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. 2021 Jun 29;11(6):e049590.
doi: 10.1136/bmjopen-2021-049590.

Impact of the first COVID-19 lockdown on study satisfaction and burnout in medical students in Split, Croatia: a cross-sectional presurvey and postsurvey

Marija Franka Žuljević  1 , Karlo Jeličić  2 , Marin Viđak  3 , Varja Đogaš  4 , Ivan Buljan  3
Affiliations

Impact of the first COVID-19 lockdown on study satisfaction and burnout in medical students in Split, Croatia: a cross-sectional presurvey and postsurvey

Marija Franka Žuljević et al. BMJ Open. .

Abstract

Objectives: To evaluate the impact of the first COVID-19 lockdown in 2020 on the burnout and study satisfaction of medical students.

Design: A cross-sectional study with a presurvey and postsurvey.

Setting: University of Split School of Medicine (USSM), Split, Croatia. The lockdown in the COVID-19 pandemic lasted from late March to mid-May 2020. There was a full switch to e-learning at the USSM during this period, and all clinical teaching was stopped.

Participants: Students enrolled in the 2019/2020 academic year. Data were collected before lockdown in December 2019 and January 2020 and again after the end of lockdown in June 2020.

Primary and secondary outcome measures: Study satisfaction was assessed using the study satisfaction survey. Burnout was assessed using two instruments: Oldenburg Burnout Inventory and Copenhagen Burnout Inventory. We used Bayesian statistics to compare before-and-after differences.

Results: 437 independent responses (77.2% response rate) were collected before and 235 after lockdown (41.5% response rate). 160 participant responses were eligible for pairing. There was no significant difference for both paired and unpaired participants in study satisfaction before (3.38 on a 1-5 scale; 95% credible interval (95% CrI) 3.32 to 3.44) and after (3.49, 95% CrI 3.41 to 3.57) lockdown. We found no evidence (Bayes factor (BF10) >3.00 as a cut-off value) for an increase in the level of burnout before and after lockdown, both in independent and paired samples.

Conclusions: It seems that the first pandemic-related lockdown and a switch to e-learning did not affect burnout levels among medical students or their perception of their study programme. More insight is needed on the short-term and long-term effects of the COVID-19 pandemic on medical students and their education. Well-structured longitudinal studies on medical student burnout during the COVID-19 pandemic are needed.

Keywords: COVID-19; medical education & training; psychiatry.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow chart showing the number of participants at each stage in the study. USSM, University of Split School of Medicine.
See this image and copyright information in PMC

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References

    1. Nicola M, O'Neill N, Sohrabi C, et al. . Evidence based management guideline for the COVID-19 pandemic - Review article. Int J Surg 2020;77:206–16. 10.1016/j.ijsu.2020.04.001 - DOI - PMC - PubMed
    1. Xiong J, Lipsitz O, Nasri F, et al. . Impact of COVID-19 pandemic on mental health in the general population: a systematic review. J Affect Disord 2020;277:55–64. 10.1016/j.jad.2020.08.001 - DOI - PMC - PubMed
    1. Xiang Y-T, Yang Y, Li W, et al. . Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228–9. 10.1016/S2215-0366(20)30046-8 - DOI - PMC - PubMed
    1. Lai J, Ma S, Wang Y, et al. . Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976. 10.1001/jamanetworkopen.2020.3976 - DOI - PMC - PubMed
    1. Juan Y, Yuanyuan C, Qiuxiang Y, et al. . Psychological distress surveillance and related impact analysis of hospital staff during the COVID-19 epidemic in Chongqing, China. Compr Psychiatry 2020;103:152198. 10.1016/j.comppsych.2020.152198 - DOI - PMC - PubMed

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