Back to the medical classes-Part I-Strategy for return to the presential practices during COVID-19 pandemics in a Brazilian Medical School
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Abstract
Introduction
In Brazil, practices of medical students have been interrupted due to COVID-19 to meet emergency demands.
Aim
To describe a strategy for a controlled return to the presential practices for medical students.
Methods
We developed a standardized protocol to be applied before and during the return of the practical classes in medical students of Universidade Federal Fluminense, in the follow months after COVID-19 pandemic beginning. The protocol was comprised in three parts: Remote training on COVID-19 prevention; Face-to-face training focused in COVID-19 prevention, handwashing and personal protective equipment use; Investigation of students COVID-19 status before starting practical activities and weekly monitoring for COVID-19 during seven weeks. The training was done by medical teachers in small groups for medical students of the last lective semester.
Results
The classes were interrupted on March 12, 2020 and returned in August 10, 2020. Seventy-one students were trained and followed. The mean age was 26.6 years (26.7 ±0.835) and 54% were female. Forty-nine (69%) students over 71 had a private health insurance, 60 (84.5%) shared a house/apartment with one or more person and 12(16.9%) reported a previous comorbidity. Eighteen (25.4%) over 71 reported previous symptoms of COVID-19, being positive in two students. During the follow-up, fourteen (19.7%) over 71 students were placed in quarantine due to signals/symptoms compatible with COVID-19 or contact with symptomatic case. Only two cases (2.8%) were confirmed and occurred in Brazilian epidemiological week 37.
Conclusion
The protocol was successful in minimizing COVID-19 acquisition during practical classes of medical students.
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SciScore for 10.1101/2021.10.14.21264918: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: Ethical approval: The study was approved by Ethics Committee of School of Medicine (Universidade Federal Fluminense) under number 4.610.403. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:But even with this limitation of resources it was possible to investigate the disease in almost 80% of suspected cases. Our …
SciScore for 10.1101/2021.10.14.21264918: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: Ethical approval: The study was approved by Ethics Committee of School of Medicine (Universidade Federal Fluminense) under number 4.610.403. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:But even with this limitation of resources it was possible to investigate the disease in almost 80% of suspected cases. Our study has some limitations. The first one is to be conducted during a period where the epidemiological setting of the state was favorable, which could interfere positively in results. The second one is the difficulty to confirm the infection in all suspected cases, which was a reality of Brazilian healthcare system, during the COVID-19 pandemics. In conclusion, our protocol was successful in minimizing COVID-19 acquisition during practical classes of medical students of Universidade Federal Fluminense. A continuous surveillance is necessary to investigate adequacy of the protocol according to the less favorable epidemiological setting.
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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