MEDICAL SCHOOL IS demanding regardless of the circumstances, but now is an especially challenging time to be studying medicine. The COVID-19 coronavirus pandemic has sparked public fear, and it's understandable for a medical student to feel anxiety – especially if he or she is in clinical rotations and interacting with patients.
The best course of action for med students to take, some experts say, is to strictly follow safety protocols and make an effort to "keep calm and carry on," as a popular British saying goes.
In response to the coronavirus outbreak, some medical schools have canceled clinical rotations or shifted medical students away from emergency rooms and intensive care units. Medical students and residents tend to be steered away from patients who are suspected of being infected with COVID-19, and these patients are often redirected to fully trained practicing physicians, some experts observe.
[ READ: Coronavirus Takes Toll on K-12 and Higher Education. ] Medical students who are still interacting with patients and who might encounter those with COVID-19 infections should keep safety guidelines in mind, experts say.
Rodney Rohde, a medical laboratory professional who specializes in virology and has an education-related Ph.D., says medical students should meticulously go through all the sanitation rules they are supposed to follow so that they can rely on that knowledge during a crisis.
"In general, the best way for all of us to remain calm is to be prepared," Rohde, a former public health official for the state of Texas, wrote in an email. "Understanding the institution's policies around infection prevention and control is critical."
Rohde, chair of the clinical laboratory science program at Texas State University College of Health Professions, where he is also a professor and associate dean for research, says it's perfectly reasonable for medical students to feel stressed about the current situation with the coronavirus. But he urges them to do their best to take care of themselves by attempting to get high-quality sleep, food and exercise. Medical students also should be vigilant about shielding themselves from potential exposure to COVID-19, since a diagnostic test is the only way to determine whether a patient has this contagious respiratory disease, adds Rohde, who has more than two decades of experience addressing infectious disease outbreaks ranging from West Nile Virus to SARS.
Dr. Jill Waggoner, a family medicine physician in Texas, says medical students should make a special effort to adopt healthy habits during the coronavirus outbreak because inadequate sleep and other unhealthy behaviors could compromise their immune system.
Medical students also need to safeguard their mental and spiritual health, Waggoner says, because it is hard to be compassionate toward others without self-compassion. Meditation might be useful, she suggests, and med students who are religious might find a sense of peace through prayer.
Dr. Chad Sanborn, a pediatric infectious disease specialist with KIDZ Medical Services in Florida, advises how to maintain a sense of levelheadedness during the current public health crisis: "I would recommend taking each case one at a time and to remember that most people will handle infection quite well," he wrote in an email.
Medical students should also remember that "they are part of a concerted worldwide team effort" to defeat the disease, Sanborn adds.
Getting fit-tested for N95 respirator masks can help ensure that the face mask is tightly secured and functions properly, he adds. Med students "should take extra special care" when putting on and taking off safety gear, "as they are likely to be less experienced at performing these tasks," Sanborn adds.
Additionally, med students should meticulously follow recommendations regarding contact and droplet precautions, use N95 respirators when warranted by federal labor regulations and "take care not to fall to temptation and divulge protected health information when discussing these unique cases so as to not violate HIPAA guidelines," Sanborn explains, referring to privacy laws.
Dr. Eric Mizuno, an attending physician with the Weiss Memorial Hospital in Chicago and director of medical education with the OMNI Medical Student Training Program affiliated with that hospital, says medical students should use protective barriers between themselves and patients, including personal protective equipment, or PPE, when appropriate and available.
"You can never completely eliminate a risk," he says. "All you can do is minimize it or mitigate it or contain it, and that's the basic approach we take to everything in life."
Echoing the importance of appropriate masks, Mizuno says medical students can shield themselves from the respiratory droplets of sick patients by covering their mouths and noses. He compares the face to a bowling ball, noting that the nostrils and mouth are vulnerable spots where infectious particles are most likely to enter.
"Unfortunately, we have to breathe in air on a continuous basis, and something is sometimes in the air that we don't want," he says.