Strides in Development of Medical Education

Document Type : Original Article

Authors

1 Professor of Distance Learning Curriculum Planning, Research Center for Social Determinant of Health, Medical Education Department, Jahrom University of Medical Sciences, Jahrom, Iran

2 Department of English language, Jahrom University of Medical Sciences, Jahrom, Iran

3 Medical Student, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: COVID-19 crisis has created special educational conditions. This challenge has brought about changes in students’ academic lifestyles.
Objectives: We aimed to conduct a qualitative study on the students’ academic lifestyle and quality during the COVID-19 crisis.
Methods: This is a qualitative method with a phenomenological analysis. The research was conducted within the framework of logic sampling on 50 students with a phenomenological approach to Medical, Health, and Laboratory Sciences students. It was purposeful. Students were asked to describe the style and quality of their academic life in the form of expression of experience during their COVID-19 crisis and quarantine, and then the analysis of the students’ written work was performed using Colaizzi’s seven-step process. Four-dimension criteria were also considered to assess rigor of qualitative research (credibility, dependability, conformability, and transferability).
Results: Of 64 codes obtained in the research, five themes and 11 sub-themes emerged. Themes included items such as 1) unknown stress and anxiety, vague future and professional problem, 2) cognitive burden (information literacy, bulk contents, need for
self-paced, and need for mastery), 3) interests (following interest and compensation process), 4) skills (self-regulation, self-direction, and time management), and 5) security (available content, exercise, and practice).
Conclusion: According to the results, it can be stated that changing the academic lifestyle can provide improved personal skills and information literacy, but changing the academic lifestyle in a negative direction with cognitive burden and fear of the unknown has created many problems in the process of this lifestyle.

Keywords

  1. Pro-MED-mail. International Society for Infectious Diseases. Undiagnosed pneumonia – China (HU) (01): wildlife sales, market closed, RFI Archive Number: 20200102.6866757". [cited 2020 Jan 2]. Available from: https://scholar.harvard.edu/files/kleelerner/files/20200102_promed_-undiagnosed_pneumonia_-_china_hubei_01-_wildlife_sales_market_closed_request_for_information.pdf
  2. Cohen J, Normile D. New SARS-like virus in China triggers alarm. Science. 2020; 367(6475): 234-5. doi:10.1126/science.367.6475.234. [PMID: 31949058].
  3. Yılmaz H, Çavaş PH. Reliability and validity study of the Students’ Motivation toward Science Learning (SMTSL) Questionnaire. Elementary Education Online. 2007; 6(3): 430-40.
  4. Yu G, Lee D-J. A model of quality of college life (QCL) of students in Korea. Social Indicators Research. 2008;87(2):269-85. doi: 10.1007/s11205-007-9172-9.
  5. Falahati Quality of College Life (QCL) of Students: A Study among Tehran and Kurdestan College Students. Journal of Iranian Cultural Research. 2013; 6(3): 151-72.
  6. Sirgy MJ, Grzeskowiak S, Rahtz D. Quality of college life (QCL) of students: Developing and validating a measure of well-being. Social Indicators Research. 2007;80(2):343-60. doi:1007/s11205-005-5921-9.
  7. Sirgy MJ, Lee DJ, Grzeskowiak S, Grace BY, Webb D, El-Hasan K, et al. Quality of college life (QCL) of students: Further validation of a measure of well-being. Social Indicators Research. 2010;99(3):375-90. doi.org/10.1007/s11205-010-9587-6.
  8. Irby DM, Cooke M, O’Brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med. 2010;85(2):220-7. doi: 1097/ACM.0b013e3181c88449. [PMID: 20107346].
  9. Skochelak SE, Stack SJ. Creating the medical schools of the future. Acad Med. 2017;92(1):16-9. doi: 1097/ACM.0000000000001160. [PMID: 27008357].
    1. Emanuel EJ. The inevitable reimagining of medical education. JAMA. 2020;323(12):1127-8. doi:1001/jama.2020.1227. [PMID: 32105294].
    2. Rose S. Medical student education in the time of COVID-19. JAMA. 2020;323(21):2131-2. doi:10.1001/jama.2020.5227. [PMID: 32232420].
    3. Almarzooq ZI, Lopes M, Kochar A. Virtual learning during the COVID-19 pandemic: a disruptive technology in graduate medical education. J Am Coll Cardiol, 2020;75(20): 2635-8. doi: 1016/j.jacc.2020.04.015. [PMID: 32304797]. [PMCID: PMC7159871].
    4. Hilburg R, Patel N, Ambruso S, Biewald MA, Farouk SS. Medical Education During the Coronavirus Disease-2019 Pandemic: Learning From a Distance. Adv Chronic Kidney Dis. 2020;27(5):412-7. doi: 10.1053/j.ackd.2020.05.017. [PMID:33308507]. [PMCID: PMC7309716].
    5. Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;20(1):206. doi.org/10.1186/s12909-020-02117-1. [PMID: 32600460]. [PMCID: PMC7323883].
    6. Morrow R, Rodriguez A, King N. Colaizzi’s descriptive phenomenological method. The psychologist. 2015;28(8):643-4.
    7. Lincoln YS, Guba EG. Naturalistic inquiry. California: Sage publication; 1985. DOI: 10.4236/ojbm.2018.61003.
    8. Maree DJ. The Methodological Division: Quantitative and Qualitative Methods. Realism and Psychological Science. Cham, Switzerland: Springer, Cham; 2020:13-42.
    9. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak, [Citer 2020 Mar 18]. Available from: https://apps.who.int/iris/handle/10665/331490?locale-attribute=ar&locale-.
    10. Shahyad S, Mohammadi MT. Psychological Impacts of Covid-19 Outbreak on Mental Health Status of Society Individuals: A Narrative Review. J Mil Med. 2020; 22(2):184-92. doi:10.30491/JMM.22.2.184.
    11. Mak IW, Chu CM, Pan PC, Yiu MG, Chan VL. Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry. 2009; 31(4):318-26. doi: 10.1016/j.genhosppsych.2009.03.001. [PMCID: PMC7112501] [PMID: 19555791]
    12. Fardin MA. COVID-19 and anxiety: A review of psychological impacts of infectious disease outbreaks. Archives of clinical infectious diseases. 2020;15(COVID-19): doi: 10.5812/archcid.102779.
    13. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research. 2020;287:112934. doi: 10.1016/j.psychres. 2020.112934. [PMCID: PMC7102633]. [PMID: 32229390].
    14. Eyni S, Ebadi M, Torabi N. Developing a model of corona anxiety in students based on optimism and resilience: the mediating role of the perceived social support. Counseling Culture and Psychotherapy. 2020;11(43):1-32. doi: 22054/QCCPC.2020.51656.2376
    15. Nasr NE. Factor affecting adaptation to university life for new student in light of crona pandemic (descriptive study). PalArch's Journal of Archaeology of Egypt/Egyptology. 2020;17(6):13581-604.
    16. Prisacari AA, Danielson J. Computer-based versus paper-based testing: Investigating testing mode with cognitive load and scratch paper use. Computers in Human Behavior. 2017;77:1-10. doi: 10.1016/j.chb.2017.07.044.
    17. Bali S, Liu M C. Students’ perceptions toward online learning and face-to-face learning courses. J Physics. 2018;1108(1):012094. doi:10.1088/1742- 6596/1108/1/012094.
    18. Choi J A, Kim O, Park S, Lim H, Kim J H. The Effectiveness of Peer Learning in Undergraduate Nursing Students: A Meta-Analysis. Clinical Simulation in Nursing. 2021;50:92-101. doi: 10.1016/j.ecns.2020.09.002.
    19. Motevasseliyan M, Nasiriaian K. Impact of Near-peer teaching on Learning Dressing Skill among Nursing Students. Iran J Med Educ. 2014; 14(8): 678-84.
    20. Hajihosseini F, Izadi A, Mahboobi M, Mohammadtabar R. Effect of Peer Education on Practical Skills Learning of Nursing Students in Clinical Skill Lab (CSL) of Mazandaran University of Medical Sciences. Biannual Medical Education Development center Babol University of Medical Sciences. 2013;1(1):13-7. [PMCID: 26329028].
    21. Liew S-C, Sow C-F, Sidhu J, Nadarajah V D. The near-peer tutoring programme: embracing the ‘doctors-to-teach’ philosophy – a comparison of the effects of 66 participation between the senior and junior near-peer tutors. Medical Education Online. 2015;20:1-9. doi: 10.3402/meo.v20.27959. [PMCID: PMC4565062] [PMID: 26356229]
    22. Field M, Burke JM, McAllister D, Lloyd DM. Peer-assisted learning: a novel approach to Clinical skills learning for medical students. Med Educ. 2007;41(4):411-8. doi: 10.1111/j.1365-2929.2007.02713.x. [PMID: 17430287]
    23. Havnes A, Christiansen B, Bjørk IT, Hessevaagbakke E. Peer learning in higher education: Patterns of talk and interaction in skills centre simulation. Learning, Culture and Social Interaction. 2016;8:75-87. doi:10.1016/j.lcsi.2015.12.004.
    24. Ramaswamy S, Harris I, Tschirner U. Student Peer Teaching: An Innovative Approach to Instruction in Science and Engineering Education. Journal of Science Education and Technology. 2001;10(2):165-71. doi:1023/A:1009421231056.
    25. Mehrabi S, Sanaee Moghadam Z, Karimzadeh Shirazi K, Rabbani MR, Nikenam H, Roozbehi A. The Effect of Peer Assisted Learning on Clinical Reasoning in Students of Medicine in Clerkship and Internship Phases in Urology Ward of Yasuj Shahid Beheshti Hospital. Armaghane-danesh. 2011;16(5):480-8.
    26. Pellas N. The influence of computer self-efficacy, metacognitive self-regulation and self-esteem on student engagement in online learning programs: Evidence from the virtual world of Second Life. Computers in Human Behavior. 2014;35:157-70. doi: 10.1016/j.chb.2014.02.048
    27. Karami B, Karami A, Hashemi N. Effectiveness of Cognitive and Metacognitive Strategies Training on Creativity, Achievement Motive and Academic Self-Concept. Innovation & Creativity in Human Science. 2013; 2(4): 121-39. [In Persian]
    28. Ghoraishi M, Menshaei N, Nadi Mohammad A, Saeedian N. Effectiveness of Local Model of E-Learning on Self-Direction of Students’ Learning. Journal of Psychological Models and Methods. 2016; 1(42):11-99.
    29. Fallahi A, Jasemi KH. Investigating the Relationship between Leadership Learning and Electronic Learning of Students during the Coronavirus Epidemic Period. Journal of New Approaches in Educational Sciences (JNAES). 2020;2(2): 35-41. doi:22034/NAES.2020.232157.1042.
    30. Rabiei M. (dissertation). Study the effectiveness of virtual Learning course from the view Point of Ferdowsi University of Mashhad’s Professors and students. Tehran: Shahid Beheshti University; 2008.
    31. Strong R, Irby TL, Wynn JT, McClure MM. Investigating Students' Satisfaction with eLearning Courses: The Effect of Learning Environment and Social Presence. Journal of Agricultural Education. 2012;53(3):98-110. doi: 10.5032/jae.2012.03098.