Covid-19: medical students and FY1 doctors to be given early registration to help combat covid-19

Harvey, Anna

doi:10.1136/bmj.m1268

Cited by 31 publications

(30 citation statements)

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“…These unprecedented times call for an increased need to gauge the knowledge and protective behaviors of people at different levels of health care services. Unduly high anxiety levels and poor-risk perceptions often result in barriers to healthcare providers' willingness and ability to work and constitute an important component in policy-related decisions (12,13). While data is limited on the impact of COVID-19 with regards to barriers to working, it is indicated that healthcare providers are likely to suffer from high levels of anxiety and post-traumatic stress disorders (14).…”

Section: Introductionmentioning

confidence: 99%

Perceived Risk and Distress related to COVID-19: Comparing Healthcare versus non-Healthcare Workers of Pakistan

Abid

Shahzad

Khan

et al. 2020

Preprint

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Background Healthcare workers (HCWs) find themselves susceptible to contracting COVID-19 or being the source of exposure for their family members. This puts them at a high risk of psychological distress which may compromise patient care. In this study we aim to explore the risk perceptions and psychological distress between HCWs and non-healthcare workers (NHCWs) in Pakistan. Methods A cross-sectional study was conducted in Pakistan using an online self-administered questionnaire. Respondents were categorized into HCWs (completed or aspiring to complete education in Medicine or allied fields) and NHCWs. HCWs were further categorized into front-line (direct patient care) and back-end HCWs. Results Data from 1406 respondents (507 HCWs and 899 NHCWs) was analyzed. No significant difference was observed between HCWs and NHCWs perception of susceptibility and severity towards COVID-19. Healthcare graduates perceived themselves (66% students vs. 80% graduates, p-value 0.011) and their family (67% students vs. 82% graduates, p-value 0.008) to be more susceptible to COVID-19 than the healthcare students. Frontline HCWs perceived themselves (83% frontline vs. 70% back-end, p-value 0.003) and their family (84% frontline vs. 72% back-end, p-value 0.006) as being more susceptible to COVID-19 than back-end healthcare professionals. Over half of the respondents were anxious (54% HCWs and 55% NHCWs). Female gender, younger age and having COVID-19 related symptoms had a significant effect on the anxiety levels of both HCWs and NHCWs. Conclusion Frontline HCWs, healthcare students, young people, females and individuals with lower income were at a higher risk of psychological distress due to the pandemic. Government policies should thus be directed at ensuring the mental well-being of frontline HCWs, and improving their satisfaction in order to strengthen health care delivery system.

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Section: Introductionmentioning

confidence: 99%

Perceived Risk and Distress related to COVID-19: Comparing Healthcare versus non-Healthcare Workers of Pakistan

Abid

Shahzad

Khan

et al. 2020

Preprint

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“…These risks are perhaps not only hypothetical, because at the moment it is discussed whether it is possible to offer final year medical students early provisional registrations to help staffing levels during the covid-19 pandemic [13]. 'As a fully registered doctor, trainees can practice with less supervision, including a wider range of prescribing responsibilities and, in some areas, the ability to independently discharge patients from hospital care.…”

Section: Potential Risksmentioning

confidence: 99%

Why should medical students (not) be recruited to care for patients with COVID-19?

Bank

Wijnen-Meijer

2020

BMC Med Educ

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Worldwide it is being discussed whether medical students might be of help during the present COVID-19 epidemic. Although this question is probably a legitimate one, one should however discuss this thoroughly before deciding whether medical students are to be included in this kind of medical care on a larger scale. Various arguments should be weighted, and potential tasks should be chosen carefully. This period could however be also an opportunity for medical students to learn things they would probably never learn about. Nevertheless, medical students have a deficit concerning knowledge about epidemics, and they are also not really well skilled in many hygiene measures. Furthermore, some of the known medical students’ behaviour could be a risk factor for further spread of the virus as well. Then, young adults are at risk of getting infected themselves. Last but not least, medical students in general are under a great deal of pressure from their studies which could lead to the development of anxiety and other mental disorders. One could only speculate on the effects of this epidemic on their further mental well-being. Therefore, medical students participating in direct care of patients with COVID-19 should first be trained well, and then properly supervised at all times. Only then it might be a really useful and exceptional experience, for healthcare, medical schools as well as for society.

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“…Here, discussions ranged from care of non-infected patients and low-acuity Covid-19 scenarios to introduction in ventilator therapy or nursing assistance [13,[20][21][22][23][24][25][26]. For clinical deployment, final year students were given early registration, temporary license or allowed to work as physician assistants in several countries [13,23,25,[27][28][29][30][31]]. Yet, the clinical deployment of students has been seen ambivalent.…”

Section: Country Of Residence Of the First Authormentioning

confidence: 99%

“…Students should not be put in situations exceeding their competencies, have adequate access to PPE and should be deployed on a voluntary basis [30,32,78]. First year residents, in deployment or new roles within their clinic, need to be supervised accordingly [16,27]. Being possible vectors, residents on duty should have the chance to reduce physical movement.…”

Section: Faculty Preparationmentioning

confidence: 99%

“…Yet, for a better dissemination and to counteract rumors, such articles should be prominently placed on social media [59]. For a possible deployment to the frontline, the British Medical Association (BMA) demanded comprehensive introduction and supervision for students [27,32,88]. To minimize career disadvantages for the redeployed, several ideas, like a governmentprovided loan repayment or discounting of final-year tuitions, were suggested [89,90].…”

Section: Rights and Obligationsmentioning

confidence: 99%

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Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

Wohlfarth

Gloor

Hautz

2020

Preprint

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Introduction: In the Covid-19 pandemic, medical students and residents find themselves in a healthcare environment with measures and policies changing by the hour. Reports regarding those in training were scarce and scattered in the early pandemic, what made an overarching insight a challenge. This review compiles and analyzes the literature addressing the preparation of students and residents in the first four months of the Covid-19 pandemic to find gaps and implications for the current pandemic as well as for future scenarios.Methods: We performed a systematic literature search and content analysis (CA) for articles available in English language that focus on the preparation of students and residents in human medicine within the first four months of the Covid-19 pandemic.Results: We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics of «faculty preparation», «uncertainty and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of «(re)deployment», «interruption of training and career», «safety issues», «transmission of disease», and «restricted social interaction» were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout.Discussion: Students and residents are willing and able to participate, when provided with appropriate deployment, thorough supervision, Personal Protective Equipment (PPE) and valid knowledge. Faculties and policymakers should be in close contact with the youngest in training to value their concerns and intrinsic creativity on the scenario. The use of new technology for interaction and knowledge provision, interviews for voluntary deployment and the provision of mental health support seem appropriate measures to support students and residents under the current pandemic.Conclusion: Our review holds thorough implications for faculties and policymakers. Not only for surge capacity, but also for the safety and the professional identity formation of those in training, it is crucial to understand their needs and concerns. Leaders should strive for a close communication with students and residents, value their intrinsic creativeness and constantly evaluate on their needs regarding knowledge aspects, safety measures, legal concerns and well-being for the construction of nation-wide homogenous policies.

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Covid-19: medical students and FY1 doctors to be given early registration to help combat covid-19

Cited by 31 publications

References 1 publication

Perceived Risk and Distress related to COVID-19: Comparing Healthcare versus non-Healthcare Workers of Pakistan

Perceived Risk and Distress related to COVID-19: Comparing Healthcare versus non-Healthcare Workers of Pakistan

Why should medical students (not) be recruited to care for patients with COVID-19?

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

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