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Medical students' perceived stress and perceptions regarding clinical clerkship during the COVID-19 pandemic

 Hae Won Kim  ;  Jong Won Hong  ;  Eun Ji Nam  ;  Ka Young Kim  ;  Ji Hye Kim  ;  Jee In Kang 
 PLOS ONE, Vol.17(10) : e0277059, 2022-10 
Journal Title
Issue Date
COVID-19* / epidemiology ; Clinical Clerkship* ; Education, Medical, Undergraduate* ; Humans ; Pandemics ; Stress, Psychological / epidemiology ; Students, Medical*
Background: It is important to ensure that both the qualitative and quantitative aspects of clinical education are maintained during the pandemic. Understanding students' views on clinical rotations and the extent of their perceived pandemic-related stress would thus be useful for designing and implementing effective clerkship programs. Therefore, this study aimed to investigate perceived stress and perceptions regarding clinical clerkship among incoming clinical students (third year) and senior clinical students (fourth year) during the COVID-19 pandemic.

Methods: After completing orientation programs at the beginning of the academic year, we surveyed students on their perceived stress, their general perspectives regarding the appropriate scope of clinical clerkship, and their preferences regarding level of participation in clerkship. We examined the differences in stress and clerkship-related perceptions based on the students' study year and sex using independent t-test, chi-squared test, and Fisher's exact test. In addition, the influences of stress, sex, and study year on clerkship-related perceptions were examined using multinomial logistic regression.

Results: The independent t-test indicated that third-year students experienced lower stress than did fourth-year students. Clerkship-related perceptions also differed significantly between third- and fourth-year students. Multinomial logistic regression analyses on the scope of and participation levels in clinical clerkship revealed that third-year students had significantly lower odds of preferring a limited range of clinical rotations and lower engagement in clerkships compared to fourth-year students.

Conclusion: The COVID-19 pandemic has affected clinical education and, consequently, medical students' inclination toward active participation in clinical rotations. It is thus essential to understand students' views and provide them with relevant intra-pandemic educational supports.
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1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jee In(강지인) ORCID logo https://orcid.org/0000-0002-2818-7183
Kim, Hae Won(김혜원) ORCID logo https://orcid.org/0000-0002-9321-8361
Nam, Eun Ji(남은지) ORCID logo https://orcid.org/0000-0003-0189-3560
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
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