Professional Documents
Culture Documents
REGION III
Division of City of San Fernando
PAMPANGA HIGH SCHOOL
PHS Blvd., Brgy. Lourdes, City of San Fernando, Pampanga
Tel. No. (045) 961-4261 website: www.pampangahigh.school
One Step Forward, Three Steps Back: A Deep Dive on the Experiences of First-Year
Practical Research 1
Kris L. Abayon
Research Teacher
June 2023
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DEPARTMENT OF EDUCATION
REGION III
Division of City of San Fernando
PAMPANGA HIGH SCHOOL
PHS Blvd., Brgy. Lourdes, City of San Fernando, Pampanga
Tel. No. (045) 961-4261 website: www.pampangahigh.school
________________________________________________________________________
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Pampanga High School
DEPARTMENT OF EDUCATION
REGION III
Division of City of San Fernando
PAMPANGA HIGH SCHOOL
PHS Blvd., Brgy. Lourdes, City of San Fernando, Pampanga
Tel. No. (045) 961-4261 website: www.pampangahigh.school
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APPROVAL SHEET
This is to certify that this Research titled, “ One Step Forward, Three Steps Back:
Francis S. Dela Cruz, Krisha Angela T. Cruz, Robert Kent S. Dela Cruz, Minnea
Kris L. Abayon
Research Teacher
Kris L. Abayon
Research Teacher
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Head Teacher VI Principal IV
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CERTIFICATE OF ORIGINALITY
I hereby certify that this Research is my work and that, to the best of my
person or organization or any material which has been accepted for the award of any
made thereof.
Furthermore, I declare that the intellectual content of this research is the product
Dela Cruz, Jethro Francis S. Cruz, Krisha Angela T. Dela Cruz, Robert
Kent S.
Researcher Researcher Researcher
Attested by:
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Kris L. Abayon
Research Teacher
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ACKNOWLEDGEMENTS
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ABSTRACT
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TABLE OF CONTENTS
Page
Title Page........................................................................................................................
Approval Sheet.................................................................................................................
ii
Certificate of Originality.......................................................................................................
iii
Acknowledgements.........................................................................................................
iv
Abstract..........................................................................................................................
Table of Contents...........................................................................................................
vi
Introduction ……………..............................................................................................
Literature Review...........................................................................................................
10
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Scope and Limitation.....................................................................................................
11
11
13
Methodology……….....................................................................................................
Sampling........................................................................................................................
Instrument.....................................................................................................................
Data Collection..............................................................................................................
Ethical Issues.................................................................................................................
Data Analysis.................................................................................................................
-
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Summary of Findings......................................................................................................
Conclusion........................................................................................................................
Recommendations.............................................................................................................
References.........................................................................................................................
Appendices........................................................................................................................
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INTRODUCTION
The COVID-19 Pandemic has caused a tremendous shift in the day-to-day living
of every citizen in the country. It has severely impacted many institutions, specifically,
the education system. The Department of Education (2020) announced with the
postponement of onsite learning during the pandemic, an alternative way of learning for
the students will be implemented called “distance learning”. The onsite way of learning
was forcefully shut down to hinder the spread of contagious virus, to cope with this, the
students are not physically present in school and are still able to learn.
The sudden transition from onsite learning to distance learning has rushed school
administrations to quickly transform the curriculum to suit the way of distance learning
for the students and teachers. Baquiran and Plata (2022) pointed out ways schools have
coped up with transition through the use of technological platforms such as, Facebook
closed groups, where professors upload video lessons and lectures, Google Classroom
where students can submit requirements and documentations, and Zoom and Viber
With the changes in the education curriculum during the pandemic, face-to-face
clinical practices are strictly prohibited during this time to prevent the spread of the viral
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disease. Thus, school administrations must find a way to adapt. A study has shown that
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ways to still let students learn about the requisite lessons and aid them to perform
simulated clinical practices at home and then will be documented (e.g using of chicken
breast in an obstetrics and gynecology rotation and stuff toys as simulated patients)
(Cedeño et al., 2021). Even in this unprecedented time, schools are finding ways to
The preparation for the ‘real world’ has shown an interesting finding, that as
students face distance learning, numerous studies have shown that there is also an
increase in mental health issues such as anxiety and depression. Changwon et al. (2020)
revealed out of the 195 students, 82% showed increasing concerns on academic
performance resulting in different mental health issues such as increased anxiety and
depression.
As the country slowly rises from the damage that the COVID-19 pandemic has
caused, the Commission on Higher Education gave the green light to Higher Education
Institutions (HEIs) to finally implement onsite learning again or blended learning for the
enter an era of learning, this will surely reveal the effects of the distance learning of the
The imperative for the medical education community to guarantee the safety of
students, professors, and patients on an equal footing has grown to be a primary factor
influencing the shift in medical education practice and the provision of global healthcare
around the globe. Mortagy et al. (2022) claimed that many medical institutions were
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compelled to promptly effectuate a full online medical education model during the
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setting. As a result of the diverse and non-uniform responses to continuing medical
education during and after the COVID-19 epidemic, each learner and medical educator
learning in medical education, medical educators were forced to adjust and develop
Baticulon et al. in 2021, has shown that distance learning brought numerous new
difficulties and further worsened old ones to students such as stress in academic
about how online learning was being conducted, students said that their opinions were not
being heard and bemoaned the fact that school administrators had not taken the proper
steps. The need for interaction with peers, with whom they may share knowledge, assets,
and viewpoints, was also expressed. By the same token, in an open letter published on
social media on October 12, 2021, the Association of Philippine Medical Schools' student
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network held out for online learning to be suspended and that the current semester to
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medical education revolution, with lack of face-to-face interactions and limited clinical
exposure albeit advancing into a higher education. Despite the clinical skills course being
taught online, Anderson et al. (2022) reported on their study that many students
expressed worries about not being able to acquire and practice these skills in person,
This research study will provide valuable insights into the challenges faced by
medical students during the ongoing COVID-19 pandemic. The study will seek to
achieve five primary objectives: (1) Discover in what ways has the pandemic impacted
the academic performance and learning experiences of first-year medical students; (2)
Investigate how first-year medical students experience the transition from college to
medical school in a pandemic environment?; (3) Explore the clinical performance of first-
year medical students in their clinical courses during the pandemic; (4); Examine the key
pandemic environment, and how do these differ from pre-pandemic experiences? (5)
Explore the lessons and knowledge first-year medical students acquired through their
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In summary, this study in all likelihood will contribute to the development of creating
better support programs and improving the quality of medical education. It might also
give a
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thorough understanding of the challenges medical students encountered during the
pandemic and how those challenges affected their mental health. Researchers may also
utilize this study as a further reference and a guide for gathering information on the same
study.
Literature Review
This review might be of great help in furthering the unique place of this undertaking in
the field of educational research and in further elucidating the very reasons for its
conduct.
The recent global pandemic has had a significant negative influence on medical
education and healthcare delivery worldwide. As a result of the disruption caused by the
suspension of traditional educational systems during the past two years, medical
institutions across the globe were forced to rapidly adapt the educational experience to
the online environment. Along with the continued growth of online education, medical
schools have had the biggest challenge in educating medical students within the confines
of social distance, particularly in the preclinical phase due to the cessation of practical
sessions. According to Pokhrel and Chhetri (2021), the COVID-19 pandemic has made it
more important than ever to examine e-learning from the viewpoints of students while
utilizing and creating e-learning systems at universities. While the conventional face-to-
face learning technique has been replaced with blended learning, which is primarily
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modular and online, students are one of the stakeholders in education that are most
negatively impacted.
continuous throughout all academic disciplines. As specified by Khalil et al. (2020), The
ongoing COVID-
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both enabling and impediments for effective learning and communication technology
integration into online course design and delivery. Muthuprasad et al. (2021), however,
observed that designing a hybrid or blended curriculum using both face-to-face and
online techniques may be preferable for schools that provide more practical/skill-oriented
courses as switching totally to an online mode may not be a feasible choice. According to
clinical education for online learning, and students were afraid of not having the
Even before the widespread of the COVID-19 Pandemic, Llego, Gabriel, and
Corpus (2018) unveiled that there has been hurdles on the academic performance and
have surfaced that the COVID-19 Pandemic has worsened the situation for nursing
medical students. The distance learning has brought unmatched stress to students
2021).
attention, decreased peer interaction, and disruption from family matters after moving
al. (2022) had noted anecdotal increases in these negative emotions as well as changes in
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lifestyle and behavior among students in our medical school, findings that were echoed in
other medical schools across the UK, with the opinion that the pandemic was an
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A correlational and regression analysis conducted by Bagsic et al. (2022) proved
that there is a relationship between how mental health is influenced by academic stress
and performance during this time, it revealed that the academic stress majorly contributes
This study suggests how medical students shared a sense of dread and perplexity
about taking online courses with the emergence of different challenges in line with
pandemic. Pursuant to Chakladar et al. (2022), the COVID-19 pandemic has generally
had a negative impact on the mental health, perceived education, lifestyle, and academic
performance of medical students. Although medical schools have taken steps to continue
training medical students as successfully as they can, additional plans must be developed
to ensure the well-being of students and educational needs both now and in the event of
From Fearless to Fearful: How First-Year Medical Students Cope in Pandemic Times
There were multiple differences between this pandemic and what a student had
previously experienced, and numerous modifications were made to the way out.
for the physical and mental health of medical students. In particular, it gradually had a
negative impact on students' mental health as their anxiety levels rose and made things
worse for those who already had mental health issues. Along with the challenges,
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stressors were clearly present as well. Due to these circumstances, medical students had
to come up with their own coping strategies for the problem that caused suffering
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unfamiliar social conditions, and exposure to high-risk situations. (Halperin et al., 2021)
The challenges that medical students faced also had an effect on their overall
problems, was significantly influenced by how long the lockdown was in effect. Burnout
was particularly prevalent when it resulted in an increase in cynicism, which meant that
students lost interest in or enthusiasm for their studies and began to question their
importance and utility. For instance, gaining clinical experience is necessary to earn a
degree in the field of medicine, which cannot be easily accomplished through e-learning.
Additionally, characteristics of burnout are not just the result of one cause. These include
heavy workloads, issues with relationships with consulting supervisors, and pressure to
succeed. Some of these characteristics are self-imposed, such as setting goals that are too
high to achieve, harboring self-doubt, and associating identity with performance. Along
with these, other factors include irregular sleeping habits, exhaustion, conflicts, financial
situation, and exposure to human misery. (Natalia et al., 2021). Social isolation
associated with quarantine also played a part in the deterioration of a medical student's
mental health. It is also noted that the depression levels keep increasing as the pandemic
goes on. (Zis et al., 2021). Furthermore, Brooks et al. (2020) conducted a study and
showed that healthcare professionals such as Nurses have experienced high levels of
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stress and anxiety caused by the increase in workloads, exposure to viruses, and concerns
about their own and their families' health. Similarly, medical students have experienced
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disturbance of their education and concerns about their own health. These stressors
obtained from being quarantined have been shown to have negative impacts on medical
For more details, refer to the study by Hill et al. (2018) on pre-pandemic stressors
like medical school workload, which was excessive for the students and made them feel
like the day wasn't over yet; performance pressure, where students put pressure on
themselves out of the fear of failing, causing them extreme stress; medical school
like lack of resources for mental health support. Additionally, peer relationships and the
social environment are stressors since some medical students have a tendency to develop
unhealthy competitiveness, which can also result in worst-case scenarios like bullying.
Then comes the detrimental effect on their health, where they suffered from sleep
deprivation; furthermore, their financial situation also contributed to their stress, where
they worried about their own survival; and finally, career planning and future concerns,
where students experienced extreme stress by questioning whether their knowledge was
sufficient for applications as well as how they would handle changes in the healthcare
system. Having said that, pre-pandemic experiences and those had by medical students in
a pandemic setting are not that dissimilar. However, because it was a struggle with
uncertainty, the pandemic made it worse for individuals, particularly the medical
students.
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In the study by Mittal et al. (2021), many studies were assessed in relation to
techniques were employed, including some limited outdoor activities, physical activity,
workouts, and virtual activities like video conversations, social networking apps, and
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meditation. Also, the study's findings demonstrated that certain students who willingly
anxiety and burnout than their other non-involved peers because it helped them reduce
their exposure to stressors because they had a duty to fulfill and helped lessen the impact
This study found that the mental health of medical students is poor and
deteriorates throughout their academic careers, which made it worse during the height of
the pandemic (Weber et al., 2019). Medical students have faced numerous stressors as a
result of the deployment of distant learning, which has resulted in numerous physical,
emotional, and mental difficulties. (Majrashi, 2021). Each person has their own way of
dealing with uncertainty, and medical students in particular use a variety of methods,
This research will seek to determine the lived experiences of first year medical students
1. How has the pandemic impacted the academic performance and learning
2. How first-year medical students experience the transition from college to medical
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3. How is the clinical performance of first-year medical students in their clinical
4. What are the key challenges, unique stressors, and coping mechanisms of first-
year medical students in a pandemic environment, and how do these differ from
pre-pandemic experiences?
5. What are the life lessons and knowledge first-year medical students acquired
This research will deal with the experiences of select first-year medical students at
University of the East Ramon Memorial Medical Center. By the term “culture of
research” this study only refers to. Thus, this study will only deal with the lived
experiences during college and the effects accompanied in medical school of the
respondents – the learners – in undergoing with the said research subjects or the learning
area. The study will involve fifteen (15) First Year Medical Students. The study will be
As a limitation, this study will restrict to deal with the other elements such as
lived experiences of medical students that are not first year but will not limited be to the,
environment.
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School Administration. The outcome for this study will be beneficial to the school
administration in the way of adjusting their curriculum for the students as it rises from the
pandemic. This will give a hindsight on the experiences and current knowledge of first-
year medical students as they enter medical school such as the necessary lessons
that medical students retained and back when college students were taught during the
pandemic.
medical students, which might help them enhance the efficiency with which they teach
their students, thereby enhancing the students' wellbeing and exposing their potential.
Students. The outcomes of this study will be used as a tool for the students to
increase awareness of their own experiences and those of their peers. This study will
enlighten students on how to more clearly see the significance of their mental health
while they are learning and how to better comprehend the impact that the pandemic has
Family. This research will make it easier for the families of the students to
comprehend the toll that the pandemic has had on them. This may also be utilized to help
them understand the struggles that their children faced when the quality of their education
suffered due to the pandemic and to aid them in providing their children with the comfort
they need.
Future Researchers. This study will benefit future researchers by providing them
generate new research questions and hypotheses for future researchers that may help
advance the field of medical education. Overall, this study could provide a foundation for
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knowledge and insights that will help improve the practices in medical education.
Definition of Terms
Clinical Practice. It is described as training ground that entails activities with and
on the behalf of patient, it requires the completion of the said activities with the presence
In this study, Clinical Practice is the method to see the retained knowledge and
capabilities of the first-year medical students learned during the last year of college, this
is to assess if the new way of learning during pandemic is able to keep up even onsite
COVID-19. It is an infectious disease from the SARS-CoV-2 virus. The virus can
spread by small liquid particles from coughing, sneezing, speaking, and breathing.
contagious virus that caused a sudden change in the living of the first-year medical
student, specifically the academic aspect and how did it affect the way of learning during
the teacher and the learners who are geographically remote from each other during
In this study, it is used as the method of teaching took place during the pandemic.
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Onsite Learning. It is defined as a modality of learning where be in need of the
presence of student and an authority, in this case, a teacher to be in the exact same space
and time. It has been the staple way of teaching to students. (Lecture Talks, 2023)
In this study, Onsite Learning is defined as the modality that students favor
instead of the distance learning. Since it is the traditional way of teaching, this gives a
other continents and countries damaging the lives and health of people and the economy
In this study, Pandemic is described as a barrier and a cage for the first-year
medical students, hindering the students to fully expand their potential since it limits so
much possibilities when it is required to only stay at home and at the same time, learn
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