, and precautionary actions against COVID-19 among medical students in Egypt. J Infect Public Health. 2021;14(10):1427-1434. doi: 10.1016/j.jiph.2021.07.022 CrossRefGoogle ScholarPubMed
Cao, W, Fang, Z, Hou, G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934 CrossRefGoogle ScholarPubMed
Wang, ZH, Yang, HL, Yang, YQ, et al. Prevalence of anxiety and depression symptom, and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic: a large cross-sectional study. J Affect Disord. 2020;275:188-193. doi: 10.1016/j.jad.2020.06.034 CrossRefGoogle ScholarPubMed
Zhang, Y, Zhang, H, Ma, X, et al. Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: a longitudinal study of college students in China. Int J Environ Res Public Health. 2020;17(10):3722. doi: 10.3390/ijerph17103722 CrossRefGoogle ScholarPubMed
Jia, Y, Ma, S, Bai, L, et al. Health literacy and disparities in knowledge, attitude and practice regarding COVID-19 among college students during the COVID-19 outbreak in China: a cross-sectional study. Risk Manag Healthc Policy. 2021;14:4477-4488. doi: 10.2147/RMHP.S319331 CrossRefGoogle Scholar
Alrasheedy, AA, Abdulsalim, S, Farooqui, M, et al. Knowledge, attitude and practice about coronavirus disease (COVID-19) pandemic and its psychological impact on students and their studies: a cross-sectional study among pharmacy students in Saudi Arabia. Risk Manag Healthc Policy. 2021;14:729-741. doi: 10.2147/RMHP.S292354 CrossRefGoogle ScholarPubMed
Seah, B, Ho, B, Liaw, SY, et al. To volunteer or not? Perspectives towards pre-registered nursing students volunteering frontline during COVID-19 pandemic to ease healthcare workforce: a qualitative study. Int J Environ Res Public Health. 2021;18(12):6668. doi: 10.3390/ijerph18126668 CrossRefGoogle ScholarPubMed
Martin-Delgado, L, Goni-Fuste, B, Alfonso-Arias, C, et al. Nursing students on the frontline: impact and personal and professional gains of joining the health care workforce during the COVID-19 pandemic in Spain. J Prof Nurs. 2021;37(3):588-597. doi: 10.1016/j.profnurs.2021.02.008 CrossRefGoogle ScholarPubMed
Kim, EA, Kim, HR, Kim, B. Factors influencing medical and nursing students’ willingness to care for COVID-19 patients in South Korea: a cross-sectional study. BMC Med Educ. 2022;22(1):161. doi: 10.1186/s12909-022-03229-6 CrossRefGoogle ScholarPubMed
The Central People’s Government of the People’s Republic of China. Disease prevention and control bureau dashboard. 2020. Accessed February 5, 2020. http://www.nhc.gov.cn/jkj/s3577/202001/c67cfe29ecf1470e8c7fc47d3b751e88.shtml Google Scholar
National Health Commission of the People’s Republic of China. Prevention and control of the novel coronavirus pneumonia dashboard. 2020. Accessed February 17, 2020. http://www.gov.cn/fuwu/2020-2/10/5476794/files/f2304d900f90446da02ae37f44650220.pdf Google Scholar
Chinese Center for Disease Control and Prevention. The novel coronavirus pneumonia dashboard. 2020. Accessed January 31, 2020. http://www.chinacdc.cn/jkzt/crb/zl/szkb_11803/jszl_2275/202001/W020200131495264898540.pdf Google Scholar
Giulio, M, Maggioni, D, Montroni, I, et al. Being a doctor will never be the same after the COVID-19 pandemic. Am J Med. 2020;133(6):652. doi: 10.1016/j.amjmed.2020.03.003 CrossRefGoogle ScholarPubMed
Imperatore, N, Rispo, A, Lombardi, G. The price of being a doctor during the COVID-19 outbreak. Gut. 2020;69(8):1544-1545. doi: 10.1136/gutjnl-2020-321646 CrossRefGoogle Scholar
Vance, MC, Morganstein, JC. The doctor-public relationship: how physicians can communicate to foster resilience and promote mental health during COVID-19. J Gen Intern Med. 2020;35(12):3697-3698. doi: 10.1007/s11606-020-06243-w CrossRefGoogle ScholarPubMed
Xiong, J, Lipsitz, O, Nasri, F, et al. Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord. 2020;277:55-64. doi: 10.1016/j.jad.2020.08.001 CrossRefGoogle ScholarPubMed