SPICE-19: a 3-Month Prospective Cohort Study of 640 Medical Students and Foundation Doctors.

Soham Bandyopadhyay, Ioannis Georgiou, Emily Bligh, Conor Coyle, Rohan Pancharatnam, Kate E A Saunders, NANSIG Collaborative
Author Information
  1. Soham Bandyopadhyay: Nuffield Department of Surgical Sciences, Oxford University Global Surgery Group, University of Oxford, Oxford, UK. ORCID
  2. Ioannis Georgiou: The School of Medicine, University of Aberdeen, Aberdeen, UK. ORCID
  3. Emily Bligh: Faculty of Medicine, Dentistry & Health, University of Sheffield Medical School, Sheffield, UK. ORCID
  4. Conor Coyle: St George's, University of London, Cranmer Terrace, London, UK. ORCID
  5. Rohan Pancharatnam: The University of Buckingham Medical School, The University of Buckingham, Milton Keynes, UK. ORCID
  6. Kate E A Saunders: Department of Psychiatry, Warneford Hospital, University of Oxford, Warneford Lane, Oxford, UK. ORCID

Abstract

INTRODUCTION: There is paucity of data around the support that medical students have been provided with, need to be provided with, and would like to be provided with during the COVID-19 pandemic. This study sought to explore the effects of the COVID-19 pandemic on medical students and establish the support they require.
METHODS: A prospective, observational, multicentre study was conducted in 2020. All medical students and interim foundation year 1 doctors were eligible to participate.
RESULTS: Six hundred forty individuals participated from 32 medical schools. Participants reported a drop in their mood following the onset of the pandemic ( < 0.001). This drop in mood was evident in both May and August. Participants did have an improved mood in August compared to May ( < 0.001). There was a significant decrease in pandemic disease-anxiety (13.8/20 to 12.4/20,  < 0.001) and consequence-anxiety (6.3/10 to 6.0/10,  < 0.001) between May and August. Nineteen percent of participants ( = 111/596, 19%) had not received the support they needed from their university by August. The most common area of support that our participants needed and had not received from their medical schools by August was support with course material ( = 58/111, 52%). 'Clinical knowledge' was thought to have been affected by the greatest number of participants in both May and August.
CONCLUSION: Medical students' mental well-being has been adversely affected during the COVID-19 pandemic. Our findings have actionable implications that can better protect medical students as they acclimatise to a working environment that has been radically changed by COVID-19.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at (10.1007/s40670-021-01349-0).

Keywords

References

  1. Br J Health Psychol. 2020 Nov;25(4):934-944 [PMID: 32860334]
  2. Innov Aging. 2018 Jan;2(1):igy007 [PMID: 30003146]
  3. Emot Rev. 2009;1(2):99-113 [PMID: 19421427]
  4. N Engl J Med. 2020 Feb 20;382(8):727-733 [PMID: 31978945]
  5. BMJ Simul Technol Enhanc Learn. 2020 Nov 1;6(6):376-377 [PMID: 37534871]
  6. BMC Med Educ. 2020 Oct 28;20(1):389 [PMID: 33115465]
  7. N Engl J Med. 2020 Apr 30;382(18):1684-1685 [PMID: 32187461]
  8. Occup Med (Lond). 2020 Jul 17;70(5):370-374 [PMID: 32409839]
  9. J Clin Epidemiol. 2008 Apr;61(4):344-9 [PMID: 18313558]
  10. Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):563-568 [PMID: 31456450]
  11. Med Educ Online. 2017;22(1):1264125 [PMID: 28178912]
  12. Lancet. 2021 Mar 27;397(10280):1161-1163 [PMID: 33743219]
  13. JAMA. 2020 Apr 21;323(15):1439-1440 [PMID: 32163102]
  14. JAMA. 2020 Jun 2;323(21):2131-2132 [PMID: 32232420]
  15. EClinicalMedicine. 2020 Aug;25:100464 [PMID: 32838237]
  16. Mcgill J Med. 2011 Jun;13(1):86 [PMID: 22363186]
  17. Lancet. 2020 Apr 18;395(10232):1254 [PMID: 32247322]
  18. Med Care. 2007 Jul;45(7):594-601 [PMID: 17571007]
  19. Postgrad Med J. 2021 Apr;97(1146):209-210 [PMID: 32788316]
  20. Epidemiol Health. 2016 Nov 5;38:e2016048 [PMID: 28196409]
  21. BMJ Open Qual. 2020 May;9(2): [PMID: 32439740]
  22. J Dent Educ. 2020 Jul 15;: [PMID: 32666512]
  23. Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):579-583 [PMID: 31692396]
  24. J Public Health (Oxf). 2021 Apr 12;43(1):67-75 [PMID: 33094815]
  25. Lancet Respir Med. 2021 Jul;9(7):712-720 [PMID: 33865504]
  26. J Gen Intern Med. 2006 Jan;21(1):101 [PMID: 16423134]
  27. Int J Infect Dis. 2020 Sep;98:287-289 [PMID: 32634587]
  28. BMJ. 2020 Jun 1;369:m2192 [PMID: 32482682]
  29. Nursing. 2018 Oct;48(10):45-52 [PMID: 30211760]
  30. J Travel Med. 2020 May 18;27(3): [PMID: 32125413]
  31. Injury. 2020 Dec;51(12):2822-2826 [PMID: 32951919]
  32. Br J Neurosurg. 2022 Feb;36(1):19-25 [PMID: 33215936]
  33. Psychiatry Res. 2020 May;287:112934 [PMID: 32229390]
  34. BMJ Glob Health. 2020 Dec;5(12): [PMID: 33277297]
  35. Health Qual Life Outcomes. 2007 Nov 27;5:63 [PMID: 18042300]
  36. Acad Radiol. 2021 Jan;28(1):128-135 [PMID: 33132008]
  37. Nan Fang Yi Ke Da Xue Xue Bao. 2020 Feb 29;40(2):171-176 [PMID: 32376528]
  38. Emerg Infect Dis. 2004 Jul;10(7):1206-12 [PMID: 15324539]
  39. Proc Natl Acad Sci U S A. 2019 Feb 12;116(7):2521-2526 [PMID: 30692252]
  40. J Hosp Infect. 2006 Dec;64(4):366-70 [PMID: 16979260]
  41. J Affect Disord. 2020 Sep 1;274:1-7 [PMID: 32405111]
  42. Lancet. 2020 Dec 5;396(10265):1802 [PMID: 33212052]
  43. Proc Natl Acad Sci U S A. 2019 Sep 17;116(38):18888-18892 [PMID: 31481621]
  44. BMJ. 2021 Jan 28;372:n261 [PMID: 33509789]
  45. Appl Ergon. 1995 Jun;26(3):195-8 [PMID: 15677018]

Word Cloud

Created with Highcharts 10.0.0medicalAugustsupportstudentsCOVID-19pandemic< 0001MayMedicalprovidedstudymoodparticipantsschoolsParticipantsdrop6receivedneededmaterialaffectedProspectiveINTRODUCTION:paucitydataaroundneedlikesoughtexploreeffectsestablishrequireMETHODS:prospectiveobservationalmulticentreconducted2020interimfoundationyear1doctorseligibleparticipateRESULTS:Sixhundredfortyindividualsparticipated32reportedfollowingonsetevidentimprovedcomparedsignificantdecreasedisease-anxiety138/20124/20consequence-anxiety3/100/10Nineteenpercent = 111/59619%universitycommonareacourse = 58/11152%'Clinicalknowledge'thoughtgreatestnumberCONCLUSION:students'mentalwell-beingadverselyfindingsactionableimplicationscanbetterprotectacclimatiseworkingenvironmentradicallychangedSUPPLEMENTARYINFORMATION:onlineversioncontainssupplementaryavailable101007/s40670-021-01349-0SPICE-19:3-MonthCohortStudy640StudentsFoundationDoctorsCoronaviruseducationMentalhealth

Similar Articles

Cited By