Chick Robert Connor, Clifton Guy Travis, Peace Kaitlin M, Propper Brandon W, Hale Diane F, Alseidi Adnan A, Vreeland Timothy J
Brooke Army Medical Center, San Antonio, Texas.
University of California at San Francisco, San Francisco, California.
J Surg Educ. 2020 Jul-Aug;77(4):729-732. doi: 10.1016/j.jsurg.2020.03.018. Epub 2020 Apr 3.
The COVID-19 pandemic presents a unique challenge to surgical residency programs. Due to the restrictions recommended by the Centers for Disease Control and Prevention and other organizations, the educational landscape for surgical residents is rapidly changing. In addition, the time course of these changes is undefined.
We attempt to define the scope of the problem of maintaining surgical resident education while maintaining the safety of residents, educators, and patients. Within the basic framework of limiting in-person gatherings, postponing or canceling elective operations in hospitals, and limiting rotations between sites, we propose innovative solutions to maintain rigorous education.
We propose several innovative solutions including the flipped classroom model, online practice questions, teleconferencing in place of in-person lectures, involving residents in telemedicine clinics, procedural simulation, and the facilitated use of surgical videos. Although there is no substitute for hands-on learning through operative experience and direct patient care, these may be ways to mitigate the loss of learning exposure during this time.
These innovative solutions utilizing technology may help to bridge the educational gap for surgical residents during this unprecedented circumstance. The support of national organizations may be beneficial in maintaining rigorous surgical education.
新冠疫情给外科住院医师培训项目带来了独特挑战。由于疾病控制与预防中心及其他组织建议的限制措施，外科住院医师的教育环境正在迅速变化。此外，这些变化的时间进程尚不确定。
我们试图在确保住院医师、教育工作者和患者安全的同时，明确维持外科住院医师教育问题的范围。在限制面对面聚会、推迟或取消医院择期手术以及限制不同地点间轮转的基本框架内，我们提出创新解决方案以维持严格的教育。
我们提出了几种创新解决方案，包括翻转课堂模式、在线练习题、用电话会议取代面对面授课、让住院医师参与远程医疗诊所、进行操作模拟以及便利地使用手术视频。尽管通过手术经验和直接的患者护理进行实践学习无可替代，但这些方法或许可以减轻这段时间学习机会的损失。
这些利用技术的创新解决方案可能有助于在这一前所未有的情况下弥合外科住院医师的教育差距。国家组织的支持可能有利于维持严格的外科教育。
