{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:55:23Z","timestamp":1760147723501,"version":"build-2065373602"},"reference-count":41,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Generating the need to impose social distancing to reduce the spread of the virus, the COVID-19 pandemic altered the ways in which the teaching process normally happens. The aim of our study was to determine the impact of online teaching on medical students during this period. (2) Our study included 2059 medical, dental and pharmacy students from the University of Medicine and Pharmacy \u201cGrigore T. Popa\u201d, Iasi, Romania. We used a modified metacognition questionnaire after translation into Romanian and validation. Our questionnaire included 38 items, and it was divided into four parts. Academic results and preferences regarding the on-site or online courses, information regarding practical training, self-awareness in terms of one\u2019s feelings such as anger, boredom and anxiety and also substance use linked to online teaching, and contextualization of the relationship with colleagues, teachers, friends and family were among the most important points evaluated. A comparison was made between preclinical and clinical students. A five-item Linkert-like scale was used for rating the answers in the last three parts that evaluated the impact of the SARS-CoV-2 pandemic on the educational process. (3) Preclinical medical students, compared to preclinical dental students, obtained statistically significant improvements in their evaluation results, with fewer failed exams (p &lt; 0.001) and with similar results being obtained by comparing dental with pharmacy students. All students obtained statistically significant improvements in their academic results during the online evaluation. A statistically significant increase in anxiety and depression with a p-value of &lt;0.001 was registered among our students. (4) The majority found it difficult to cope with this intense period. Both teachers and students found it difficult to adjust on such short notice to the challenges posed by the new concept of online teaching and learning.<\/jats:p>","DOI":"10.3390\/ijerph20053953","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T02:28:57Z","timestamp":1677119337000},"page":"3953","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of the COVID-19 Pandemic on Quality Education of the Medical Young Generation"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2862-2069","authenticated-orcid":false,"given":"Daniela Roxana","family":"Matasariu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u015fi, Romania"},{"name":"Department of Obstetrics and Gynecology, Cuza Vod\u0103 Hospital, 700038 Ia\u015fi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludmila","family":"Lozneanu","sequence":"additional","affiliation":[{"name":"Department of Morpho-Functional Sciences I\u2014Histology-Pathology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iuliana Elena","family":"Bujor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u015fi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra Elena","family":"Cristofor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u015fi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina Elena","family":"Mandici","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u015fi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0533-9014","authenticated-orcid":false,"given":"Marcel Alexandru","family":"G\u0103in\u0103","sequence":"additional","affiliation":[{"name":"Psychiatry, Department of Medicine III, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristinel","family":"\u0218tef\u0103nescu","sequence":"additional","affiliation":[{"name":"Psychiatry, Department of Medicine III, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasile Lucian","family":"Boiculese","sequence":"additional","affiliation":[{"name":"Biostatistics, Department of Preventive Medicine and Interdisciplinarity, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioana","family":"Popescu","sequence":"additional","affiliation":[{"name":"Department of Dermatology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"St\u0103tescu","sequence":"additional","affiliation":[{"name":"Department of Dermatology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreea","family":"Rusu","sequence":"additional","affiliation":[{"name":"Department of Morpho-Functional Sciences I\u2014Histology-Pathology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona Eliza","family":"Giusca","sequence":"additional","affiliation":[{"name":"Department of Morpho-Functional Sciences I\u2014Histology-Pathology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Ursache","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Ia\u015fi, Romania"},{"name":"Department of Obstetrics and Gynecology, Cuza Vod\u0103 Hospital, 700038 Ia\u015fi, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"(2023, January 09). Origin of SARS-CoV-2. WHO\/2019-nCoV\/FAQ\/Virus_origin\/2020.1. Available online: https:\/\/www.who.int\/publications\/i\/item\/origin-of-sars-cov-2.","DOI":"10.34084\/bshr.712379"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/S2352-4642(20)30096-1","article-title":"Mental health considerations for children quarantined because of COVID-19","volume":"4","author":"Liu","year":"2020","journal-title":"Lancet Child Adolesc. Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.3201\/eid2610.201702","article-title":"Impact of Social Distancing Measures on Coronavirus Disease Healthcare Demand, Central Texas, USA","volume":"26","author":"Wang","year":"2020","journal-title":"Emerg. Infect. Dis."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"200780","DOI":"10.1098\/rsos.200780","article-title":"Early spread of COVID-19 in Romania: Imported cases from Italy and human-to-human transmission networks","volume":"7","author":"Hancean","year":"2020","journal-title":"R. Soc. Open Sci."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Oprea, O.M., Cristofor, A.E., Bujor, I.E., Ursache, A., Sandu, B., Lozneanu, L., Mandici, C.E., Szalontay, A.S., Gaina, M.A., and Matasariu, D.R. (2023). COVID-19 Pandemic affects children\u2019s education or opens up a new learning system?. Children, 10.","DOI":"10.3390\/children10010092"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Iorga, M. (2021). Impact of COVID-19 Pandemic on Academic Activity and Health Status among Romanian Medical Dentistry Students; A Cross-Sectional Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18116041"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Zheng, M., Bender, D., and Lyon, C. (2021). Online learning during COVID-19 produced equivalent or better student course performance as compared with pre-pandemic: Empirical evidence from a school-wide comparative study. BMC Med. Educ., 21.","DOI":"10.1186\/s12909-021-02909-z"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.lindif.2017.01.002","article-title":"The influence of negative affect on test anxiety and academic performance: An examination of the tripartite model of emotions","volume":"54","author":"Chin","year":"2017","journal-title":"Learn Individ. Differ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1111\/j.1365-2923.2010.03712.x","article-title":"Second-year medical students\u2019motivational beliefs, emotions, and achievement","volume":"44","author":"Artino","year":"2010","journal-title":"Med. Educ."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1037\/a0013383","article-title":"Achievement goals and achievement emotions: Testing a model of their joint relations with academic performance","volume":"10","author":"Pekrun","year":"2009","journal-title":"J. Educ. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jadohealth.2021.10.010","article-title":"College Students\u2019 Sense of Belonging and Mental Health Amidst the COVID-19 Pandemic","volume":"70","author":"Gopalan","year":"2022","journal-title":"J. Adolesc. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/eje.12485","article-title":"Simulation training for ceramic crown preparation in the dental setting using a virtual educational system","volume":"24","author":"Liu","year":"2020","journal-title":"Eur. J. Dent. Educ."},{"key":"ref_13","first-page":"175","article-title":"How Romanian Higher Education Institutions Have Adapted to Online Learning Process in the COVID-19 context through a Student\u2019s Eye","volume":"12","author":"Molea","year":"2020","journal-title":"Rev. Rom. Pentru. Educ. Multidimens"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"102183","DOI":"10.1016\/j.ijinfomgt.2020.102183","article-title":"Digital transformation of everyday life\u2014How Covid-19 pandemic transformed the basic education of the young generation and why information management research should care?","volume":"55","author":"Livari","year":"2020","journal-title":"Int. J. Inf. Manag. Sci."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1111\/eje.12736","article-title":"Impact of COVID-19 on dental education in Europe: The students\u2019 perspective","volume":"26","author":"Coughlan","year":"2022","journal-title":"Eur. J. Dent. Educ."},{"key":"ref_16","unstructured":"Barnum, M., and Bryan, C. (2021). America\u2019s Great Remote-Learning Experiment: What Surveys of Teachers and Parents Tell Us about How It Went. Chalkbeat, Available online: https:\/\/www.chalkbeat.org\/2020\/6\/26\/21304405\/surveys-remote-learning-coronavirus-success-failure-teachers-parents."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"104345","DOI":"10.1016\/j.jpubeco.2020.104345","article-title":"Inequality in household adaptation to schooling shocks: Covid-induced online learning engagement in real time","volume":"193","author":"Goodman","year":"2021","journal-title":"J. Public Econ."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"104606","DOI":"10.1016\/j.jpubeco.2022.104606","article-title":"COVID-19, college academic performance, and the flexible grading policy: A longitudinal analysis","volume":"207","year":"2022","journal-title":"J. Public Econ."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Chu, Y.H., and Li, Y.C. (2022). The Impact of Online Learning on Physical and Mental Health in University Students during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19052966"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Harries, A.J., Lee, C., Jones, L., Rodriguez, R.M., Davis, J.A., Boysen-Osborn, M., Kashima, K.J., Krane, N.K., Rae, G., and Kman, N. (2021). Effects of the COVID-19 pandemic on medical students: A multicenter quantitative study. BMC Med. Educ., 21.","DOI":"10.1186\/s12909-020-02462-1"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"589669","DOI":"10.3389\/fpubh.2020.589669","article-title":"Addressing the COVID-19 Burden on Medical Education and Training: The Role of Telemedicine and Tele-Education During and Beyond the Pandemic","volume":"8","author":"Sharma","year":"2020","journal-title":"Front. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e043728","DOI":"10.1136\/bmjopen-2020-043728","article-title":"Factors associated with the mental health status of medical students during the COVID-19 pandemic: A cross-sectional study in Japan","volume":"10","author":"Arima","year":"2020","journal-title":"BMJ Open"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e25232","DOI":"10.2196\/25232","article-title":"Impact of the COVID-19 Pandemic on the Psychological Distress of Medical Students in Japan: Cross-sectional Survey Study","volume":"23","author":"Nishimura","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/efh.efh_112_22","article-title":"Medical student anxiety and depression in the COVID-19 Era: Unique needs of underrepresented students","volume":"35","author":"Lin","year":"2022","journal-title":"Educ. Health (Abingdon)"},{"key":"ref_25","first-page":"Doc72","article-title":"Perception of the study situation and mental burden during the COVID-19 pandemic among undergraduate medical students with and without mentoring","volume":"37","author":"Guse","year":"2020","journal-title":"GMS J. Med. Educ."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"104271","DOI":"10.1016\/j.jpubeco.2020.104271","article-title":"The impact of COVID-19 on student experiences and expectations: Evidence from a survey","volume":"191","author":"Aucejo","year":"2020","journal-title":"J. Public Econ."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e2022376118","DOI":"10.1073\/pnas.2022376118","article-title":"Learning loss due to school closures during the COVID-19 pandemic","volume":"118","author":"Engzell","year":"2021","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_28","unstructured":"Sass, T., and Goldring, T. (2022). Student Achievement Growth During the COVID-19 Pandemic: Fall 2021 Update. Ga. Policy Labs Rep., 10\u201312."},{"key":"ref_29","unstructured":"Means, B., Toyama, Y., Murphy, R., Bakia, M., and Jones, K. (2023, January 09). Evaluation of Evidence-Based Practices in Online Learning: A Meta-Analysis and Review of Online Learning Studies. US Department of Education 2009, Available online: www.ed.gov\/about\/offices\/list\/opepd\/ppss\/reports.html."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"ALQhtani, A., AlSwedan, N., Almulhim, A., Aladwan, R., Alessa, Y., AlQhtani, K., Albogami, M., Altwairqi, K., Alotaibi, F., and AlHadlaq, A. (2021). Online versus classroom teaching for medical students during COVID-19: Measuring effectiveness and satisfaction. BMC Med. Educ., 21.","DOI":"10.1186\/s12909-021-02888-1"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Iosif, L., Tancu, A.M.C., Didilescu, A.C., Imre, M., Galbinasu, B.M., and Ilinca, R. (2021). Self-Perceived impact of COVID-19 Pandemic by dental students in Bucharest. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18105249"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"S43","DOI":"10.12669\/pjms.36.COVID19-S4.2809","article-title":"COVID-19 Pandemic: Impact of Quarantine on Medical Students\u2019 Mental Wellbeing and Learning Behaviors","volume":"36","author":"Meo","year":"2020","journal-title":"Pak. J. Med. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Radu, M.C., Schnakovszky, C., Herghelegiu, E., Ciubotariu, V.A., and Cristea, I. (2020). The Impact of the COVID-19 Pandemic on the Quality of Educational Process: A Student Survey. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17217770"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"113108","DOI":"10.1016\/j.psychres.2020.113108","article-title":"Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university","volume":"290","author":"Irurtia","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1017\/S2045796021000202","article-title":"Prevalence of depressive symptoms among Chinese university students amid the COVID-19 pandemic: A systematic review and meta-analysis","volume":"30","author":"Luo","year":"2021","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"669119","DOI":"10.3389\/fpsyg.2021.669119","article-title":"Impact of the COVID-19 pandemic on the mental health of college students: A systematic review and meta-analysis","volume":"12","author":"Li","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S1574-0692(06)01012-9","article-title":"Interpreting the evidence on life cycle skill formation","volume":"1","author":"Cunha","year":"2006","journal-title":"Handb. Econ. Educ."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"86","DOI":"10.46627\/silet.v1i2.38","article-title":"The Challenges of Online Learning during the COVID-19 Pandemic: An Essay Analysis of Performing Arts Education Students","volume":"1","author":"Simamora","year":"2020","journal-title":"Stud. Learn. Teach."},{"key":"ref_39","first-page":"53","article-title":"Psychological Impacts of Students on Online Learning During the Pandemic COVID-19","volume":"7","author":"Irawan","year":"2020","journal-title":"J. Bimbing. Dan Konseling"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.3389\/fpsyg.2018.01126","article-title":"Failure to Launch: Regulatory Modes and Boredom Proneness","volume":"9","author":"Mugon","year":"2018","journal-title":"Front. Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s11469-019-00182-2","article-title":"Effects of Excessive Screen Time on Neurodevelopment, Learning, Memory, Mental Health, and Neurodegeneration: A Scoping Review","volume":"19","author":"Neophytou","year":"2021","journal-title":"Int. J. Ment. Health Addict."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/3953\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:40:03Z","timestamp":1760121603000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/3953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,23]]},"references-count":41,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20053953"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20053953","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,2,23]]}}}