Negative effects on medical students' scores for clinical performance during the COVID-19 pandemic in Taiwan: a comparative study.

IF 9.3 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Educational Evaluation for Health Professions Pub Date : 2023-01-01 Epub Date: 2023-12-26 DOI:10.3352/jeehp.2023.20.37

Eunice Jia-Shiow Yuan, Shiau-Shian Huang, Chia-An Hsu, Jiing-Feng Lirng, Tzu-Hao Li, Chia-Chang Huang, Ying-Ying Yang, Chung-Pin Li, Chen-Huan Chen

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引用次数: 0

Abstract

Purpose: Coronavirus disease 2019 (COVID-19) has heavily impacted medical clinical education in Taiwan. Medical curricula have been altered to minimize exposure and limit transmission. This study investigated the effect of COVID-19 on Taiwanese medical students' clinical performance using online standardized evaluation systems and explored the factors influencing medical education during the pandemic.

Methods: Medical students were scored from 0 to 100 based on their clinical performance from 1/1/2018 to 6/31/2021. The students were placed into pre-COVID-19 (before 2/1/2020) and midst-COVID-19 (on and after 2/1/2020) groups. Each group was further categorized into COVID-19-affected specialties (pulmonary, infectious, and emergency medicine) and other specialties. Generalized estimating equations (GEEs) were used to compare and examine the effects of relevant variables on student performance.

Results: In total, 16,944 clinical scores were obtained for COVID-19-affected specialties and other specialties. For the COVID-19-affected specialties, the midst-COVID-19 score (88.513.52) was significantly lower than the pre-COVID-19 score (90.143.55) (P<0.0001). For the other specialties, the midst-COVID-19 score (88.323.68) was also significantly lower than the pre-COVID-19 score (90.063.58) (P<0.0001). There were 1,322 students (837 males and 485 females). Male students had significantly lower scores than female students (89.333.68 vs. 89.993.66, P=0.0017). GEE analysis revealed that the COVID-19 pandemic (unstandardized beta coefficient=-1.99, standard error [SE]=0.13, P<0.0001), COVID-19-affected specialties (B=0.26, SE=0.11, P=0.0184), female students (B=1.10, SE=0.20, P<0.0001), and female attending physicians (B=-0.19, SE=0.08, P=0.0145) were independently associated with students' scores.

Conclusion: COVID-19 negatively impacted medical students' clinical performance, regardless of their specialty. Female students outperformed male students, irrespective of the pandemic.

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台湾 COVID-19 大流行对医学生临床表现评分的负面影响：一项比较研究。

目的：2019 年冠状病毒病（COVID-19）严重影响了台湾的医学临床教育。医学课程已经进行了修改，以最大限度地减少接触和限制传播。本研究利用在线标准化评估系统调查了COVID-19对台湾医学生临床表现的影响，并探讨了大流行期间影响医学教育的因素：方法：根据医学生在 2018 年 1 月 1 日至 2021 年 6 月 31 日期间的临床表现，从 0 分到 100 分对其进行评分。学生被分为 COVID-19 前组（2020 年 1 月 2 日前）和 COVID-19 中组（2020 年 1 月 2 日及之后）。每组又分为受 COVID-19 影响的专业（肺科、传染科和急诊科）和其他专业。使用广义估计方程（GEE）来比较和研究相关变量对学生成绩的影响：受 COVID-19 影响的专科和其他专科共获得 16,944 个临床评分。在受 COVID-19 影响的专业中，COVID-19 中期得分（88.513.52）明显低于 COVID-19 前得分（90.143.55）（PC结论：COVID-19对医学生的临床表现产生了负面影响，无论其专业如何。无论大流行与否，女学生的表现都优于男学生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Educational Evaluation for Health Professions EDUCATION, SCIENTIFIC DISCIPLINES-

CiteScore

9.60

自引率

9.10%

发文量

审稿时长

5 weeks

期刊介绍： Journal of Educational Evaluation for Health Professions aims to provide readers the state-of-the art practical information on the educational evaluation for health professions so that to increase the quality of undergraduate, graduate, and continuing education. It is specialized in educational evaluation including adoption of measurement theory to medical health education, promotion of high stakes examination such as national licensing examinations, improvement of nationwide or international programs of education, computer-based testing, computerized adaptive testing, and medical health regulatory bodies. Its field comprises a variety of professions that address public medical health as following but not limited to: Care workers Dental hygienists Dental technicians Dentists Dietitians Emergency medical technicians Health educators Medical record technicians Medical technologists Midwives Nurses Nursing aides Occupational therapists Opticians Oriental medical doctors Oriental medicine dispensers Oriental pharmacists Pharmacists Physical therapists Physicians Prosthetists and Orthotists Radiological technologists Rehabilitation counselor Sanitary technicians Speech-language therapists.