Impact on Medical Education and the Medical Student’s Attitude, Practice, Mental Health, After One Year of the Covid-19 Pandemic in Indonesia

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Yuda Turana, Putu Asih Primatanti, Wawang S. Sukarya, Marwito Wiyanto, Artha Budi Susila Duarsa, Raditya Wratsangka, Donna Adriani, Poppy Kristina Sasmita, Ecie Budiyanti, Dasti Anditiarina, Dina Qurratu Ainin, Kartika Sari, I. Wayan Darwata, Yesi Astri, Thia Prameswarie, Alya Tursina, Wida Purbaningsih, Andree Kurniawan, Allen Widysanto, Meddy Setiawan, Mochamad Ma’roef, Suryani Yuliyanti, Rahayu, Sukma Sahadewa, Budiono Raharjo, Sri Maria Puji Lestari, Astri Pinilih, Dewa Ayu Liona Dewi, Mulya Dinata, Tissa Octavira Permatasari, Frista Martha Rahayu, Zwasta Pribadi Mahardhika, Sri Wahyu Herlinawati, Nur Hayati, Winny Setyonugroho, Wienta Diarsvitri, Diah Purwaningsari, Linda Chiuman, Shofiyah Latief, Rahma Triliana, Gladys Dwiani Tinovella Tubarad, Ida Ayu Triastuti, Andi Weri Sompa, Frisca Angreni, Siska Anggreini Lubis, Noer Saelan Tadjudin, Gea Pandhita, Ratih Pramuningtyas, Muhammad Anas, Ratih Ayuningtiyas, July Ivone, Ferdiana Yunita, Handayani, Vivien Puspitasari, Marshell Tendean, Ika Suswanti, Felicia Kurniawan

2022 Frontiers in Education Vol. 7 Article Cited by 21 Quartile

Abstract

Introduction: The COVID-19 pandemic has caused disruptions in educational institutions across the country, prompting medical schools to adopt online learning systems. This study aims to determine impact on medical education and the medical student’s attitude, practice, mental health after 1 year of the Covid-19 pandemic in Indonesia. Methods: This study utilized a cross-sectional design. An online questionnaire was distributed digitally to 49 medical schools in Indonesia from February–May 2021. A total of 7,949 medical students participated in this study. Sampling was carried out based on a purposive technique whose inclusion criteria were active college students. This research used questionnaires distributed in online version among 49 medical faculties that belong to The Association of Indonesian Private Medical Faculty. Instruments included demographic database, medical education status, experience with medical tele-education, ownership types of electronic devices, availability of technologies, programs of education methods, career plans, attitudes toward pandemic, and the mental health of respondents. Univariate and bivariate statistical analysis was conducted to determine the association of variables. All statistical analyses using (IBM) SPSS version 22.0. Results: Most of the respondents were female (69.4%), the mean age was 20.9 ± 2.1 years. More than half of the respondents (58.7%) reported that they have adequate skills in using digital devices. Most of them (74%) agreed that e-learning can be implemented in Indonesia. The infrastructure aspects that require attention are Internet access and the type of supporting devices. The pandemic also has an impact on the sustainability of the education program. It was found that 28.1% were experiencing financial problems, 2.1% postponed their education due to this problems. The delay of the education process was 32.6% and 47.5% delays in the clinical education phase. Around 4% student being sick, self-isolation and taking care sick family. the pandemic was found to affect students’ interests and future career plans (34%). The majority of students (52.2%) are concerned that the pandemic will limit their opportunities to become specialists. Nearly 40% of respondents expressed anxiety symptoms about a variety of issues for several days. About a third of respondents feel sad, depressed, and hopeless for a few days. Conclusion: The infrastructure and competency of its users are required for E-learning to be successful. The majority of medical students believe that e-learning can be adopted in Indonesia and that their capacity to use electronic devices is good. However, access to the internet remains a problem. On the other side, the pandemic has disrupted the education process and mental health, with fears of being infected with SARS-CoV-2, the loss of opportunities to apply for specialty training, and the potential for increased financial difficulties among medical students. Our findings can be used to assess the current educational process in medical schools and maximize e-learning as an alternative means of preparing doctors for the future. Copyright © 2022 Turana, Primatanti, Sukarya, Wiyanto, Duarsa, Wratsangka, Adriani, Sasmita, Budiyanti, Anditiarina, Ainin, Sari, Darwata, Astri, Prameswarie, Tursina, Purbaningsih, Kurniawan, Widysanto, Setiawan, Ma’roef, Yuliyanti, Rahayu, Sahadewa, Raharjo, Lestari, Pinilih, Dewi, Dinata, Permatasari, Rahayu, Mahardhika, Herlinawati, Hayati, Setyonugroho, Diarsvitri, Purwaningsari, Chiuman, Latief, Triliana, Tubarad, Triastuti, Sompa, Angreni, Lubis, Tadjudin, Pandhita, Pramuningtyas, Anas, Ayuningtiyas, Ivone, Yunita, Handayani, Puspitasari, Tendean, Suswanti and Kurniawan.

Affiliations

School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia; Faculty of Medicine and Health Sciences, Warmadewa University, Denpasar, Indonesia; Faculty of Medicine, Universitas Muhammadiyah Prof. DR. HAMKA, Jakarta, Indonesia; Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia; Faculty of Medicine, Al-Azhar Islamic University, Mataram, Indonesia; Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia; Faculty of Medicine, University of Muhammadiyah Palembang, Palembang, Indonesia; Faculty of Medicine, Universitas Islam Bandung, Bandung, Indonesia; Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia; Faculty of Medicine, University of Muhammadiyah Malang, Malang, Indonesia; Faculty of Medicine, Universitas Islam Sultan Agung, Semarang, Indonesia; Faculty of Medicine, Wijaya Kusuma Surabaya University, Surabaya, Indonesia; Faculty of Medicine, Malahayati University, Bandar Lampung, Indonesia; Faculty of Medicine, Widya Mandala Catholic University, Surabaya, Indonesia; Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia; Faculty of Medicine, YARSI University, Jakarta, Indonesia; Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia; Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia; Faculty of Medicine, Universitas Prima Indonesia, Medan, Indonesia; Faculty of Medicine, Universitas Muslim Indonesia, Makassar, Indonesia; Faculty of Medicine, Universitas Islam Malang (UNISMA), Malang, Indonesia; Faculty of Medicine and Health, Universitas Muhammadiyah Jakarta, Jakarta, Indonesia; Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia; Faculty of Medicine and Health Sciences, Muhammadiyah University of Makassar, Makassar, Indonesia; Faculty of Medicine, Islamic University of North Sumatera, Medan, Indonesia; Faculty of Medicine, Tarumanagara University, Jakarta, Indonesia; Faculty of Medicine, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia; Faculty of Medicine, Universitas Muhammadiyah Surabaya, Surabaya, Indonesia; Faculty of Medicine, Abdurrab University, Pekanbaru, Indonesia; Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia; Faculty of Medicine, Universitas Gunadarma, Depok, Indonesia; Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Surabaya, Indonesia; Faculty of Medicine and Health Science, UKRIDA, Jakarta, Indonesia