Comparison of Multinational Medical School Students Experiences in the Face of the COVID-19 Pandemic: A Qualitative Analysis
Keywords:COVID-19, Medical Student, Mental Health, Academic Performance
Background: In the midst of the COVID-19 pandemic, countries, and governments around the world have implemented different measures and guidelines for the containment and mitigation of the COVID-19 virus. In addition to implemented policies and initiatives, social media and personal beliefs have affected medical students’ social, emotional, financial, and academic stability and success both domestically and internationally.
Methods: This qualitative study, recruited students enrolled in the Global Seminar for Health and
Environment elective course in their respective medical schools to complete a weekly, non-graded journaling assignment for 6 weeks. To measure outcomes, open-ended questions within the assignment asked students across four different countries (United States, El Salvador, Dominican Republic, and Honduras) questions regarding the COVID-19 pandemic including personal beliefs and knowledge, policies and initiatives within their country, global policies and initiatives, and social media presentations. Thematic analysis was then completed using the QCoder package in R Studio.
Results: A total of 142 assignment submissions were collected and analyzed. International medical students reported more restrictions in their country, a larger mental health impact, and more individuals in their country showing a lack of regard for policies and initiatives. United States medical students were more likely to express a decrease in academic opportunities and academic performance.
Conclusion: The COVID-19 pandemic continues to affect medical students globally. The pandemic has changed the medical school experience for both international and United States medical students and affected them not only academically but mentally, and socially.
Chen CH, Mullen AJ. COVID-19 can catalyze the modernization of medical education. JMIR Medical Education. 2020 Jun 12;6(1):e19725
Stokes DC. Senior medical students in the COVID‐19 response: an opportunity to be proactive. Academic Emergency Medicine. 2020 Apr;27(4):343.
Brazeau CM, Shanafelt T, Durning SJ, Massie FS, Eacker A, Moutier C, et al. Distress among matriculating medical students relative to the general population. Academic Medicine. 2014 Nov 1;89(11):1520-5.
Chandratre S. Medical students and COVID-19: challenges and supportive strategies. Journal of medical education and curricular development. 2020 Jun;7:2382120520935059.
Radwan E, Radwan A, Radwan W. The role of social media in spreading panic among primary and secondary school students during the COVID-19 pandemic: An online questionnaire study from the Gaza Strip, Palestine. Heliyon. 2020 Dec 1;6(12):e05807.
González-Padilla DA, Tortolero-Blanco L. Social media influence in the COVID-19 Pandemic. International braz j urol. 2020 Jul 27;46:120-4.
Islam MS, Sarkar T, Khan SH, Kamal AH, Hasan SM, Kabir A, Yeasmin D, Islam MA, Chowdhury KI, Anwar KS, Chughtai AA. COVID-19–related infodemic and its impact on public health: A global social media analysis. The American journal of tropical medicine and hygiene. 2020 Oct;103(4):1621.
Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive psychiatry. 2018 Nov 1;87:123-7.
Diaria L. Las medidas ante el coronavirus adoptadas en América Latina [Internet]. la diaria. 2020 [cited 2022 June 12]. Available from: https://ladiaria.com.uy/politica/articulo/2020/3/las-medidas-ante-el-coronavirus-adoptadas-en-america-latina/
Litewka SG, Heitman E. Latin American healthcare systems in times of pandemic. Developing World Bioethics. 2020 Jun;20(2):69-73.
Qualtrics XM - experience management software [Internet]. Qualtrics. 2015 cited 2022 Jul 8. Available from: https://www.qualtrics.com
Duckles, B., Sholler, D., Draper, J., and Laderas, T. qcoder: Lightweight Qualitative Coding [Internet]. Github.com. [cited 2022 Jul 8]. Available from: https://github.com/ropenscilabs/qcoder
R Core Team. R: A Language and Environment for Statistical Computing [Internet]. Vienna, Austria; 2016. Available from: https://www.R-project.org/
Jia Q, Qu Y, Sun H, Huo H, Yin H, You D. Mental Health Among Medical Students During COVID-19: A Systematic Review and Meta-Analysis. Frontiers in Psychology. 2022;13.
Lu L, Wang X, Wang X, Guo X, Pan B. Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students. BMC psychiatry. 2022 Dec;22(1):1-1.
Abbasi MS, Ahmed N, Sajjad B, Alshahrani A, Saeed S, Sarfaraz S, Alhamdan RS, Vohra F, Abduljabbar T. E-Learning perception and satisfaction among health sciences students amid the COVID-19 pandemic. Work. 2020 Jan 1;67(3):549-56.
Keskin S, Özkan B. Mental statuses of nursing students in the covid-19 pandemic period: a systematic review. Annals of Clinical and Analytical Medicine. 2021:245-9.
Harries AJ, Lee C, Jones L, Rodriguez RM, Davis JA, Boysen-Osborn M, et al. Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study. BMC medical education. 2021 Dec;21(1):1-8.
Dong L, Bouey J. Public mental health crisis during COVID-19 pandemic, China. Emerging infectious diseases. 2020 Jul;26(7):1616
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