Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level.Methods: Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable.Results: Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors’ strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not.Conclusion: Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.
Abstract
Purpose: This study examines various aspects related to medical professionalism in medical students during coronavirus disease 2019 (COVID-19) pandemic, focusing on their medical professionalism attributes, KPA (knowledge, practices, and attitudes) toward COVID-19 and attitudes toward provision of care in pandemic. We assessed whether these aspects related to medical professionalism were varied by their demographics and mental health level.Methods: Six questionnaires related to medical professionalism were distributed online to medical students in six grades at a single medical school. A one-way analysis of variance was used to examine differences in scores related to medical professionalism based on their demographics, for examples, gender, grade, residence, religion, as well as their mental health levels. Pearson correlation analysis was used to examine correlations between each variable.Results: Female students scored higher on medical professionalism attributes and attitudes toward duty-to-care than male students. Medical professionalism attribute scores were higher with higher relationship satisfaction and resilience levels but lower with higher anxiety levels. Furthermore, these scores were significantly associated with attitudes toward COVID-19 preparedness. However, COVID-19 knowledge and practice scores were negatively associated with attitudes toward COVID-19 preparedness and careers after graduation. Meanwhile, students who took the leave of absence related to 2020 doctors’ strike had significantly lower scores on attitudes toward COVID-19 preparedness and duty to care than those who did not.Conclusion: Our findings suggest that mental health of medical students is strongly related to their various aspects related to medical professionalism, especially their attitudes toward COVID-19 preparedness. Good mental health was positively linked to medical professionalism attributes and attitudes toward COVID-19 preparedness. However, knowledge and practice of COVID-19 were negatively associated with willingness to participate in the pandemic response. Additionally, the experience of the 2020 leave of absence impacted the attitudes of medical students toward COVID-19 preparedness (p=0.015) and their duty to care (p=0.012) negatively.
참고문헌 (30)
- "Doctors ‘up in arms’ over Yongin city’s apology to order to ‘refrain doctors from using supermarkets’" (2020)[URL]
- "Your spouse is a dedicated COVID-19 nurse? Please leave" (2020)[URL]
- Cho YH, "Impact of an emergency department resident strike during the coronavirus disease 2019(COVID-19)pandemic in Daegu, South Korea : a retrospective cross-sectional study", J Yeungnam Med Sci, 39(1), pp.31~38 (2022)
- Karuppiah A, "Professionalism: COVID-19 made me do it!", Curr Opin Anaesthesiol, 35(2), pp.195~200 (2022)
- Agarwal P, "COVID 19 pandemic : an opportunity to investigate medical professionalism", Can Med Educ J, 12(1), pp.e103~e104 (2021)
- DeBenedectis CM, "Professionalism training in the post-COVID-19 era", J Am Coll Radiol, 20(11), pp.1146~1151 (2023)
- Prade A, "Understanding of professionalism among medical students in the first year of the COVID-19 pandemic : a qualitative monocentric study", GMS J Med Educ, 40(2), pp.Doc23~ (2023)
- Chiu CH, "Obligation or getaway? : a qualitative inquiry into medical professionalism under COVID-19 among medical students and new physicians in a Taiwan hospital", BMJ Open, 12(11), pp.e059656~ (2022)
- Jeong SA, "Factors influencing nurses’ intention to care for patients with COVID-19 : focusing on positive psychological capital and nursing professionalism", PLoS One, 17(1), pp.e0262786~ (2022)
- Paro HB, "Empathy among medical students : is there a relation with quality of life and burnout?", PLoS One, 9(4), pp.e94133~ (2014)
- Fan AP, "The association between parental socioeconomic status(SES)and medical students’ personal and professional development", Ann Acad Med Singap, 36(9), pp.735~742 (2007)
- Santos WS, "Medical professionalism : the effects of sociodemographic diversity and curricular organization on the attitudinal performance of medical students", Rev Bras Educ Med, 41(4), pp.594~603 (2017)
- Dyrbye LN, "A multiinstitutional study exploring the impact of positive mental health on medical students’ professionalism in an era of high burnout", Acad Med, 87(8), pp.1024~1031 (2012)
- Arnold L, "Measuring Medical Professionalism", pp.15~38 (2006), Oxford University Press
- Zhong BL, "Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19outbreak : a quick online cross-sectional survey", Int J Biol Sci, 16(10), pp.1745~1752 (2020)
- Olum R, "Perspective of medical students on the COVID-19 pandemic : survey of nine medical schools in Uganda", JMIR Public Health Surveill, 6(2), pp.e19847~ (2020)
- Gillani AH, "Evaluation of disaster medicine preparedness among healthcare profession students : a cross-sectional study in Pakistan", Int J Environ Res Public Health, 17(6), pp.2027~ (2020)
- Herman B, "Medical students and pandemic influenza", Emerg Infect Dis, 13(11), pp.1781~1783 (2007)
- Lee HK, "Psychometric properties of the Beck Anxiety Inventory in the community-dwelling sample of Korean adults", Korean J Clin Psychol, 35(4), pp.822~830 (2016)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166(10), pp.1092~1097 (2006)
- Yu BK, "Validation and factor structure of Korean version of the Beck Depression Inventory Second Edition(BDI-II) : in a university student sample", Korean J Biol Psychiatry, 18(3), pp.126~133 (2011)
- Park SJ, "Reliability and validity of the Korean version of the Patient Health Questionnaire-9(PHQ-9)", Anxiety Mood, 6(2), pp.119~124 (2010)
- Prins A, "The primary care PTSD screen for DSM-5(PC-PTSD-5) : development and evaluation within a veteran primary care sample", J Gen Intern Med, 31(10), pp.1206~1211 (2016)
- Yeom Y, "Reliability and validation of the Korean version of the Primary Care PTSD Screen for DSM(PC-PTSD-5)", master, pp.2017
- Yun H, "Developing a Short Form of the Korean version of the Experiences in Close Relationships Questionnaire-Revised", Anxiety Mood, 13(2), pp.115~122 (2017)
- Milikovsky DZ, "Willingness to treat infectious diseases : what do students think?", J Med Ethics, 39(1), pp.22~26 (2013)
- Aoyagi Y, "Healthcare workers’ willingness to work during an influenza pandemic : a systematic review and metaanalysis", Influenza Other Respir Viruses, 9(3), pp.120~130 (2015)
- Li ST, "Developing personal values : trainees’ attitudes toward strikes by health care providers", Acad Med, 86(5), pp.580~585 (2011)
- A study on medical education themes and case development for reinforcement of social accountability in healthcare, "Yang EB", Korea Medical Association, Research Institute for Healthcare Policy, ~ (2022)
- Boelen C, "Producing a socially accountable medical school : AMEE guide no. 109", Med Teach, 38(11), pp.1078~1091 (2016)
