key: cord-0881236-ss4ut38q authors: Lim, W.; Teoh, L. Y.; Seevalingam, K. K.; Kuppusamy, S. title: COVID-19 Pandemic in University Hospital: Impact on Medical Training of Medical Interns date: 2020-10-04 journal: nan DOI: 10.1101/2020.10.01.20204255 sha: 8df987781e19d76aa62ea059d3857c63648dd941 doc_id: 881236 cord_uid: ss4ut38q Introduction Coronavirus 2019 (COVID-19) has strike all nations hard since the end of year 2019, Malaysia unable to escape the fate as well. Healthcare system, financial growth, industrial development and educational programme are stunted. Inevitably, professional training and education are affected which include the medical training of medical interns. Methods This is a cross-sectional, pilot study to determine the impact of the pandemic on University Malaya Medical Centre (UMMC) medical interns. A survey which comprises 37-items was used. Data are analysed by Ordinal Logistic Regression Analysis. Results Medical interns feel that they lack clinical skills (p = 0.005) and need more exposure in surgical operations (p =0.029). Some are satisfied with the introduction of triage (p = 0.024), online teaching (p = 0.005) and bedside teaching (p=0.023). Most of them think they are fit and ready to handle the pandemic (p = 0.012 and 0.025 respectively) except first year medical interns (p = 0.029). Some feel like their time are wasted (p <0.05) as they are involved in many non-clinical activities (p = 0.003). Conclusion In summary, COVID-19 has a great impact on medical training amongst medical interns. Alternative measures should be taken to minimize the interruption in training of our future leaders in medical field. In summary, COVID-19 has a great impact on medical training amongst medical interns. 48 Alternative measures should be taken to minimize the interruption in training of our future 49 leaders in medical field. 50 51 . CC-BY-NC-ND 4.0 International license It is made available under a perpetuity. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020 . . https://doi.org/10.1101 3 Introduction/ Background 52 53 COVID-19 mercilessly invades the globe with its virus and causes a havoc globally. 54 [1] In order to face this pandemic crisis, healthcare field has suffered the most with its limited 55 resources, burnt-out healthcare workers (HCW) and sudden raise in workloads. [2, 3] is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020 . . https://doi.org/10.1101 4 interns have to withstand a great level great level of work stress while trying to gain more 77 clinical experiences during the posting in each department. [13, 14] is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. . https://doi.org/10.1101/2020.10.01.20204255 doi: medRxiv preprint is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. . https://doi.org/10. 1101 is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020 . . https://doi.org/10.1101 24 244 Some medical interns feel like their time and resources are wasted while others feel that they 245 have involved in many non-clinical activities during this period. As a measure to protect 246 medical interns and prevent local transmission between HCW, they are allocated in different 247 clusters to handle different tasks which include ward rounds, rescheduling elective operations 248 and clinic administration, data entry for census or research study and assisting Medical 249 Officers in emergency department. Some might feel they should be in the "battlefields" with 250 others in handling COVID cases. This shows most of the medical interns are enthusiastic to 251 be part of the frontlines. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. census are important but should not be an obstacle for the medical interns to learn and 306 contribute to this pandemic. 307 As for the preparedness amongst medical interns in pandemic crisis, most of the 308 medical interns think they are ready and should be included as part of the team. [20] They 309 should be given a chance to join forces with other HCW in battling Encouragement and support should be provided to promote their growth in medicine without 311 neglecting their safety and well-being. [25] With a proper guidance and distribution of 312 information, we could turn this pandemic into an opportunity for them to learn and grow as 313 they will be our future ray of hope if another pandemic strikes 314 In a nutshell, the impact of COVID-19 amongst medical interns is significant and 315 should be addressed appropriately. Their overall well-being should be protected and 316 preserved without jeopardise their trainings and preparation for pandemic crisis in the future. 317 318 . CC-BY-NC-ND 4.0 International license It is made available under a perpetuity. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprint The copyright holder for this this version posted October 4, 2020. . https://doi.org/10.1101/2020.10.01.20204255 doi: medRxiv preprint Rolling updates on coronavirus disease (COVID-19) Characteristics of and Important Lessons From the Coronavirus 347 Disease 2019 (COVID-19) Outbreak in China Chinese Center for Disease Control and Prevention Fair Allocation of Scarce Medical Resources in the Time of Covid-19 Movement control as an effective measure against Covid-19 spread in Malaysia: 352 an overview Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS-354 COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management COVID-19 in Singapore and Malaysia: Rising to the Challenges of Orthopaedic 357 Practice in an Evolving Pandemic Impact of the Coronavirus (COVID-19) pandemic on surgical practice -Part 359 1 (Review Article) Forced Disruption of Anatomy Education in Australia and New Zealand: An 361 Acute Response to the Covid-19 Pandemic COVID-19: the need for continuous medical education and training Pandemics and Their Impact on Medical Training: 365 Lessons From Singapore Medical and Surgical Education Challenges and Innovations in the COVID-367 19 Era: A Systematic Review Sandheep Stress perceived by houseman in a 370 hospital in northern Malaysia Emotional burnout, perceived sources of job stress, professional 372 fulfillment, and engagement among medical residents in Malaysia Psychological Impact of the COVID-19 Pandemic on Health Care Workers Mental Health and Psychosocial Problems of Medical Health Workers 379 during the COVID-19 Epidemic in China COVID-19 in Orthopaedic Education During the COVID-19 Pandemic We Signed Up for This!" -Student and Trainee Responses 385 to the Covid-19 Pandemic The pandemic subject: Canadian pandemic plans and communicating with the . CC-BY-NC-ND 4.0 International license It is made available under a perpetuity.is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprintThe copyright holder for this this version posted October 4, 2020. . CC-BY-NC-ND 4.0 International license It is made available under a perpetuity.is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprintThe copyright holder for this this version posted October 4, 2020. is the author/funder, who has granted medRxiv a license to display the preprint in (which was not certified by peer review) preprintThe copyright holder for this this version posted October 4, 2020. . https://doi.org/10.1101/2020.10.01.20204255 doi: medRxiv preprint