International students' perspectives on medical school and internship: 'Oh international? Are you international?'

COVID‐19 pandemic international students medical education medical students preparedness for practice transition

Journal

Internal medicine journal
ISSN: 1445-5994
Titre abrégé: Intern Med J
Pays: Australia
ID NLM: 101092952

Informations de publication

Date de publication:
31 Aug 2024
Historique:
received: 21 05 2024
accepted: 21 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 31 8 2024
Statut: aheadofprint

Résumé

International students account for a significant proportion of medical graduates Australia-wide, and most opting to remain in Australia for their first year of practice (Internship). Hence, understanding this particular demographic's perspectives is crucial for curriculum and workforce planning. Despite this, very few studies have addressed this demographic, and none have explored the impact of the COVID-19 pandemic on international medical students specifically. A qualitative design was used to explore the perspectives of final-year international medical students at an Australian medical school as they prepared for transition to internship during the COVID-19 pandemic. Participants engaged in a semi-structured interview about the pandemic's personal and professional implications. The data were analysed using inductive thematic analysis. Seven out of 34 final-year international medical students at the University of Adelaide participated. The main themes identified were that isolation was magnified, institutional support was lacking and that uncertainty was challenging. The pandemic did not deter participants from pursuing an Australian internship, as Australia was considered a desirable place for internship compared to their home countries. While the COVID-19 pandemic exacerbated the situation, many of the challenges identified by international students already existed. Issues such as social isolation, racial discrimination, financial hardship and lack of institutional support have been prevalent for decades. Insights from this study reveal a need to improve the medical school experience. Australian Universities have a responsibility to ensure fair treatment of international students by training faculty, implementing support programmes and ensuring an inclusive and culturally safe learning environment.

Sections du résumé

BACKGROUND BACKGROUND
International students account for a significant proportion of medical graduates Australia-wide, and most opting to remain in Australia for their first year of practice (Internship). Hence, understanding this particular demographic's perspectives is crucial for curriculum and workforce planning. Despite this, very few studies have addressed this demographic, and none have explored the impact of the COVID-19 pandemic on international medical students specifically.
AIM OBJECTIVE
A qualitative design was used to explore the perspectives of final-year international medical students at an Australian medical school as they prepared for transition to internship during the COVID-19 pandemic.
METHODS METHODS
Participants engaged in a semi-structured interview about the pandemic's personal and professional implications. The data were analysed using inductive thematic analysis.
RESULTS RESULTS
Seven out of 34 final-year international medical students at the University of Adelaide participated. The main themes identified were that isolation was magnified, institutional support was lacking and that uncertainty was challenging. The pandemic did not deter participants from pursuing an Australian internship, as Australia was considered a desirable place for internship compared to their home countries.
CONCLUSIONS CONCLUSIONS
While the COVID-19 pandemic exacerbated the situation, many of the challenges identified by international students already existed. Issues such as social isolation, racial discrimination, financial hardship and lack of institutional support have been prevalent for decades. Insights from this study reveal a need to improve the medical school experience. Australian Universities have a responsibility to ensure fair treatment of international students by training faculty, implementing support programmes and ensuring an inclusive and culturally safe learning environment.

Identifiants

pubmed: 39215578
doi: 10.1111/imj.16491
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.

Références

MSOD MDAaNZ. National Data Report 2023 – Responses from Final Year Students at Australian Medical Schools 2018‐2022. Data Medical Deans Australia and New Zealand 2023. July 2023.
Malau‐Aduli BS. Exploring the experiences and coping strategies of international medical students. BMC Med Educ 2011; 11: 40.
Lyons Z, Wilcox H, Leung L, Dearsley O. COVID‐19 and the mental well‐being of Australian medical students: impact, concerns and coping strategies used. Australas Psychiatry 2020; 28: 649–652.
Alkureishi ML, Jaishankar D, Dave S, Tatineni S, Zhu M, Chretien KC et al. Impact of the early phase of the COVID‐19 pandemic on medical student well‐being: a multisite survey. J Gen Intern Med 2022; 37: 2156–2164.
Alzayani S, Al‐Roomi K, Ahmed J. The lived experience of medical students during COVID‐19 pandemic: the impact on lifestyle and mental wellbeing. Arab Gulf J Sci Res 2022; 40: 415–423.
Mittal R, Su L, Jain R. COVID‐19 mental health consequences on medical students worldwide. J Community Hosp Intern Med Perspect 2021; 11: 296–298.
Nguyen OTK, Balakrishnan VD. International students in Australia – during and after COVID‐19. High Educ Res Dev 2020; 39: 1372–1376.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101.
Major EM. Co‐national support, cultural therapy, and the adjustment of Asian students to an English‐speaking university culture. Int Educ J 2005; 6: 84–95.
Robertson M, Line M, Jones S, Thomas S. International students, learning environments and perceptions: a case study using the Delphi technique. High Educ Res Dev 2000; 19: 89–102.
Campbell J, Li M. Asian students' voices: an empirical study of Asian students' learning experiences at a New Zealand University. J Stud Int Educ 2007; 12: 375–396.
McKivett A, Paul D. How can medical educators be good ancestors? Med Educ 2022; 56: 1056–1058.
Foreshew A, Al‐Jawad M. An intersectional participatory action research approach to explore and address class elitism in medical education. Med Educ 2022; 56: 1076–1085.
Tannock S. The question of international tuition fees: cash cows and silent elephants. In: Tannock S, ed. Educational Equality and International Students: Justice Across Borders? Cham: Springer International Publishing; 2018; 125–152.
Chan JEZ, Hakendorf P, Thomas JS. Key aspects of teaching that affect perceived preparedness of medical students for transition to work: insights from the COVID‐19 pandemic. Intern Med J 2023; 53: 1321–1331.

Auteurs

Kendra D Selvanderan (KD)

University of Adelaide, Adelaide Medical School, Adelaide, South Australia, Australia.
Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Josephine S Thomas (JS)

University of Adelaide, Adelaide Medical School, Adelaide, South Australia, Australia.
Lyell McEwin Hospital, Adelaide, South Australia, Australia.

Classifications MeSH