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Medical Professionalism and Its Association with Dropout Intention in Peruvian Medical Students during the COVID-19 Pandemic
Author(s)
Hancco-Monrroy, Dante Elmer
Universidad Nacional del Altiplano
Caballero-Apaza, Luz Marina
Universidad Nacional del Altiplano
Abarca-Fernández, Denices Soledad
Universidad Nacional del Altiplano
Castagnetto, Jesus M.
Universidad Peruana Cayetano Heredia
De-Lama Moran, Raul
Universidad de San Martín de Porres
Carhuancho-Aguilar, Jose R.
Universidad de San Martín de Porres
Gutierrez, Sandra
Universidad Nacional de San Agustin de Arequipa
Gonzales, Martha
National University of Saint Anthony the Abbot in Cuzco
Berduzco-Torres, Nancy
National University of Saint Anthony the Abbot in Cuzco
Delgado Bolton, Roberto C.
Servicio Cántabro de Salud
San-Martín, Montserrat
Universidad de Granada
Vivanco, Luis
Universidad Internacional De La Rioja
Date Issued
25 de julio de 2024
Type
Article
Publisher
Multidisciplinary Digital Publishing Institute (MDPI)
Volume
14
Issue
8
Series/Report No.
Behavioral Sciences
Contained in
Behavioral Sciences
ISSN
2076-328X
Abstract
Background: The COVID-19 pandemic introduced unprecedented challenges to medical education systems and medical students worldwide, making it necessary to adapt teaching to a remote methodology during the academic year 2020–2021. The aim of this study was to characterize the association between medical professionalism and dropout intention during the pandemic in Peruvian medical schools. Methods: A cross-sectional online-survey-based study was performed in four Peruvian medical schools (two public) during the academic year 2020–2021. Medical students, attending classes from home, answered three scales measuring clinical empathy, teamwork, and lifelong learning abilities (three elements of medical professionalism) and four scales measuring loneliness, anxiety, depression, and subjective wellbeing. In addition, 15 demographic, epidemiological, and academic variables (including dropout intention) were collected. Variables were assessed using multiple logistic regression analysis. Results: The study sample was composed of 1107 students (390 male). Eight variables were included in an explanatory model (Nagelkerke-R2 = 0.35). Anxiety, depression, intention to work in the private sector, and teamwork abilities showed positive associations with dropout intention while learning abilities, subjective wellbeing, studying in a public medical school, and acquiring a better perception of medicine during the pandemic showed a negative association with dropout intention. No association was observed for empathy. Conclusions: Each element measured showed a different role, providing new clues on the influence that medical professionalism had on dropout intention during the pandemic. This information can be useful for medical educators to have a better understanding of the influence that professionalism plays in dropout intention.
Financiamiento(s)
PE501080607-2022
Sponsor(s)
The study was supported by two grants sponsored by PROCIENCIA (former FONDECYT). PROCIENCIA is an initiative supported by the Peruvian Council of Science, Technology, and Technological Innovation (CONCYTEC). Contract Reference of Grant1: PE501080607-2022-PROCIENCIA; Contract Reference of Grant2: FONDECYT-CONCYTEC-06-2021-UNSAAC.