Percepción y ansiedad de los estudiantes de Medicina en su rotación clínica en Obstetricia durante la pandemia por COVID-19

Introducción.La pandemia por COVID-19 supuso la interrupción de las rotaciones clínicas en España y en el resto del mundo. En varias Universidades los estudiantes han vuelto al entorno clínico en el primer cuatrimestre del curso académico 2020/2021. Nuestro trabajo pretende evaluar la percepción y el nivel de ansiedad ante el riesgo de contagio por SARS-CoV-2 de los estudiantes de la asignatura de Obstetricia (Sexto de Medicina) en su rotación clínica en el servicio de Obstetricia y Ginecología en nuestro hospital. Métodos. Se diseñó un cuestionario basado en la versión breve de 6 ítems del cuestionario de ansiedad estado-rasgo (State-Trait Anxiety Inventory) para evaluar el nivel de ansiedad de los alumnos ante el riesgo de infección en cada uno de los puestos de rotación: consultas, paritorio, urgencias y planta de hospitalización. Resultados. La participación fue del 100% de los alumnos matriculados en la asignatura. El 73,69% de los estudiantes se sintieron bastante o muy seguros durante la rotación y el 89,48% consideraron que su aprendizaje durante las prácticas no se vio reducido por la situación de pandemia. El nivel medio de ansiedad mostrado en cada uno de los puestos de rotación fue bajo. Conclusiones. Las rotaciones clínicas en un entorno de pandemia, con las medidas de seguridad adecuadas y una relación alumno-médico 1:1 son posibles, seguras y necesarias para la correcta formación del estudiante de Medicina. Introduction. The COVID-19 pandemic led to clinical rotations disruption in Spain anth the resto of the world. In several colleges, students have returned to the clinical environment in the first semester of 2020/2021 academic year. We aim to evaluate the students´ perception and anxiety caused by the risk of infection by SARS-CoV-2 in their clinical rotation at the Obstetrics and Gynecology department of our Hospital. Methods. A survey was designed based on the 6-item version of de State-Trait Anxiety Inventory to assesss the students´ anxiety level at each place of rotation: delivery room, emergencies, consultations and hospitalization. Results: Participation rate was 100%. 73.69% felt quite or very safe during the rotation and 89.48% thought their learning was not reduced by the pandemic situation. The average level of anxiety shown was very low. Conclusions. Clinical rotations in a pandemic environment, with the appropriate security measures and a 1:1 student-physician ratio are possible, safe and necessary for the correct training of the medical student.

Lightly Embalmed Cadavers in Sonography Education: A Novel Approach to Improving Students’ Perceived Competence in Renal Biopsy Procedures

Objective: To determine if a simulation lab using lightly embalmed cadavers would improve diagnostic medical sonography (DMS) students’ perceived competence in ultrasound-guided native renal biopsy examinations. Methods: Subjects included DMS students (n = 49) enrolled in academic years 2012 to 2018. Each DMS student performed a native renal biopsy with a nephrology fellow. Skills practiced included machine setup, inferior renal pole localization, biopsy guide preparation, needle visualization, and communication skills. Pre- and postlab surveys assessed DMS students’ perceived competence. Results: Prelab, 12% (n = 6) of students felt competent to assist in the procedure. Postlab, 61% (n = 35) of students felt competent, a statistically significant ( P < .001) change. All students viewed the lab as a valuable experience. Hands-on experience (53%), student/physician collaboration (33%), and low-stress environment (13%) were reported themes. Additional resources (50%) and scheduling (22%) were areas for improvement. Conclusion: A renal biopsy simulation lab using lightly embalmed cadavers is an effective method to improve DMS students’ perceived competence in this procedure.