H5N1 influenza pandemic planning: should medical students be left out?

Keil, Meike

doi:10.1111/j.1743-498x.2007.00163.x

Cited by 5 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence, medical education during pandemics remains controversial and more studies that measure the risks and benefits of continuing hospital teaching for students versus virtual simulated teaching are needed to reach a conclusive assessment. In addition, lots of aspects should be taken into account when making the decision as to which path should medical education pursue (Figure 1 ) [ 13 - 15 ]. However, despite students' safety being the priority, we truly believe that direct interaction with patients and bedside teachings are irreplaceable and integral components of medical education.…”

Section: Reviewmentioning

confidence: 99%

Medical Education, Pre- and Post-Pandemic Era: A Review Article

Althwanay

Ahsan

Oliveri

et al. 2020

Cureus

View full text Add to dashboard Cite

A pandemic is the worldwide outbreak and spread of a disease. Although pandemics of influenza have occurred rarely, approximately once every few decades in more than three centuries, the outbreaks of H1N1 and H5N1 influenza, the severe acute respiratory syndrome (SARS), and most recently, the novel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have necessitated the institution of protective and preventive measures such as school closure and mandatory quarantine of infected people, as social distancing is considered to be the most effective preventative strategy until the development of a vaccine, treatment, or both. The current pandemic has also resulted in a transformation in medical education for both undergraduate and postgraduate medical students. Clinical rotations for undergraduates have been suspended all over the world; inter-hospital residency rotations and combined teaching sessions have also been curtailed until further notice. During this most recent pandemic, a number of medical schools have immediately converted their whole clinical curriculum into online formats. Similarly, educational and clinical assessments have been converted into online assessments. However, as the pandemic eras tend to recur over time and epidemics will continue to break out, medical students and healthcare workers will remain susceptible to contagion. Hence, we need to adopt a new educational system that would be safe and sustainable in the long run.

show abstract

Section: Reviewmentioning

confidence: 99%

Medical Education, Pre- and Post-Pandemic Era: A Review Article

Althwanay

Ahsan

Oliveri

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Our results demonstrate that such involvement in highly stressful situations can lead to anxiety, depressive symptoms, and emotional distress. 28,29,39 Consequently, stress can lead 25 Increased severity (very dangerous and contagious compared to very infectious) 35,36 Greater level of knowledge 17,19,34 Pediatric patient care 34 History of a severe illness to them or family member 25 Respiratory transmission compared to contact 37 Less than 24 y old 25 Medical role (compared to admin role) 23 More than 100 h of previous volunteering 25 Natural disaster (compared to an infectious disease) 23 PPE availability 36 Training before work 23 Travel compensation 23 Well run organization 23 23,32 Academic commitments 24 CV improvement and gaining future contacts 23 Family health and safety concerns 26 Increase self-confidence in sim situations 23 Family/social commitments 24 Obligation/social responsibility 23,25 Financial implications 24 Professional and skills development 23 Inefficiency 26 Reduce guilt about less fortunate 23 Lack of confidence in skills 19 Sense of ethics 25 Lack of information 24 Needless sacrifice 26 Personal health and safety concerns 19 Work commitments 24 Involvement of Medical Students in Pandemics and Past Global Health Emergencies Disaster Medicine and Public Health Preparedness to a higher prevalence of university student dropout. 44 To avoid negative mental health impacts, adequate support must be provided to medical students if they are to be involved.…”

Section: Rolementioning

confidence: 99%

“…18,40 The impact on the mental health of medical students was also highlighted, both during and after the emergency event (n = 3). 28,29,39 For example, during the provision of clinical care during the 1918 influenza epidemic, medical students experienced psychological distress during their fieldwork, such as fear, anxiety, depressive symptoms, despair, and panic. 40 An article on the 2001 WTC terrorist attack suggested that the type of role played appeared to correlate with how much the students were affected.…”

Section: Rolementioning

confidence: 99%

“…30.31.39 There are ethical issues of involving medical students in global health emergencies, including students' safety, medico-legal issues, and health insurance of students. 22,29,30 Eastwood et al specifically highlighted the importance of students to be well informed and be able to make the decision of being involved themselves. 22…”

Section: Appropriatenessmentioning

confidence: 99%

“…18 Several challenges were described as students undertook these roles, including a lack of supervision, a lack of experience, and a negative impact on their mental health. 18,28,29,39 Pro-actively addressing these challenges will not only enable any involvement medical students have in the current or any global health emergency to be efficient and effective, but will also reduce any detrimental effect on the medical students' mental health and medical education.…”

Section: Involvement Of Medical Students In Pandemics and Past Global...mentioning

confidence: 99%

See 2 more Smart Citations

A Rapid Systematic Review Exploring the Involvement of Medical Students in Pandemics and Other Global Health Emergencies

Martin

Blom

Whyatt

et al. 2020

Disaster med. public health prep.

View full text Add to dashboard Cite

Objectives The role of medical students in the current COVID-19 pandemic is rapidly evolving. The aim of this review is to explore the involvement of medical students in past global health emergencies, to help inform current and future scenarios. Methods A rapid systematic review was undertaken, including articles from online databases discussing the roles, willingness and appropriateness of medical student involvement in global health emergencies. Data were extracted, appraised and written up as a narrative synthesis. This paper was registered with PROSPERO (CRD42020177231). Results 28 articles were included. Medical students played a wide variety of clinical and non-clinical roles including education and logistics, although medical assistance was the most commonly reported role. Challenges included a lack of preparedness and negative mental health impacts. 91.7% of included articles about willingness found medical students were more willing to be involved than not. Conclusion This review shows medical students are capable and willing to be involved in global health emergencies. However, there should be clear protocols for the roles that they play, taking into account the appropriateness. As a rapid review, there were study limitations and more research is required regarding the impact of these roles on medical students and the system.

show abstract

Business as (un)usual: A qualitative study of clerkship experiences during a health crisis

et al. 2022

View full text Add to dashboard Cite

Introduction: During a health crisis, hospitals must prioritise activities and resources, which can compromise clerkship-based learning. We explored how health crises affect clinical clerkships using the COVID-19 pandemic as an example.Methods: In a constructivist qualitative study, we conducted 22 semi-structured interviews with key stakeholders (i.e. medical students and doctors) from two teaching hospitals and 10 different departments. We used thematic analysis to investigate our data and used stakeholder theory as a sensitising concept.Results: We identified three themes: (1) emotional triggers and reactions; (2) negotiation of legitimacy; and (3) building resilience. Our results suggest that the health crisis accentuated already existing problems in clerkships, such as students' feelings of low legitimacy, constant negotiation of roles, inconsistencies navigating rules and regulations and low levels of active participation. Medical students and doctors adapted to the new organisational demands by developing increased resilience. Students responded by reaching out for guidance and acceptance to remain relevant in the clinical clerkships. Doctors developed a behaviour of closing in and focused on managing themselves and their patients. This created tension between these two stakeholder groups. Conclusion:A health crisis can critically disrupt the hierarchical structure within the clinical clerkships and exacerbate existing conflicts between stakeholder groups.When medical students are not perceived as legitimate stakeholders in clinical clerkships during a health crisis, their attendance is perceived as unnecessary or even a nuisance. Despite increased student proactiveness and resilience, their roles inevitably shift from being doctors-to-be to students-to-be-managed.

show abstract

H5N1 influenza pandemic planning: should medical students be left out?

Cited by 5 publications

References 5 publications

Medical Education, Pre- and Post-Pandemic Era: A Review Article

Medical Education, Pre- and Post-Pandemic Era: A Review Article

A Rapid Systematic Review Exploring the Involvement of Medical Students in Pandemics and Other Global Health Emergencies

Business as (un)usual: A qualitative study of clerkship experiences during a health crisis

Contact Info

Product

Resources

About