Promoting medical student's clinical reasoning during COVID-19 pandemic.

PURPOSE: The development of students' clinical reasoning skills should be a consideration in the design of instruction and evaluation in medical education. In response to the coronavirus disease 2019 (COVID-19) pandemic, several changes in the medical curriculum have been implemented in promoting clinical reasoning. This study aims to explore medical students' perceptions and experiences with the clinical reasoning curriculum during the COVID-19 pandemic and determine their skills development. METHODS: The study used a mixed-method design with a concurrent approach. A cross-sectional study was conducted to compare and examine the relationship between the outcomes of the structured oral examination (SOE) and the Diagnostic Thinking Inventory (DTI). Then, the qualitative method was used. A focus group discussion using a semi-structured interview guide with open-ended questions was conducted, then the verbatim transcript was subjected to thematic analysis. RESULTS: There is an increase in SOE and DTI scores between second-year to fourth-year students. The diagnostic thinking domains and SOE are significantly correlated (r=0.302, 0.313, and 0.241 with p<0.05). The three primary themes from the qualitative analysis are perceptions regarding clinical reasoning, clinical reasoning activities, and the learning component. CONCLUSION: Even if students are still studying throughout the COVID-19 pandemic, their clinical reasoning skills can improve. The clinical reasoning and diagnostic thinking skills of medical students increase as the length of the school year increases. Online case-based learning and assessment support the development of clinical reasoning skills. The skills are supported in their development by positive attitudes toward faculty, peers, case type, and prior knowledge.

Penggunaan video edukasi dalam meningkatkan pengetahuan remaja tentang COVID-19

Pandemi COVID-19 telah menyebabkan dampak signifikan pada berbagai tatanan kehidupan bermasyarakat. Salah satu upaya mencegah penyebaran penularan penyakit COVID-19 adalah dengan melakukan protokol kesehatan ketat. Untuk menyebarluaskan protokol kesehatan ini dibutuhkan edukasi kesehatan secara masif dari berbagai pihak kepada semua kalangan masyarakat salah satunya adalah kepada remaja usia sekolah. Remaja memiliki potensi untuk melakukan edukasi kepada teman sebaya dan keluarga terdekatnya. Kegiatan pengabdian masyarakat ini dilakukan dengan menyusun suatu video singkat tentang protokol kesehatan COVID-19 yang disampaikan kepada remaja usia sekolah dalam hal ini siswa SMP dan SMA sederajat. Untuk mengetahui efektivitas video edukasi terhadap peningkatan pengetahuan subyek dilakukan tes sebelum dan sesudah pemberian edukasi melalui video. Dalam kegiatan pengabdian masyarakat ini didapatkan peningkatan secara signifikan pengetahuan subjek tentang COVID-19. Hal ini menunjukkan bahwa video yang disusun bermanfaat sebagai media edukasi tentang COVID-19.