Evidence map›Paper›PMID 35226614›Full record

ArticleInternational journal of medical education2022

Medical education and mental health during COVID-19: a survey across 9 countries.

Daniel Michaeli, Gregory Keough, Francisco Perez-Dominguez, Francisca Polanco-Ilabaca, Fernanda Pinto-Toledo, Julia Michaeli, Sebastian Albers, Jadi Achiardi, Valeria Santana, Chiara Urnelli and 6 more

Abstract read
In one paragraph

Article in International journal of medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. The impact of COVID-19 on medical students.GMS journal for medical education · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Daniel MichaeliDepartment of Personalized Oncology, University Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Gregory KeoughDepartment of Health Policy, London School of Economics and Political Sciences, London, United Kingdom.
Francisco Perez-DominguezEscuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Francisca Polanco-IlabacaEscuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Fernanda Pinto-ToledoEscuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Julia MichaeliDepartment of Obstetrics and Gynecology, Asklepios-Clinic Hamburg-Altona, Asklepios Hospital Group, Hamburg, Germany.
Sebastian AlbersDepartment of Orthopedic Surgery, ATOS Klinik Fleetinsel Hamburg, Hamburg, Germany.
Jadi AchiardiFacultad de Medicina y Ciencias de la Salud, Universidad Militar Nueva Granada, Bogotá, Colombia.
Valeria SantanaEscuela Luis Razetti, Universidad Central de Venezuela, Caracas, Venezuela.
Chiara UrnelliFacoltà di Medicina e Chirurgia, Università degli Studi del Piemonte Orientale, Novara, Italy.
Yoshihiro SawaguchiFaculty of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Perla RodríguezFacultad de Medicina, Universidad Panamericana, Ciudad de México, Mexico.
Mónica MaldonadoFacultad de Medicina, Universidad de Sevilla, Sevilla, Spain.
Zaheer RaffeeqHumanitas University - Hunimed, Milan, Italy.
Otavio de Araujo MadeirosFaculdade de Ciências Médicas Santa Casa de São Paulo, São Paulo, Brazil.
Thomas MichaeliFifth Department of Medicine, University Hospital Mannheim, Heidelberg University, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate students' experience with medical education alongside their mental and physical health since the onset of the COVID-19 pandemic across nine countries.

methodsA cross-sectional online survey was distributed by local collaborators to 2,280 medical students across 148 medical schools in Brazil, Chile, Colombia, Germany, Italy, Japan, Mexico, Spain, and Venezuela using non-probability convenience sampling from June 22 to July 24, 2020. Students answered questions regarding teaching, internet use, COVID-19, physical and mental well-being. A multivariate logistic regression examined factors associated with depressed mood, insomnia, and headache.

resultsAcademic teaching shifted to a virtual (67%, n=1,534) or hybrid environment (23%, n=531), whilst bedside teaching was suspended or cancelled (93%, n=2,120). Across all countries students were equally satisfied with the teaching modality, quantity, quality, and the evaluation system of in-person, hybrid, and online curricula. Negative changes in mental (40% (n=912) insomnia, 57% (n=1,300) emotional irritability, 47% (n=1,072) emotional instability, 41% (n=935) anhedonia, 40% (n=912) depressed mood) and physical (36% (n=821) headache, 57% (n=1,299) ocular tiredness, 49% (n=1,117) backache) health symptoms were frequently observed. Positive associations between the number of daily screen hours and depressed mood (adjusted odds ratio (AOR)=1.09, 95%CI: 1.05-1.12, p<.001), insomnia (AOR=1.08, 95%CI: 1.05-1.11, p<.001), and headache (AOR=1.11, 95%CI: 1.07-1.14, p<.001) were identified.

conclusionsStudents' experience with digital and hybrid medical curricula was diverse during the pandemic. Education modality, quantity, and quality were positively evaluated. However, students' mental and physical health worsened. Besides bedside teaching, faculties ought to digitalize and strengthen social communities and extend support services for students.

Indexed as

COVID-19Education, MedicalStudents, MedicalCross-Sectional StudiesHumansMental HealthPandemicsSARS-CoV-2covid-19depressioninsomniamedical studentmental health

Identifiers

PMID35226614
PMCPMC9017502

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.