The Impact of COVID-19 and Racial Injustices on Resilience of Incoming Medical Students

Author:

Matari Yanal1,Starkman Rebecca1,Briskin Camille2ORCID,Alper David P.1,Petersen Kellen K.3,Yang Rebecca1,Petersen Kristina H.4ORCID

Affiliation:

1. School of Medicine, New York Medical College, Valhalla, NY 10595, USA

2. Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA

3. Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461, USA

4. Department of Biochemistry & Molecular Biology, New York Medical College, Valhalla, NY 10595, USA

Abstract

Medical students (MS) are at higher risk for depression than their peers. Incoming U.S. MS completed a survey that included the validated RS-14, which measures resilience and its two subcomponents: self-assuredness and drive. Surveys were administered before classes started in 2019 (pre-pandemic-cohort; n = 178) and 2020 (pandemic-cohort; n = 181). Resiliency, self-assuredness, and drive were not different between cohorts. Demographic subgroup analyses revealed that underrepresented in medicine (URiM) MS in the pre-pandemic-cohort scored higher on drive (p = 0.007) than non-URiM MS (6.07 ± 1.00 vs. 5.59 ± 0.97); however, this difference was not significant in the pandemic-cohort. Additionally, students in the pandemic-cohort were more likely to agree that peer discussions about emotional challenges would be beneficial (p = 0.014). Qualitative analysis revealed that 45.9% of pandemic-cohort respondents felt more motivated to pursue medicine. This is the first study to report differences in drive between URiM MS cohorts matriculating before and during a pandemic, a positive correlation between multiple-mini-interview (MMI) scores and drive, and a negative correlation between MCAT scores and drive. Collectively, these results suggest that the circumstances of 2020 may have negatively influenced the drive of URiM students, positively impacted the receptivity of MS to peer discussions, and motivated students to pursue medicine.

Funder

New York Medical College Student Senate

Publisher

MDPI AG

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