IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2021i1p208-d711097.html
   My bibliography  Save this article

The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance

Author

Listed:
  • Tzyy-Yurn Tzeng

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Chia-An Hsu

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Ying-Ying Yang

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Clinical Innovation Center, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Eunice J. Yuan

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Ya-Ting Chang

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Tzu-Hao Li

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Division of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Shin Kong Wu Ho Su Memorial Hospital, Taipei 11101, Taiwan)

  • Chung-Pin Li

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Jen-Feng Liang

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Jiing-Feng Lirng

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Tzeng-Ji Chen

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Ophthalmology, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Chia-Chang Huang

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Ming-Chih Hou

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Internal Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

  • Chen-Huan Chen

    (Department of Medical Education, Medical Innovation and Research Office, Taipei Veterans General Hospital, Taipei 11217, Taiwan
    College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan)

  • Wayne Huey-Herng Sheu

    (College of Medicine, National Yang Ming Chiao Tung University, Taipei 11217, Taiwan
    Department of Internal Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan)

Abstract

Background/Aims: To avoid the negative impacts of the COVID-19 pandemic on clinical clerkship, supplemental teachings such as digital materials in the scenario-based distal simulations were implemented. This study utilized the OSCE (objective-structured clinical examination) to evaluate the impact of COVID-19 pandemic on the learning outcome of medical students from the regular group (class of 2020) and pandemic-impacted group (class of 2021). Methods: All medical students serially took, firstly, the mock-OSCE, secondly, the mock-OSCE, and the national OSCE. Then, the serial OSCE scores were compared between groups. Results: Although with similar scores in the first mock OSCE, the regular group ( n = 78) had a higher average score in the national OSCE than the pandemic-impacted group ( n = 80) (872.18 vs. 834.96, p = 0.003). In terms of improvement, the performances of the regular group were also better than the pandemic-impacted group between the second mock OSCE and the national OSCE (79.10 vs. 38.14, p = 0.014), and between the second mock OSCE and the national OSCE (125.11 vs. 77.52, p = 0.003). While separating distinct genres, the regular group had more of a score increment in standardized patient-based stations between the second mock OSCE and the national OSCE (regular vs. pandemic-impacted: 57.03 vs. 18.95, p = 0.003), as well as between the first mock OSCE and the national OSCE (75.97 vs. 26.36, p < 0.001), but there was no significant difference among the skill-based stations. In particular, the scores of the emergency medicine associated station in the national OSCE of the pandemic-impacted group was lower. Conclusions: Our study implies that the pandemic significantly hampered the learning outcomes of final year medical students in their clinical participation. Especially facing the COVID-19 pandemic, more supplemental teachings are needed to compensate the decreasing emergency medicine exposure.

Suggested Citation

  • Tzyy-Yurn Tzeng & Chia-An Hsu & Ying-Ying Yang & Eunice J. Yuan & Ya-Ting Chang & Tzu-Hao Li & Chung-Pin Li & Jen-Feng Liang & Jiing-Feng Lirng & Tzeng-Ji Chen & Chia-Chang Huang & Ming-Chih Hou & Che, 2021. "The Impact of COVID-19 Pandemic on the Learning Outcomes of Medical Students in Taiwan: A Two-Year Prospective Cohort Study of OSCE Performance," IJERPH, MDPI, vol. 19(1), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:208-:d:711097
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/1/208/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/1/208/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. -, 2020. "Education in the time of COVID-19," Coediciones, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 45905 edited by Eclac, May.
    2. -, 2020. "Education in the time of COVID-19," Libros y Documentos Institucionales, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 45905 edited by Eclac, May.
    3. Ahmed Alsoufi & Ali Alsuyihili & Ahmed Msherghi & Ahmed Elhadi & Hana Atiyah & Aimen Ashini & Arwa Ashwieb & Mohamed Ghula & Hayat Ben Hasan & Salsabil Abudabuos & Hind Alameen & Taqwa Abokhdhir & Moh, 2020. "Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-20, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sean G. Young, 2023. "Hidden Costs of the COVID-19 Pandemic Response," IJERPH, MDPI, vol. 20(8), pages 1-7, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jun Xin Lee & Ahmad Hathim Ahmad Azman & Jing Yi Ng & Noor Akmal Shareela Ismail, 2022. "Deciphering Learning Motivation in Open Distance Learning towards Sustainable Medical Education," Sustainability, MDPI, vol. 14(8), pages 1-13, April.
    2. Elvie Barzo Gonzaga & Don Anton Robles Balida & Angelo Evangelio Gonzaga, 2023. "COVID-19 Precautionary Measures and Practices for Delivering Modular Distance Learning," World Journal of English Language, Sciedu Press, vol. 13(2), pages 1-98, March.
    3. Rima Wajih Hamed Daraghmeh, 2021. "Palestinian University Students' Perceptions of Distance Education in Light of the Coronavirus Crisis," Modern Applied Science, Canadian Center of Science and Education, vol. 15(5), pages 1-1, October.
    4. Gene Klein, 2021. "Viewing Gamification Design Limitations and Weaknesses through a Pandemic Lens," Societies, MDPI, vol. 11(4), pages 1-8, November.
    5. Ilona & Urbanyi-Popiolek, 2022. "New Insights into the Ferry Business in the Turbulent Environment," European Research Studies Journal, European Research Studies Journal, vol. 0(4), pages 63-73.
    6. Amith Khandakar & Muhammad E. H. Chowdhury & Md. Saifuddin Khalid & Nizar Zorba, 2022. "Case Study of Multi-Course Project-Based Learning and Online Assessment in Electrical Engineering Courses during COVID-19 Pandemic," Sustainability, MDPI, vol. 14(9), pages 1-18, April.
    7. U. Y. Abdur Rahman, 2020. "Utilization of Indonesia’s Digital Economy to Invest in Human Capital and Provide Socio-Economic Support to Stimulate Economic Growth," International Journal of Business and Administrative Studies, Professor Dr. Bahaudin G. Mujtaba, vol. 6(6), pages 312-322.
    8. Rozina Afroz & Nurul Islam & Sajedur Rahman & Nusrat Zerin Anny, 2021. "Students’ and teachers’ attitude towards online classes during Covid-19 pandemic: A study on three Bangladeshi government colleges," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 10(3), pages 462-476, April.
    9. Alfonso Infante-Moro & Juan C. Infante-Moro & Julia Gallardo-Pérez & Francisco J. Martínez-López, 2022. "Key Factors in the Implementation of E-Proctoring in the Spanish University System," Sustainability, MDPI, vol. 14(13), pages 1-16, July.
    10. Ana Iolanda Vodă & Cristina Cautisanu & Camelia Grădinaru & Chris Tănăsescu & Gustavo Herminio Salati Marcondes de Moraes, 2022. "Exploring Digital Literacy Skills in Social Sciences and Humanities Students," Sustainability, MDPI, vol. 14(5), pages 1-31, February.
    11. Mališ Sanja Sever & Sačer Ivana Mamić & Žager Katarina, 2022. "Landscape of e-Learning during Covid-19: Case Study of Economic Disciplines in Croatia," Business Systems Research, Sciendo, vol. 13(2), pages 8-27, December.
    12. Sorina Ioana MIȘU & Monica TRICULESCU, 2021. "Living And Teaching During Covid-19: The Damages And Benefits Of Telework," Business Excellence and Management, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 11(5), pages 129-137, October.
    13. Antonietta Cosentino & Paola Paoloni, 2021. "Women’s Skills and Aptitudes as Drivers of Organizational Resilience: An Italian Case Study," Administrative Sciences, MDPI, vol. 11(4), pages 1-18, November.
    14. Kareema Ali & Daniel Burgos & Saida Affouneh, 2023. "Educational Loss at Times of Crisis: The Role of Games in Students’ Learning in Palestine and Iraq," Sustainability, MDPI, vol. 15(6), pages 1-15, March.
    15. José M. Ramírez-Hurtado & Alfredo G. Hernández-Díaz & Ana D. López-Sánchez & Víctor E. Pérez-León, 2021. "Measuring Online Teaching Service Quality in Higher Education in the COVID-19 Environment," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    16. Maricar M. Navarro & Yogi Tri Prasetyo & Michael Nayat Young & Reny Nadlifatin & Anak Agung Ngurah Perwira Redi, 2021. "The Perceived Satisfaction in Utilizing Learning Management System among Engineering Students during the COVID-19 Pandemic: Integrating Task Technology Fit and Extended Technology Acceptance Model," Sustainability, MDPI, vol. 13(19), pages 1-18, September.
    17. Hülya Tuncer & Tuçe Öztürk Karataş, 2022. "Recommendations of ELT Students for Four Language Skills Development: A Study on Emergency Distance Education During the COVID-19 Pandemic," SAGE Open, , vol. 12(1), pages 21582440221, March.
    18. Monica Ioana Burcă-Voicu & Romana Emilia Cramarenco & Dan-Cristian Dabija, 2022. "Investigating Learners’ Teaching Format Preferences during the COVID-19 Pandemic: An Empirical Investigation on an Emerging Market," IJERPH, MDPI, vol. 19(18), pages 1-21, September.
    19. Seung-hye Jung & Joon-ho Kim & Ha-na Cho & Hae-won Lee & Hyun-ju Choi, 2021. "Brand Personality of Korean Dance and Sustainable Behavioral Intention of Global Consumers in Four Countries: Focusing on the Technological Acceptance Model," Sustainability, MDPI, vol. 13(20), pages 1-19, October.
    20. Victor Manuel Peinado-Guevara & Aldo Alan Cuadras Berrelleza & Jaime Herrera-Barrientos & Peinado-Guevara Hector Jose & Samuel Doeg Izaguirre-Gamez & Alejandro Urias-Camacho, 2021. "Knowledge and behavioral attitudes of the academic community of the high school and university levels towards the prevention of covid-19: a cross-sectional study in Guasave, Sinaloa," Technium Social Sciences Journal, Technium Science, vol. 17(1), pages 1-19, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:208-:d:711097. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.