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Perception of Current Educational Environment, Clinical Competency, and Depression among Malaysian Medical Students in Clinical Clerkship: A Cross-Sectional Study

Author

Listed:
  • Rosnaini Sudi

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

  • Wai Leng Chang

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

  • Nur Hidayah Arshad

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

  • Syasya Nabilah Zainal Abidin

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

  • Ulyssies Suderman

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

  • Luke Sy-Cherng Woon

    (Department of Psychiatry, Faculty of Medicine, The National University of Malaysia, Kuala Lumpur 56000, Malaysia)

Abstract

The COVID-19 pandemic has altered the educational environment of medical students in clinical clerkship, with potential impacts on clinical competency and reported increased prevalence of depression. This study aimed to determine the relationship between the perception of the educational environment, self-perceived clinical competency, and depression among them. Subjects ( N = 196) at the National University of Malaysia participated through convenience sampling in an online survey including sociodemographic data, COVID-19-related stressors, Dundee Ready Education Environment Measure (DREEM), self-perceived clinical competency, and Patient Health Questionnaire (PHQ-9). The cut-off point for depression was a PHQ-9 score ≥ 15. Multiple logistic regression followed bivariate analyses to identify factors for depression. The participants (mean age: 23.2 years, SD ± 0.98 years) were mainly female (71.9%) and Malay (59.2%). The prevalence of depression was 17.4% (95% CI: 12.3–23.4%). Most participants perceived the educational environment positively. In logistic regression, ethnicity (Adjusted OR = 3.1, 95% CI: 1.2–8.1) and DREEM score were significantly associated with depression, whereas self-perceived clinical competency was not. A higher DREEM score indicating a better perception of the educational environment was linked to a lower likelihood of depression ( p = 0.046). Besides ethnicity, perception of the educational environment emerged as a factor associated with depression. This relationship between the educational environment and mental well-being warrants further exploration.

Suggested Citation

  • Rosnaini Sudi & Wai Leng Chang & Nur Hidayah Arshad & Syasya Nabilah Zainal Abidin & Ulyssies Suderman & Luke Sy-Cherng Woon, 2022. "Perception of Current Educational Environment, Clinical Competency, and Depression among Malaysian Medical Students in Clinical Clerkship: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(23), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16274-:d:993888
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    References listed on IDEAS

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    1. Aida Kalok & Shalisah Sharip & Abdul Muzhill Abdul Hafizz & Zulkifli Md Zainuddin & Mohamad Nasir Shafiee, 2020. "The Psychological Impact of Movement Restriction during the COVID-19 Outbreak on Clinical Undergraduates: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    2. Jaewon Lee & Hyejung Lim & Jennifer Allen & Gyuhyun Choi, 2021. "Effects of Learning Attitudes and COVID-19 Risk Perception on Poor Academic Performance among Middle School Students," Sustainability, MDPI, vol. 13(10), pages 1-10, May.
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