Medical Education amidst the COVID-19 Pandemic: a Takeaway from Perspectives of Medical Students of Bangladesh.

Introduction: The
objective of this study was to understand the factors which have positively and
negatively affected delivery of medical education in Bangladesh during the
COVID-19 epidemic and to apply this knowledge to improve preparedness in the
event of future COVID spikes or other pandemics.

Methods: A
20-question survey was constructed and responses from over 300 medical students
across Bangladesh were received and statistically examined by chi-squared,
logistic regression and latent class analysis.

Results:
Quality of internet connection has the biggest impact on delivery of
high-quality online courses. General experience with online course delivery
through number of courses attended and year in the program were also impactful.
Latent class analysis indicated that two classes of students existed with
regards to their answers (Yes/No/Undecided) as to whether they would attend
class or sit professional exams if schools reopened. The characteristics of
each class were diverse and enabled a glimpse into the psyche of the students.

Conclusions:
The results demonstrated a need for government to ensure everyone has access to
a good quality internet. Not only will it improve the perception of online
medical courses, it will prevent students from unnecessary travelling
increasing the risk of transmission. With experience in developing online
curricula, the misconception that it is inferior to classroom equivalent may be
reduced. More confidence in the quality of online classes may encourage more
students that are apprehensive about the professional exams to regain their
self-confidence and sit them and increase the pool of independently practicing
physicians in Bangladesh.