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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
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    References listed on IDEAS

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    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, March.
    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, March.
    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.
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    Cited by:

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

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