However, students’ feedback indicated that image-based exam during COVID-19 was more challenging compared to in person exams due to lack of 3D visualization and orientation. Difficulty index and Point-Biserial correlation showed discipline specific difference but overall, there was no significant difference between the two mode of exams. RESULTS: The reliability score Kuder-Richardson Formula 20 (KR-20) was > 0.74 for both assessments with the average cohort performance score being 72% (3D) and 67% (2D). In addition, students were also invited to complete an online questionnaire about their experience of online vs in-person MDPE.
Psychometric analyses were used to assess the validity and reliability of the assessment. METHODS: Student performance in (3D) practical exam (2019) and (2D) practical exam (2020) was evaluated and compared, both at cohort level and at course grade level. This study aims to evaluate and compare students’ performance and experience in the online, or in-person format of MDPE. Due to COVID-19 lockdown, MDPE had to be conducted as an online image-based exam (2D) using an electronic platform (Examsoft). Prior to COVID-19, multidisciplinary practical exams (MDPE) were conducted as in person exams (3D) using pathological pots and cadaver for Year1 and Year 2 MD students in University of Queensland. PURPOSE: Recognition and interpretation of gross specimen is essential for students in the assessment of Pathology and Anatomy during their pre-clinical medical training. School of Biomedical Sciences, Faculty of Medicine The University of Queensland, Brisbane, Australia | School of Clinical Medicine, Faculty of Medicine The University of Queensland, Brisbane, Australia Suja Pillai | Joan Li | Mark Midwinter | Tiffany Hansen | Jeremy Hunt | Keunwoo Jeong | Kali Juracek MEDICAL STUDENTS’ LEARNING OUTCOMES AND EXPERIENCE IN MULTIDISCIPLINARY PRACTICAL EXAM PRIOR TO AND DURING COVID-19 Our findings are limited to our setting and reflect resident perceptions rather than more objective measures of outcomes. Our results reflect an overall positive evaluation of an onsite night intensivist in enhancing residents training experiences and stress on ICUs night shifts without compromising their autonomy, particularly during a crisis of COVID-19 pandemic. These benefits were viewed as worth some autonomy compromise.ĬONCLUSIONS: The COVID-19 pandemic created new challenges for IM residents in ICUs. Comments about onsite night intensivists cited improved patient care, safety, and additional teaching. 78% (39/50) residents endorsed better education with an onsite night intensivist, and most (74%, 37/50) saw a mild or no decrease in autonomy.
During a COVID-19 surge, 72% (44/61) residents endorsed moderate to severe stress/anxiety in making critical decisions in the ICU at night due to increased acuity of the disease, work volume, unfamiliar interventions, distress, and decreased efficiency due to donning personal protective equipment.
RESULTS: Of 63 participating residents, 40% were female. A mixed-methods survey was conducted in spring 2020 (during a COVID-19 surge in the region) to assess our resident’s experiences in the ICUs and the impact of onsite night intensivists on their education, autonomy, and stress. METHODS: This study was conducted in the MedStar Health IM residency program in Baltimore after IRB approval. PURPOSE: To better understand the challenges for IM residents in ICU night shifts during a COVID-19 surge, and the impact of an onsite night intensivist on resident training, autonomy, and stress. The impact of onsite night intensivists on care quality has been controversial, and the effect on resident training is unclear, particularly during a time of crisis. MedStar Health Internal Medicine Program, Baltimore, MD, USAīACKGROUND: COVID-19 increased challenges for internal medicine (IM) residents on intensive care units (ICUs) night shifts, when onsite supervision is typically unavailable. IMPACT OF AN ONSITE NIGHT INTENSIVIST ON RESIDENT TRAINING AND LEVEL OF STRESS/ANXIETY WHILE WORKING IN CRITICAL CARE UNITS DURING THE COVID-19 PANDEMIC
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