Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i
The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient expe...
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| Veröffentlicht in: | Hawai'i journal of health & social welfare 2024-07, Vol.83 (7), p.192 |
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| container_title | Hawai'i journal of health & social welfare |
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| creator | Fujiwara, Alyssa S Di Rocco, Jennifer R Hong, Travis K F Kimata, Chieko Len, Kyra A |
| description | The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient experiences of third- and fourth-year medical students by assessing patient volumes and diagnoses seen by students. Frequency and types of notes written by medical students on hospital-based pediatric rotations at Kapi'olani Medical Center for Women and Children as well as patient diagnoses and ages were compared between 2 time periods: pre-pandemic (July 2018-February 2020) and pandemic (May 2020-September 2021). On average, the number of patients seen by medical students was significantly reduced in the pandemic period from 112 patients/month to 88 patients/month (
=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period ( |
| doi_str_mv | 10.62547/FIMM9629 |
| format | Article |
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=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period (
<.001). Bronchiolitis was diagnosed in 1.3% of patients seen by medical students during the pandemic period, compared with 5.9% of patients pre-pandemic. Pneumonia was diagnosed in 1.0% of patients seen by medical students in the pandemic period compared with 4.6% pre-pandemic. There was no significant difference in patient age between the 2 groups (
=.092). During the first 18 months of the COVID-19 pandemic, medical students in this institution had a remarkably different inpatient experience from that of their predecessors. They saw fewer patients, and those patients had fewer common pediatric respiratory diseases. These decreases suggest these students may require supplemental education to compensate for these gaps in direct pediatric clinical experience.</description><identifier>ISSN: 2641-5224</identifier><identifier>EISSN: 2641-5224</identifier><identifier>DOI: 10.62547/FIMM9629</identifier><identifier>PMID: 38974805</identifier><language>eng</language><publisher>United States</publisher><subject>Child ; Clinical Clerkship - methods ; COVID-19 - epidemiology ; Female ; Hawaii - epidemiology ; Humans ; Inpatients - statistics & numerical data ; Male ; Pandemics ; Pediatrics - education ; Pediatrics - methods ; Pediatrics - statistics & numerical data ; SARS-CoV-2 ; Students, Medical - statistics & numerical data</subject><ispartof>Hawai'i journal of health & social welfare, 2024-07, Vol.83 (7), p.192</ispartof><rights>Copyright 2024 by University Health Partners of Hawai‘i (UHP Hawai‘i).</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38974805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujiwara, Alyssa S</creatorcontrib><creatorcontrib>Di Rocco, Jennifer R</creatorcontrib><creatorcontrib>Hong, Travis K F</creatorcontrib><creatorcontrib>Kimata, Chieko</creatorcontrib><creatorcontrib>Len, Kyra A</creatorcontrib><title>Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i</title><title>Hawai'i journal of health & social welfare</title><addtitle>Hawaii J Health Soc Welf</addtitle><description>The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient experiences of third- and fourth-year medical students by assessing patient volumes and diagnoses seen by students. Frequency and types of notes written by medical students on hospital-based pediatric rotations at Kapi'olani Medical Center for Women and Children as well as patient diagnoses and ages were compared between 2 time periods: pre-pandemic (July 2018-February 2020) and pandemic (May 2020-September 2021). On average, the number of patients seen by medical students was significantly reduced in the pandemic period from 112 patients/month to 88 patients/month (
=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period (
<.001). Bronchiolitis was diagnosed in 1.3% of patients seen by medical students during the pandemic period, compared with 5.9% of patients pre-pandemic. Pneumonia was diagnosed in 1.0% of patients seen by medical students in the pandemic period compared with 4.6% pre-pandemic. There was no significant difference in patient age between the 2 groups (
=.092). During the first 18 months of the COVID-19 pandemic, medical students in this institution had a remarkably different inpatient experience from that of their predecessors. They saw fewer patients, and those patients had fewer common pediatric respiratory diseases. These decreases suggest these students may require supplemental education to compensate for these gaps in direct pediatric clinical experience.</description><subject>Child</subject><subject>Clinical Clerkship - methods</subject><subject>COVID-19 - epidemiology</subject><subject>Female</subject><subject>Hawaii - epidemiology</subject><subject>Humans</subject><subject>Inpatients - statistics & numerical data</subject><subject>Male</subject><subject>Pandemics</subject><subject>Pediatrics - education</subject><subject>Pediatrics - methods</subject><subject>Pediatrics - statistics & numerical data</subject><subject>SARS-CoV-2</subject><subject>Students, Medical - statistics & numerical data</subject><issn>2641-5224</issn><issn>2641-5224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkM1Lw0AQxRdRbKk9-A_I3vQS3Uz2I3uU2tpASwsWLx7CZLPBlXyZbCj-90as4GkeMz-G9x4h1yG7lyC4elgl262WoM_IFCQPAwHAz__pCZn3_QdjDMI4jGV0SSZRrBWPmZiSt6Rq0XjaFNS_W7rYvSZPQajpHuvcVs7QpqZJ3aJ3tvZ0b3OHvhvX21EZLOmLH_KfyzIfzAiNtKvpGo_obt0VuSiw7O38NGfksFoeFutgs3tOFo-boBVSBDGPs1CLOAMsTDaalJCDyjVTyhSZiGAMIlAyYKCZ5obLDBEAQUXGaq2iGbn7fdt2zedge59Wrje2LLG2zdCnEVNSSQlcj-jNCR2yyuZp27kKu6_0r4_oGyV8Xrc</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Fujiwara, Alyssa S</creator><creator>Di Rocco, Jennifer R</creator><creator>Hong, Travis K F</creator><creator>Kimata, Chieko</creator><creator>Len, Kyra A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202407</creationdate><title>Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i</title><author>Fujiwara, Alyssa S ; Di Rocco, Jennifer R ; Hong, Travis K F ; Kimata, Chieko ; Len, Kyra A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p565-848b1958b2afcb02162d27d9077cfb5322645a602029094c46baa22a273ce9973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Child</topic><topic>Clinical Clerkship - methods</topic><topic>COVID-19 - epidemiology</topic><topic>Female</topic><topic>Hawaii - epidemiology</topic><topic>Humans</topic><topic>Inpatients - statistics & numerical data</topic><topic>Male</topic><topic>Pandemics</topic><topic>Pediatrics - education</topic><topic>Pediatrics - methods</topic><topic>Pediatrics - statistics & numerical data</topic><topic>SARS-CoV-2</topic><topic>Students, Medical - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujiwara, Alyssa S</creatorcontrib><creatorcontrib>Di Rocco, Jennifer R</creatorcontrib><creatorcontrib>Hong, Travis K F</creatorcontrib><creatorcontrib>Kimata, Chieko</creatorcontrib><creatorcontrib>Len, Kyra A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Hawai'i journal of health & social welfare</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujiwara, Alyssa S</au><au>Di Rocco, Jennifer R</au><au>Hong, Travis K F</au><au>Kimata, Chieko</au><au>Len, Kyra A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i</atitle><jtitle>Hawai'i journal of health & social welfare</jtitle><addtitle>Hawaii J Health Soc Welf</addtitle><date>2024-07</date><risdate>2024</risdate><volume>83</volume><issue>7</issue><spage>192</spage><pages>192-</pages><issn>2641-5224</issn><eissn>2641-5224</eissn><abstract>The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient experiences of third- and fourth-year medical students by assessing patient volumes and diagnoses seen by students. Frequency and types of notes written by medical students on hospital-based pediatric rotations at Kapi'olani Medical Center for Women and Children as well as patient diagnoses and ages were compared between 2 time periods: pre-pandemic (July 2018-February 2020) and pandemic (May 2020-September 2021). On average, the number of patients seen by medical students was significantly reduced in the pandemic period from 112 patients/month to 88 patients/month (
=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period (
<.001). Bronchiolitis was diagnosed in 1.3% of patients seen by medical students during the pandemic period, compared with 5.9% of patients pre-pandemic. Pneumonia was diagnosed in 1.0% of patients seen by medical students in the pandemic period compared with 4.6% pre-pandemic. There was no significant difference in patient age between the 2 groups (
=.092). During the first 18 months of the COVID-19 pandemic, medical students in this institution had a remarkably different inpatient experience from that of their predecessors. They saw fewer patients, and those patients had fewer common pediatric respiratory diseases. These decreases suggest these students may require supplemental education to compensate for these gaps in direct pediatric clinical experience.</abstract><cop>United States</cop><pmid>38974805</pmid><doi>10.62547/FIMM9629</doi></addata></record> |
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| identifier | ISSN: 2641-5224 |
| ispartof | Hawai'i journal of health & social welfare, 2024-07, Vol.83 (7), p.192 |
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| language | eng |
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| source | MEDLINE; PubMed Central |
| subjects | Child Clinical Clerkship - methods COVID-19 - epidemiology Female Hawaii - epidemiology Humans Inpatients - statistics & numerical data Male Pandemics Pediatrics - education Pediatrics - methods Pediatrics - statistics & numerical data SARS-CoV-2 Students, Medical - statistics & numerical data |
| title | Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i |
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