4.6 Review

Preparing medical students for a pandemic: a systematic review of student disaster training programmes

Journal

POSTGRADUATE MEDICAL JOURNAL
Volume 97, Issue 1148, Pages 368-379

Publisher

OXFORD UNIV PRESS
DOI: 10.1136/postgradmedj-2020-137906

Keywords

education & training (see medical education & training); medical education & training; trauma management; accident & emergency medicine

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Training programmes focused on pandemic and disaster medicine for medical students have been shown to improve disaster preparedness, knowledge, and skills, as well as enhance attitudes. Studies suggest that properly trained medical students can play an essential role in pandemic management.
Objective To identify pandemic and disaster medicine-themed training programmes aimed at medical students and to assess whether these interventions had an effect on objective measures of disaster preparedness and clinical outcomes. To suggest a training approach that can be used to train medical students for the current COVID-19 pandemic. Results 23 studies met inclusion criteria assessing knowledge (n=18, 78.3%), attitude (n=14, 60.9%) or skill (n=10, 43.5%) following medical student disaster training. No studies assessed clinical improvement. The length of studies ranged from 1 day to 28 days, and the median length of training was 2 days (IQR=1-14). Overall, medical student disaster training programmes improved student disaster and pandemic preparedness and resulted in improved attitude, knowledge and skills. 18 studies used pretest and post-test measures which demonstrated an improvement in all outcomes from all studies. Conclusions Implementing disaster training programmes for medical students improves preparedness, knowledge and skills that are important for medical students during times of pandemic. If medical students are recruited to assist in the COVID-19 pandemic, there needs to be a specific training programme for them. This review demonstrates that medical students undergoing appropriate training could play an essential role in pandemic management and suggests a course and assessment structure for medical student COVID-19 training. Registration The search strategy was not registered on PROSPERO-the international prospective register of systematic reviews-to prevent unnecessary delay.

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