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MEDICAL YEAR
            IN REVIEW




           Medical Students Reflect on Education


                   During the COVID-19 Pandemic




                             By Niva Shrestha, Sabrina Heath, Rachel Fray, Fatima Raza and Komal Sharma

      T
             he past two years and future have been shaped and forever changed by the COVID-19 pandemic. In March 2020—in a haze of confusion
             and fear—everything from schools to airports started closing. Closures included the nation’s 192 medical schools. Here, medical students
             from the University of the Incarnate Word School of Osteopathic Medicine (UIWSOM) reflect on the educational, social, emotional,
        mental and professional consequences of the pandemic.

                  “Even before the first day of class, the pandemic drastically   “When the pandemic struck, I was moving back home to
                affected my medical education. With everything online, it   Austin and beginning my dedicated board prep. The stress
                made establishing relationships with classmates a relatively   of boards was already colossal and social distancing require-
        unnatural process. I met most peers through meetings and breakout   ments led the testing center to cancel and postpone exam dates upwards
        rooms on Zoom. Besides weekly clinical skills and anatomy workshops   of six weeks. My clinical rotations began the day after I completed my
        in the spring of 2021, my entire first year was virtual. Safety concerns   delayed exams. Fortunately, I only missed two weeks of my pediatrics
        prohibited students from accessing the clinical skills and cadaver labs   rotation—a fate many of my peers did not experience. Many students
        on campus, inhibiting development of practical medical knowledge. De-  had multiple canceled rotations, forcing them to make up rotations in
        spite this, our class acquired a unique resiliency and developed telemed-  their fourth year—a year busy with residency applications and inter-
        icine skills that will serve us well in the future.” –Sabrina Heath, MS2   views. This unavoidable restructuring caused anxiety and hindered our
                                                               learning. We even struggled with our Zoom weekly didactic sessions.
                  “The pandemic took a mental and physical toll on every-  Being present for class was difficult and lack of interaction with peers
                one. I look back on my first year with fondness but also sad-  was isolating. While I learned how to handle a new virus, I lost crucial
                ness for all the missed opportunities.  Resuming weekly,   aspects of my clinical experience.” –Komal Sharma, MS4
        in-person labs in January 2021 was exciting. While these initial hands-
        on experiences were incredibly helpful, I know many still feel behind   In retrospect, the advancements in virtual education made didactic
        from our year of virtual medical school. While nothing can change the   learning challenging, but possible. The pandemic cost current students
        past, my hope is that as time continues, future classes and professors   18 months of clinical and practical knowledge. COVID-19 stretched
        alike will extend the same kindness, warmth and encouragement to each   students, educational institutions and hospitals to the limit, while also
        other now as they did before the pandemic. As future physicians, we   forcing medicine to be more accessible to future generations through
        owe it to our patients, peers and ourselves to prioritize our mental health   virtual (cost-friendly) interviews. With telemedicine, hopefully health
        and maintain our humanity and humility. We will not let the past hinder   care will become accessible for many patients too. The pandemic also
        the care of our patients and medical community.” –Rachel Fray, MS2   inspired and energized a new generation of physicians such that—ac-
                                                               cording to the American Association of Medical Colleges (AAMC)—
                  “The pandemic began six months into my first year of   applications to medical school increased over 18% during the 2020
                medical school when I finally felt comfortable with my   cycle. Applications grew around 3% per year over the last decade. The
                learning style and study habits. My class most acutely felt the   collective experiences of the past few years have spotlighted physician
        total loss of normalcy. The stress of school was compounded by the   and student mental health, underscored the importance of human con-
        added challenge of navigating a new learning medium. I learned the vi-  nection and created a stronger, more resilient future of doctors.
        tality of simple human interaction and found myself missing small daily
        exchanges. While no one can know what the future entails, I hope the   Niva Shrestha (MS2), Sabrina Heath (MS2), Rachel Fray
        past few years have made us more empathetic and appreciative of each   (MS2), Fatima Raza (MS3) and Komal Sharma (MS4) are
        other and the profession we are embarking on.” –Fatima Raza, MS3   medical students at UIWSOM.



         16     SAN ANTONIO MEDICINE  • December 2021
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