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

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

• 1 World Health Organization, "WHO COVID-19 dashboard" World Health Organization
• 2 Webster P, "Virtual health care in the era of COVID-19" 395 : 1180-1181, 2020
• 3 Huang CC, "The influence of gender on the communication skills assessment of medical students" 26 : 670-674, 2015
• 4 Birkmeyer JD, "The impact of the COVID-19 pandemic on hospital admissions in the United States" 39 : 2010-2017, 2020
• 5 Durfee SM, "Medical student education roadblock due to COVID-19 : virtual radiology core clerkship to the rescue" 27 : 1461-1466, 2020
• 6 Kaul V, "Medical education during the COVID-19 pandemic" 159 : 1949-1960, 2021
• 7 Varghese C, "Learning by doing : accelerate towards the NCD target in SDG through primary healthcare comment on"universal health coverage for non-communicable diseases and health equity : lessons from Australian primary healthcare"" 11 : 708-710, 2022
• 8 Jeng Y, "Impact of COVID-19 pandemic on accessibility of Taiwanese medical care" 27 : e330-e335, 2021
• 9 He H, "How to transform a general hospital into an"infectious disease hospital"during the epidemic of COVID-19" 24 : 145-, 2020
• 10 Gorth DJ, "Gender disparity in evaluation of internal medicine clerkship performance" 4 : e2115661-, 2021
• 11 Lo WL, "Faculty development program for general medicine in Taiwan : past, present, and future" 26 : 64-67, 2014
• 12 Chatterji P, "Effects of the COVID-19 pandemic on outpatient providers in the United States" 59 : 58-61, 2021
• 13 Ashokka B, "Coordinated responses of academic medical centres to pandemics : sustaining medical education during COVID-19" 42 : 762-771, 2020
• 14 Hu B, "Characteristics of SARS-CoV-2 and COVID-19" 19 : 141-154, 2021
• 15 Oseran AS, "Changes in hospital admissions for urgent conditions during COVID-19 pandemic" 26 : 327-328, 2020