Medical crisis during pandemic: career preferences change in medical student

Dian Natalia, Rizma Adlia Syakurah

Abstract


The COVID-19 pandemic is a major threat to global education, medical education is not an exception. Incidental emotions of fear and anxiety during pandemic have unconsciously influenced preference and outcome about their future career. This study aims to evaluate the impact of the COVID-19 pandemic towards career preference change in medical students. A total of 1,027 responses from all over the medical students in Indonesia were collected from an online questionnaire which was broadcasted through social media from 14th July 2020 – 21st July 2020. This study using FCV-19S and DASS-21 to assess fear of COVID-19, anxiety, stress, and depression. Out of 1,027 respondents, 44.6% had stressed, 47.8% had anxiety, and 18.5% had depression with an average FCV-19S score was 17.1. The result showed that fear of COVID-19 and anxiety during the COVID-19 pandemic had associated significantly with career decisions in medical students (p=<0.05). Indonesian policymakers had to keep in mind that the fear of the COVID-19 pandemic among medical students is due to the high mortality COVID-19 cases of health workers in Indonesia. Medical health workers need health protection and adequate working conditions, this requires prompt attention from stakeholders.

The COVID-19 pandemic is a major threat to global education, medical education is not an exception. Incidental emotions of fear and anxiety during pandemic have unconsciously influenced preference and outcome about their future career. This study aims to evaluate the impact of the COVID-19 pandemic towards career preference change in medical students. A total of 1,027 responses from all over the medical students in Indonesia were collected from an online questionnaire which was broadcasted through social media from 14th July 2020 – 21st July 2020. This study using FCV-19S and DASS-21 to assess fear of COVID-19, anxiety, stress, and depression. Out of 1,027 respondents, 44.6% had stressed, 47.8% had anxiety, and 18.5% had depression with an average FCV-19S score was 17.1. The result showed that fear of COVID-19 and anxiety during the COVID-19 pandemic had associated significantly with career decisions in medical students (p=<0.05). Indonesian policymakers had to keep in mind that the fear of the COVID-19 pandemic among medical students is due to the high mortality COVID-19 cases of health workers in Indonesia. Medical health workers need health protection and adequate working conditions, this requires prompt attention from stakeholders.


Keywords


COVID-1; Pandemics; Career Preference; Medical Student; Indonesia

References


World Health Organization. (2020). Coronavirus disease 2019 (‎COVID-19)‎: situation report, 88.

Worldometers. (2020). COVID-19 coronavirus pandemic. URL: https://www.worldometers.info/ coronavirus/ [accessed 25th July 2020]

Ferrel, M. N., & Ryan, J. J. (2020). The impact of COVID-19 on medical education. Cureus, 12(3). doi: 10.7759/cureus.7492

Akkermans, J., Richardson, J., & Kraimer, M. (2020). The Covid-19 crisis as a career shock: Implications for careers and vocational behavior. Journal of Vocational Behavior, 119, June 2020, 103434. https://doi.org/10.1016/j.jvb.2020.103434

Ing, E. B., Xu, Q. A., Salimi, A., & Torun, N. (2020). Physician deaths from corona virus (COVID-19) disease. Occupational medicine (Oxford, England), 70(5), 370–374. https://doi.org/10.1093/occmed/kqaa088

Nienhaus, A., & Hod, R. (2020). COVID-19 among health workers in Germany and Malaysia. International journal of environmental research and public health, 17(13), 4881. https://doi.org/10.3390/ijerph17134881

Shoss, M. K. (2017). Job insecurity: An integrative review and agenda for future research. Journal of Management, 43(6), 1911-1939. https://doi.org/10.1177/0149206317691574

Liang, Z. C., Ooi, S. B. S., & Wang, W. (2020). Pandemics and their impact on medical training: lessons from Singapore. Academic Medicine. doi: 10.1097/ACM.0000000000003441

Ossai, E. N., Uwakwe, K. A., Anyanwagu, U. C., Ibiok, N. C., Azuogu, B. N., & Ekeke, N. (2016). Specialty preferences among final year medical students in medical schools of southeast Nigeria: need for career guidance. BMC medical education, 16(1), 1-8. https://doi.org/10.1186/s12909-016-0781-3

Guraya, S. Y., & Almaramhy, H. H. (2018). Mapping the factors that influence the career specialty preferences by the undergraduate medical students. Saudi journal of biological sciences, 25(6), 1096-1101. https://doi.org/10.1016/j.sjbs.2017.03.019

Breazzano, M. P., Shen, J., Abdelhakim, A. H., Glass, L. R. D., Horowitz, J. D., Xie, S. X., ... & Chen, R. W. (2020). Resident physician exposure to novel coronavirus (2019-nCoV, SARS-CoV-2) within New York City during exponential phase of COVID-19 pandemic: report of the New York City residency program directors COVID-19 research group. MedRxiv. doi: https://doi.org/10.1101/2020.04.23.20074310

Querido, S. J., Vergouw, D., Wigersma, L., Batenburg, R. S., De Rond, M. E., & Ten Cate, O. T. (2016). Dynamics of career choice among students in undergraduate medical courses. A BEME systematic review: BEME Guide No. 33. Medical teacher, 38(1), 18-29. https://doi.org/10.3109/0142159X.2015.1074990

Betz, N. E., & Hackett, G. (2006). Career self-efficacy theory: Back to the future. Journal of career assessment, 14(1), 3-11. https://doi.org/10.1177/1069072705281347

Lin, C. Y. (2020). Social reaction toward the 2019 novel coronavirus (COVID-19). Social Health and Behavior, 3(1), 1. DOI: 10.4103/SHB.SHB_11_20

Mahmud, M. S., Talukder, M. U., & Rahman, S. M. (2020). Does ‘Fear of COVID-19’trigger future career anxiety? An empirical investigation considering depression from COVID-19 as a mediator. The International journal of social psychiatry, Jul 2: 0020764020935488. doi: 10.1177/0020764020935488

Yang, Q., Zhou, S., Gu, R., & Wu, Y. (2020). How do different kinds of incidental emotions influence risk decision making?. Biological Psychology, 154, 107920. https://doi.org/10.1016/j.biopsycho.2020.107920

Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 scale: development and initial validation. International journal of mental health and addiction, 1-9. https://doi.org/10.1007/s11469-020-00270-8

Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological assessment, 10(2), 176. https://doi.org/10.1037/1040-3590.10.2.176

Dossajee, H., Obonyo, N., & Ahmed, S. M. (2016). Career preferences of final year medical students at a medical school in Kenya–A cross sectional study. BMC medical education, 16(1), 1-10. https://doi.org/10.1186/s12909-016-0528-1

Pedersen, L. T., Bak, N. H., Dissing, A. S., & Petersson, B. H. (2011). Gender bias in specialty preferences among Danish medical students: a cross-sectional study. Dan Med Bull, 58(9), A4304.

Mwachaka, P., & Mbugua, E. (2010). Specialty preferences among medical students in a Kenyan university. Pan African Medical Journal, 5(1). DOI: 10.4314/pamj.v5i1.56174

Syakurah, R. A., & Rosyila, R. (2020). Medical Student Career Choice's Determinants in Asia: a Systematic Review. International Journal of Public Health Science, 9(1), 57-61. DOI: 10.11591/ijphs.v9i1.20400

Yang, Y., Li, J., Wu, X., Wang, J., Li, W., Zhu, Y., ... & Lin, H. (2019). Factors influencing subspecialty choice among medical students: a systematic review and meta-analysis. BMJ open, 9(3), e022097. http://dx.doi.org/10.1136/bmjopen-2018-022097

Lefevre, J. H., Roupret, M., Kerneis, S., & Karila, L. (2010). Career choices of medical students: a national survey of 1780 students. Medical education, 44(6), 603-612. https://doi.org/10.1111/j.1365-2923.2010.03707.x

Ibrahim, M., Fanshawe, A., Patel, V., Goswami, K., Chilvers, G., Ting, M., ... & Athanasiou, T. (2014). What factors influence British medical students' career intentions?. Medical teacher, 36(12), 1064-1072. https://doi.org/10.3109/0142159X.2014.923560

Subba, S. H., Binu, V. S., Kotian, M. S., Joseph, N., Mahamood, A. B., Dixit, N., ... & Reddy, P. (2012). Future specialization interests among medical students in southern India. The national medical Journal of India, 25(4), 226-29.

Zhang, W. R., Wang, K., Yin, L., Zhao, W. F., Xue, Q., Peng, M., ... & Wang, H. X. (2020). Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychotherapy and psychosomatics, 89(4), 242-250. https://doi.org/10.1159/000507639

Aliaga Tinoco, S. (2020). Síntomas ansiosos y depresivos en población general y personal médico del Hospital Cayetano Heredia asociados a la cuarentena y atención de la pandemia COVID-19 en Lima.

Komer, L. (2020). COVID-19 amongst the pandemic of medical student mental health. International Journal of Medical Students, 8(1), 56-57. DOI: https://doi.org/10.5195/ijms.2020.501

Maser, B., Danilewitz, M., Guérin, E., Findlay, L., & Frank, E. (2019). Medical student psychological distress and mental illness relative to the general population: a Canadian cross-sectional survey. Academic Medicine, 94(11), 1781-1791. doi: 10.1097/ACM.0000000000002958

Wilkes, C., Lewis, T., Brager, N., Bulloch, A., MacMaster, F., Paget, M., ... & Ventriglio, A. (2019). Wellbeing and mental health amongst medical students in Canada. International Review of Psychiatry, 31(7-8), 584-587. https://doi.org/10.1080/09540261.2019.1675927

Jordan, R. E., Adab, P., & Cheng, K. K. (2020). Covid-19: risk factors for severe disease and death. BMJ (Clinical Research ed.). 2020 Mar;368:m1198. DOI: 10.1136/bmj.m1198.

Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123–127. https://doi.org/10.1016/j.comppsych.2018.10.003

Dorison, C. A., Klusowski, J., Han, S., & Lerner, J. S. (2020). Emotion in organizational judgment and decision making. Organizational Dynamics, 49 (1), 100702. https://doi.org/10.1016/j.orgdyn.2019.02.004




DOI: http://doi.org/10.11591/ijere.v10i4.21897

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Institute of Advanced Engineering and Science

International Journal of Evaluation and Research in Education (IJERE)
p-ISSN: 2252-8822, e-ISSN: 2620-5440

View IJERE Stats

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.