Insight into the impact of COVID-19 on the future medical workforce of Malta - A need for Action?

Abstract
Background: Medical research dynamics are complex, and stressors such as the COVID-19 pandemic make them even more so.Aims: The purpose of this article was to assess the impact of COVID-19 on medical students' willingness to become doctors and their goals. It also investigated how COVID-19 affects students' mental health and well-being.Methods: A literature-based anonymous online survey was created to assess students' future career goals, willingness to become doctors, and various aspects of their mental health. There was descriptive and univariate regression analysis.Results: Males enrolled in medical school at a higher rate than females. After the pandemic, a minority of students changed their initial specialty choice, but there was no statistical significance in their willingness to become a doctor (p =0.45). Only students who had long COVID-19 symptoms showed significant variation in their sleep patterns (p =0.01). Female students had significantly higher anxiety levels than male students, with 11.21% (CI95%:6.34 - 18.74) experiencing severe anxiety.Conclusion: Enrolling in medical school is a deeply personal decision that should not be taken lightly. Workplace conditions should be improved in order to attract the next generation of health-care providers. It is thus recommended that medical schools consider establishing a pre-entry course to inform and expose potential medical students to the working lives of doctors. All medical schools must ensure that mental and psychological support is easily accessible and non-stigmatizing.