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学术医学中心应对大流行的协调反应:在 COVID-19 期间维持医学教育。

Coordinated responses of academic medical centres to pandemics: Sustaining medical education during COVID-19.

机构信息

Department of Anaesthesia, National University Health System, Singapore, Singapore.

Centre for Medical Education (CenMED), National University of Singapore, Singapore, Singapore.

出版信息

Med Teach. 2020 Jul;42(7):762-771. doi: 10.1080/0142159X.2020.1757634. Epub 2020 May 13.

Abstract

The Corona Virus Disease-19 (COVID-19) has been declared a pandemic by the World Health Organization (WHO). We state the consolidated and systematic approach for academic medical centres in response to the evolving pandemic outbreaks for sustaining medical education. Academic medical centres need to establish a 'COVID-19 response team' in order to make time-sensitive decisions while managing pandemic threats. Major themes of medical education management include leveraging on remote or decentralised modes of medical education delivery, maintaining the integrity of formative and summative assessments while restructuring patient-contact components, and developing action plans for maintenance of essential activities based on pandemic risk alert levels. These core principles must be applied seamlessly across the various fraternities of academic centres: undergraduate education, residency training, continuous professional development and research. Key decisions from the pandemic response teams that help to minimise major disruptions in medical education and to control disease transmissions include: minimising inter-cluster cross contaminations and plans for segregation within and among cohorts; reshuffling academic calendars; postponing or restructuring assessments. While minimising the transmission of the pandemic outbreak within the healthcare establishments is paramount, medical education and research activities cannot come to a standstill each time there is a threat of one.

摘要

世界卫生组织(WHO)已宣布 COVID-19 大流行。我们提出了学术医学中心应对不断演变的大流行爆发以维持医学教育的综合和系统方法。学术医学中心需要建立“COVID-19 应对团队”,以便在管理大流行威胁的同时做出及时的决策。医学教育管理的主要主题包括利用远程或分散的医学教育交付模式,在重构患者接触部分的同时保持形成性和总结性评估的完整性,并根据大流行风险警报级别制定维持基本活动的行动计划。这些核心原则必须在学术中心的各个兄弟会中无缝应用:本科教育、住院医师培训、持续专业发展和研究。帮助将医学教育的重大中断和疾病传播降到最低的大流行应对团队的关键决策包括:尽量减少群内和群间的交叉污染和隔离计划;重新安排学术日历;推迟或重构评估。虽然在医疗机构内尽量减少大流行爆发的传播至关重要,但每次出现威胁时,医学教育和研究活动都不能停止。

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