Clinical Teaching Abroad in Pandemic Times - Split, Croatia

In order to assess what measures have been taken by medical schools in different countries to deal with the pandemic, we interviewed Ivan Covic, a 4th year medical student at the University of Split, Croatia.
 
First of all, thank you for your willingness to speak with us. How did your university adapt when the coronavirus pandemic emerged?
My university did not take any significant actions until the state declared lockdown. Following that decision, they implemented a quick program of education that transferred "live" teaching into the online sphere. The start was, to borrow a word, bumpy. It was difficult for the professors, many of whom are in their late fifties (some older), to successfully shift to online teaching. In the first months of the pandemic (March 2020 - May 2020), the online lectures varied drastically in their quality. None of the students had any "on hands" live practical classes and that would have been a big problem, especially for med students, if the lockdown held longer.
After the lockdown ended, the University had more "free space" to organize classes. The next measures and rules mentioned here were brought by the Medical School in Split.
The faculty stance was to follow the global epidemiological guidelines and to preserve the live teaching process for as long as possible. We shifted to smaller groups for our practical teaching in hospitals. It was also implemented that we measure our body temperature every day to see if we are fit to enter the hospital. Masks were/are mandatory on campus and in closed spaces.  The classical lecture where all the students from one year would be present, were changed to lectures with 1/3 of the student year and so forth.
 
What are the challenges and opportunities for medical students during covid-19?
The biggest challenge I would say is getting the opportunity to learn practical skills. Our student medial status is not defined on a level where we could easily continue our learning process. The biggest obstacle is that certain professors/doctors who are in charge to teach us practical skills in a hospital setting can easily use the "COVID-19 precautions" card and deny us from our practices. That imposes a big problem because we have to rely on their good will.
I would also like to mention the problem of blaming students for things that were once normal behavior. We are called selfish or not serious enough if we try to continue with our lives as normally as possible (without endangering anyone).
The biggest opportunity, in my opinion, is seeing and experiencing firsthand the battle against COVID-19. We had the opportunity to visit a COVID ICU, to see the process of decontamination and to see how it is to work in such conditions.
 
What is the impact of covid-19 on your education?
The impact is significant, our learning opportunities in a hospital setting are hit hard and we cannot practice all of the skills we would have been able to if there wasn't a pandemic.
 
Do you have practical classes at the hospital? Is your faculty paying for protective material (masks, gloves, gowns)? How is the ratio student:tutor:patient?
Luckily, we still have our practical skills in the hospital, but as I already mentioned they have their limitations. The university provided masks to students for on campus activities and the faculty provided surgical masks for in hospital work (but not nearly enough). We just received our protective visors, which are being handed out as we speak. Regarding the student:tutor:patient ratio, as I mentioned above, it has been reduced, but so has been the number of hours spent practicing.
 
Do you have autonomy to make clinical decisions?
We have limited clinical autonomy and it usually involves some basic clinical skills (anamnesis, clinical check up...)
 
Thank you, once again, on behalf of the magazine for your availability and good luck for your journey!
 

Andreia Gi, 6º ano

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