Digital medical education and students' mental health: effects of the COVID-19 pandemic in Germany

Purpose Medical education was challenged and re-imagined during the COVID-19 pandemic. This study aims to examine the consequent changes in medical school curricula alongside students' mental and physical health. Design/methodology/approach It is observed that 549 medical students (response rate: 79.7%) from 31 of 37 public medical schools in Germany completed a cross-sectional online survey. Students answered questions regarding teaching, internet use, COVID-19 and well-being. A multivariate logistic regression examined factors associated with depressed mood, insomnia and headache. Findings Academic teaching moved to a virtual environment (91%), whilst practical activities were suspended or cancelled (88%). Virtual teaching modality, quantity and quality were well-perceived, yet 35% of respondents were dissatisfied with their internet connection. Consequently, students worried about the pandemic's adverse effect on their quality as a doctor (60%) and thought about postponing their studies (30%). Students were frequently engaged in the treatment of COVID-19 patients (36%). Daily screen time was significantly associated with depressed mood, insomnia and headache. Negative changes in mental and physical health were frequently observed. Research limitations/implications Students' experience with digital education during the COVID-19 pandemic was mixed. Whilst teaching modality, quantity and quality were well-perceived, students' mental and physical health deteriorated. Further longitudinal studies investigating the impact of digital education on students' well-being are necessary. Practical implications Besides teaching, faculties must quickly digitalize and strengthen social communities and offer targeted support services for students. Originality/value This is the first cross-sectional survey exploring medical students' experience with virtual medical teaching alongside their mental and physical well-being in Germany.