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The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance

Background/Aims: To avoid the negative impacts of the COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in the scenario-based distal simulations were implemented. This study utilized the OSCE (objective-structured clinical examination) to evaluate the impact o...

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Autores principales: Tzeng, Tzyy-Yurn, Hsu, Chia-An, Yang, Ying-Ying, Yuan, Eunice J., Chang, Ya-Ting, Li, Tzu-Hao, Li, Chung-Pin, Liang, Jen-Feng, Lirng, Jiing-Feng, Chen, Tzeng-Ji, Huang, Chia-Chang, Hou, Ming-Chih, Chen, Chen-Huan, Sheu, Wayne Huey-Herng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750631/
https://www.ncbi.nlm.nih.gov/pubmed/35010466
http://dx.doi.org/10.3390/ijerph19010208
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author Tzeng, Tzyy-Yurn
Hsu, Chia-An
Yang, Ying-Ying
Yuan, Eunice J.
Chang, Ya-Ting
Li, Tzu-Hao
Li, Chung-Pin
Liang, Jen-Feng
Lirng, Jiing-Feng
Chen, Tzeng-Ji
Huang, Chia-Chang
Hou, Ming-Chih
Chen, Chen-Huan
Sheu, Wayne Huey-Herng
author_facet Tzeng, Tzyy-Yurn
Hsu, Chia-An
Yang, Ying-Ying
Yuan, Eunice J.
Chang, Ya-Ting
Li, Tzu-Hao
Li, Chung-Pin
Liang, Jen-Feng
Lirng, Jiing-Feng
Chen, Tzeng-Ji
Huang, Chia-Chang
Hou, Ming-Chih
Chen, Chen-Huan
Sheu, Wayne Huey-Herng
author_sort Tzeng, Tzyy-Yurn
collection PubMed
description Background/Aims: To avoid the negative impacts of the COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in the scenario-based distal simulations were implemented. This study utilized the OSCE (objective-structured clinical examination) to evaluate the impact of COVID-19 pandemic on the learning outcome of medical students from the regular group (class of 2020) and pandemic-impacted group (class of 2021). Methods: All medical students serially took, firstly, the mock-OSCE, secondly, the mock-OSCE, and the national OSCE. Then, the serial OSCE scores were compared between groups. Results: Although with similar scores in the first mock OSCE, the regular group (n = 78) had a higher average score in the national OSCE than the pandemic-impacted group (n = 80) (872.18 vs. 834.96, p = 0.003). In terms of improvement, the performances of the regular group were also better than the pandemic-impacted group between the second mock OSCE and the national OSCE (79.10 vs. 38.14, p = 0.014), and between the second mock OSCE and the national OSCE (125.11 vs. 77.52, p = 0.003). While separating distinct genres, the regular group had more of a score increment in standardized patient-based stations between the second mock OSCE and the national OSCE (regular vs. pandemic-impacted: 57.03 vs. 18.95, p = 0.003), as well as between the first mock OSCE and the national OSCE (75.97 vs. 26.36, p < 0.001), but there was no significant difference among the skill-based stations. In particular, the scores of the emergency medicine associated station in the national OSCE of the pandemic-impacted group was lower. Conclusions: Our study implies that the pandemic significantly hampered the learning outcomes of final year medical students in their clinical participation. Especially facing the COVID-19 pandemic, more supplemental teachings are needed to compensate the decreasing emergency medicine exposure.
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spelling pubmed-87506312022-01-12 The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance Tzeng, Tzyy-Yurn Hsu, Chia-An Yang, Ying-Ying Yuan, Eunice J. Chang, Ya-Ting Li, Tzu-Hao Li, Chung-Pin Liang, Jen-Feng Lirng, Jiing-Feng Chen, Tzeng-Ji Huang, Chia-Chang Hou, Ming-Chih Chen, Chen-Huan Sheu, Wayne Huey-Herng Int J Environ Res Public Health Article Background/Aims: To avoid the negative impacts of the COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in the scenario-based distal simulations were implemented. This study utilized the OSCE (objective-structured clinical examination) to evaluate the impact of COVID-19 pandemic on the learning outcome of medical students from the regular group (class of 2020) and pandemic-impacted group (class of 2021). Methods: All medical students serially took, firstly, the mock-OSCE, secondly, the mock-OSCE, and the national OSCE. Then, the serial OSCE scores were compared between groups. Results: Although with similar scores in the first mock OSCE, the regular group (n = 78) had a higher average score in the national OSCE than the pandemic-impacted group (n = 80) (872.18 vs. 834.96, p = 0.003). In terms of improvement, the performances of the regular group were also better than the pandemic-impacted group between the second mock OSCE and the national OSCE (79.10 vs. 38.14, p = 0.014), and between the second mock OSCE and the national OSCE (125.11 vs. 77.52, p = 0.003). While separating distinct genres, the regular group had more of a score increment in standardized patient-based stations between the second mock OSCE and the national OSCE (regular vs. pandemic-impacted: 57.03 vs. 18.95, p = 0.003), as well as between the first mock OSCE and the national OSCE (75.97 vs. 26.36, p < 0.001), but there was no significant difference among the skill-based stations. In particular, the scores of the emergency medicine associated station in the national OSCE of the pandemic-impacted group was lower. Conclusions: Our study implies that the pandemic significantly hampered the learning outcomes of final year medical students in their clinical participation. Especially facing the COVID-19 pandemic, more supplemental teachings are needed to compensate the decreasing emergency medicine exposure. MDPI 2021-12-25 /pmc/articles/PMC8750631/ /pubmed/35010466 http://dx.doi.org/10.3390/ijerph19010208 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tzeng, Tzyy-Yurn
Hsu, Chia-An
Yang, Ying-Ying
Yuan, Eunice J.
Chang, Ya-Ting
Li, Tzu-Hao
Li, Chung-Pin
Liang, Jen-Feng
Lirng, Jiing-Feng
Chen, Tzeng-Ji
Huang, Chia-Chang
Hou, Ming-Chih
Chen, Chen-Huan
Sheu, Wayne Huey-Herng
The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title_full The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title_fullStr The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title_full_unstemmed The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title_short The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance
title_sort impact of covid-19 pandemic on the learning outcomes of medical students in taiwan: a two-year prospective cohort study of osce performance
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750631/
https://www.ncbi.nlm.nih.gov/pubmed/35010466
http://dx.doi.org/10.3390/ijerph19010208
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