新冠疫情时代下的医学与外科教育挑战和创新：一项系统性回顾。
Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review.
机构信息
Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, U.S.A.
出版信息
In Vivo. 2020 Jun;34(3 Suppl):1603-1611. doi: 10.21873/invivo.11950.
The aim of this systematic review was to identify the challenges imposed on medical and surgical education by the COVID-19 pandemic, and the proposed innovations enabling the continuation of medical student and resident training. A systematic review on the MEDLINE and EMBASE databases was performed on April 18th, 2020, and yielded 1288 articles. Sixty-one of the included manuscripts were synthesized in a qualitative description focused on two major axes, "challenges" and "innovative solutions", and two minor axes, "mental health" and "medical students in the frontlines". Shortage of personal protective equipment, suspension of clinical clerkships and observerships and reduction in elective surgical cases unavoidably affect medical and surgical education. Interesting solutions involving the use of virtual learning, videoconferencing, social media and telemedicine could effectively tackle the sudden cease in medical education. Furthermore, trainee's mental health should be safeguarded, and medical students can be involved in the COVID-19 clinical treatment if needed.
本次系统综述的目的是确定 COVID-19 大流行给医学和外科学教育带来的挑战，以及为继续进行医学生和住院医师培训而提出的创新措施。我们于 2020 年 4 月 18 日在 MEDLINE 和 EMBASE 数据库上进行了系统综述，共获得了 1288 篇文章。纳入的 61 篇文献综合在两个主要轴心上进行了定性描述，即“挑战”和“创新解决方案”，以及两个次要轴，即“心理健康”和“一线医学生”。个人防护设备短缺、临床实习和观摩暂停以及择期手术病例减少不可避免地影响了医学和外科学教育。有趣的解决方案涉及使用虚拟学习、视频会议、社交媒体和远程医疗，可以有效地解决医学教育的突然中断问题。此外，应保护学员的心理健康，如果需要，医学生可以参与 COVID-19 的临床治疗。
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