Medical students' perceptions and motivations during the COVID-19 pandemic.

<h4>Background</h4>There has been a rapid increase in the number of cases of COVID-19 in Latin America, Africa, Asia and many countries that have an insufficient number of physicians and other health care personnel, and the need for the inclusion of medical students on health teams is a...

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Main Authors: Patricia Tempski, Fernanda M Arantes-Costa, Renata Kobayasi, Marina A M Siqueira, Matheus B Torsani, Bianca Q R C Amaro, Maria Eduarda F M Nascimento, Saulo L Siqueira, Itamar S Santos, Milton A Martins
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0248627
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author Patricia Tempski
Fernanda M Arantes-Costa
Renata Kobayasi
Marina A M Siqueira
Matheus B Torsani
Bianca Q R C Amaro
Maria Eduarda F M Nascimento
Saulo L Siqueira
Itamar S Santos
Milton A Martins
author_facet Patricia Tempski
Fernanda M Arantes-Costa
Renata Kobayasi
Marina A M Siqueira
Matheus B Torsani
Bianca Q R C Amaro
Maria Eduarda F M Nascimento
Saulo L Siqueira
Itamar S Santos
Milton A Martins
author_sort Patricia Tempski
collection DOAJ
description <h4>Background</h4>There has been a rapid increase in the number of cases of COVID-19 in Latin America, Africa, Asia and many countries that have an insufficient number of physicians and other health care personnel, and the need for the inclusion of medical students on health teams is a very important issue. It has been recommended that medical students work as volunteers, undergo appropriate training, not undertake any activity beyond their level of competence, and receive continuous supervision and adequate personal protective equipment. However, the motivation of medical students must be evaluated to make volunteering a more evidence-based initiative. The aim of our study was to evaluate the motivation of medical students to be part of health teams to aid in the COVID-19 pandemic.<h4>Methods and findings</h4>We developed a questionnaire specifically to evaluate medical students' perceptions about participating in the care of patients with suspected infection with coronavirus during the COVID-19 pandemic. The questionnaire had two parts: a) one part with questions on individual characteristics, year in medical school and geographic location of the medical school and b) a second part with twenty-eight statements assessed on a 5-point Likert scale (totally agree, agree, neither agree nor disagree, disagree and totally disagree). To develop the questionnaire, we performed consensus meetings with a group of faculty and medical students. The questionnaire was sent to student organizations of 257 medical schools in Brazil and answered by 10,433 students. We used multinomial logistic regression models to analyze the data. Statements associated with greater odds ratios for participation of medical students in the COVID-19 pandemic were related to a sense of purpose or duty ("It is the duty of the medical student to put himself or herself at the service of the population in the pandemic"), altruism ("I am willing to take risks by participating in practice in the context of the pandemic"), and perception of good performance and professional identity ("I will be a better health professional for having experienced the pandemic"). Males were more prone than females to believe that only interns should participate in the care of patients with COVID-19 (odds ratio 1.36 [coefficient interval 95%:1.24-1.49]) and that all students should participate (OR 1.68 [CI:1.4-1.91]).<h4>Conclusions</h4>Medical students are more motivated by a sense of purpose or duty, altruism, perception of good performance and values of professionalism than by their interest in learning. These results have implications for the development of volunteering programs and the design of health force policies in the present pandemic and in future health emergencies.
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spelling doaj.art-378e5189f3864f0097797a900c0a8a902022-12-21T19:20:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01163e024862710.1371/journal.pone.0248627Medical students' perceptions and motivations during the COVID-19 pandemic.Patricia TempskiFernanda M Arantes-CostaRenata KobayasiMarina A M SiqueiraMatheus B TorsaniBianca Q R C AmaroMaria Eduarda F M NascimentoSaulo L SiqueiraItamar S SantosMilton A Martins<h4>Background</h4>There has been a rapid increase in the number of cases of COVID-19 in Latin America, Africa, Asia and many countries that have an insufficient number of physicians and other health care personnel, and the need for the inclusion of medical students on health teams is a very important issue. It has been recommended that medical students work as volunteers, undergo appropriate training, not undertake any activity beyond their level of competence, and receive continuous supervision and adequate personal protective equipment. However, the motivation of medical students must be evaluated to make volunteering a more evidence-based initiative. The aim of our study was to evaluate the motivation of medical students to be part of health teams to aid in the COVID-19 pandemic.<h4>Methods and findings</h4>We developed a questionnaire specifically to evaluate medical students' perceptions about participating in the care of patients with suspected infection with coronavirus during the COVID-19 pandemic. The questionnaire had two parts: a) one part with questions on individual characteristics, year in medical school and geographic location of the medical school and b) a second part with twenty-eight statements assessed on a 5-point Likert scale (totally agree, agree, neither agree nor disagree, disagree and totally disagree). To develop the questionnaire, we performed consensus meetings with a group of faculty and medical students. The questionnaire was sent to student organizations of 257 medical schools in Brazil and answered by 10,433 students. We used multinomial logistic regression models to analyze the data. Statements associated with greater odds ratios for participation of medical students in the COVID-19 pandemic were related to a sense of purpose or duty ("It is the duty of the medical student to put himself or herself at the service of the population in the pandemic"), altruism ("I am willing to take risks by participating in practice in the context of the pandemic"), and perception of good performance and professional identity ("I will be a better health professional for having experienced the pandemic"). Males were more prone than females to believe that only interns should participate in the care of patients with COVID-19 (odds ratio 1.36 [coefficient interval 95%:1.24-1.49]) and that all students should participate (OR 1.68 [CI:1.4-1.91]).<h4>Conclusions</h4>Medical students are more motivated by a sense of purpose or duty, altruism, perception of good performance and values of professionalism than by their interest in learning. These results have implications for the development of volunteering programs and the design of health force policies in the present pandemic and in future health emergencies.https://doi.org/10.1371/journal.pone.0248627
spellingShingle Patricia Tempski
Fernanda M Arantes-Costa
Renata Kobayasi
Marina A M Siqueira
Matheus B Torsani
Bianca Q R C Amaro
Maria Eduarda F M Nascimento
Saulo L Siqueira
Itamar S Santos
Milton A Martins
Medical students' perceptions and motivations during the COVID-19 pandemic.
PLoS ONE
title Medical students' perceptions and motivations during the COVID-19 pandemic.
title_full Medical students' perceptions and motivations during the COVID-19 pandemic.
title_fullStr Medical students' perceptions and motivations during the COVID-19 pandemic.
title_full_unstemmed Medical students' perceptions and motivations during the COVID-19 pandemic.
title_short Medical students' perceptions and motivations during the COVID-19 pandemic.
title_sort medical students perceptions and motivations during the covid 19 pandemic
url https://doi.org/10.1371/journal.pone.0248627
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