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2019冠状病毒病对医学教育的影响。

The Impact of COVID-19 on Medical Education.

作者信息

Ferrel Meganne N, Ryan John J

机构信息

Medicine, University of Utah School of Medicine, Salt Lake City, USA.

Cardiology, University of Utah, Salt Lake City, USA.

出版信息

Cureus. 2020 Mar 31;12(3):e7492. doi: 10.7759/cureus.7492.

Abstract

In the wake of the novel coronavirus (COVID-19) pandemic, it is abundantly clear to all the necessity of studying the pathology and widespread health consequences associated with the virus. However, what is much less clear is the impact of COVID-19 on medical education. Already, faculty and medical students are grappling with the changes that have been made and attempting to consolidate these with their plan of career development. Changes that may seem relatively minor in comparison to the global pandemic have the potential to be drastic turning points in the career progression of many. As not much is known regarding the long-lasting impact of COVID-19 on medical education, it is therefore also necessary to record and study the full impact of the changes being made. The path to entering a successful residency has been predictable for the last few years - do well on Step 1, give conference presentations, go the extra mile in clerkships and shadowing opportunities, and have meaningful non-academic extracurricular activities - all of which designed to best demonstrate a student's knowledge, persistence, collaborative spirit, and dedication to medicine. This trajectory has been changed with COVID-19 disrupting routines in hospitals, medical schools and beyond. The replacement of in-person classes with online equivalents is an obvious necessity at this time but creates a loss of collaborative experiences that has the potential to be a significant detriment to education. Likewise, the cancellation of clerkships, which are necessary for both skill acquisition as well as for relationship building, is a serious issue which students and medical schools must now resolve. Many medical students have also lost the opportunity for personal development through conference presentations. These presentations play a large role in distinguishing applicants during the residency application process, and therefore these lost opportunities have the potential to be a serious detriment to medical students' career trajectory. While implementing technology to help resolve these issues is a unique way to help students to develop these skills, it is now necessary for medical students to demonstrate the same set of skills which they would have previously in a completely new and innovative manner. Persistence and adaptability during this time of challenge are attributes that medical students can demonstrate more readily. While every student has a personal story of how COVID-19 has impacted their education, there is no question that the impacts of COVID-19 will be felt on an extensive level. The panic in the community is palpable, and many are confused by how to proceed in the wake of COVID-19. This is no different for medical students and faculty and the questions that arise regarding medical education and their future careers.

摘要

在新型冠状病毒(COVID-19)大流行之后,所有人都清楚地认识到研究该病毒的病理学及广泛的健康后果的必要性。然而,COVID-19对医学教育的影响却远没有那么清晰。教职员工和医学生已经在应对所发生的变化,并试图将这些变化与他们的职业发展计划相结合。与全球大流行相比看似相对较小的变化,有可能成为许多人职业发展中的重大转折点。由于对COVID-19对医学教育的长期影响了解不多,因此记录和研究这些变化所产生的全面影响也很有必要。在过去几年里,进入成功住院医师培训项目的途径是可预测的——在第一步考试中取得好成绩,在会议上发表演讲,在实习和见习机会中付出更多努力,以及参加有意义的非学术课外活动——所有这些都是为了最好地展示学生的知识、毅力、合作精神和对医学的奉献精神。随着COVID-19扰乱了医院、医学院及其他场所的日常工作,这条轨迹已经改变。此时用在线课程取代面对面课程是显而易见的必要之举,但却造成了合作体验的缺失,这有可能对教育造成重大损害。同样,实习的取消也是一个严重问题,因为实习对于技能培养和人际关系建立都至关重要,学生和医学院现在必须解决这个问题。许多医学生也失去了通过在会议上发表演讲来实现个人发展的机会。这些演讲在住院医师申请过程中对区分申请人起着很大作用,因此这些失去的机会有可能严重损害医学生的职业轨迹。虽然利用技术来帮助解决这些问题是帮助学生培养这些技能的独特方式,但现在医学生有必要以全新的、创新的方式展示他们以前具备的同样一系列技能。在这个充满挑战的时期,毅力和适应能力是医学生能够更轻松展示的特质。虽然每个学生都有关于COVID-19如何影响他们教育的个人故事,但毫无疑问,COVID-19的影响将在广泛层面上被感受到。社区中的恐慌显而易见,许多人对在COVID-19之后如何继续感到困惑。医学生和教职员工也是如此,他们对医学教育及其未来职业也会产生疑问。

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