N. Long is a third-year medical student, Penn State College of Medicine, Hershey, Pennsylvania.
D.R. Wolpaw is professor of medicine and humanities, Penn State University College of Medicine, Hershey, Pennsylvania.
Acad Med. 2020 Nov;95(11):1679-1686. doi: 10.1097/ACM.0000000000003611.
The COVID-19 pandemic poses an unprecedented challenge to U.S. health systems, particularly academic health centers (AHCs) that lead in providing advanced clinical care and medical education. No phase of AHC efforts is untouched by the crisis, and medical schools, prioritizing learner welfare, are in the throes of adjusting to suspended clinical activities and virtual classrooms. While health professions students are currently limited in their contributions to direct clinical care, they remain the same smart, innovative, and motivated individuals who chose a career in health care and who are passionate about contributing to the needs of people in troubled times. The groundwork for operationalizing their commitment has already been established through the identification of value-added, participatory roles that support learning and professional development in health systems science (HSS) and clinical skills. This pandemic, with rapidly expanding workforce and patient care needs, has prompted a new look at how students can contribute. At the Penn State College of Medicine, staff and student leaders formed the COVID-19 Response Team to prioritize and align student work with health system needs. Starting in mid-March 2020, the authors used qualitative methods and content analysis of data collated from several sources to identify 4 categories for student contributions: the community, the health care delivery system, the workforce, and the medical school. The authors describe a nimble coproduction process that brings together all stakeholders to facilitate work. The learning agenda for these roles maps to HSS competencies, an evolving requirement for all students. The COVID-19 pandemic has provided a unique opportunity to harness the capability of students to improve health.Other AHCs may find this operational framework useful both during the COVID-19 pandemic and as a blueprint for responding to future challenges that disrupt systems of education and health care in the United States.
新冠疫情对美国医疗系统构成了前所未有的挑战,尤其是在提供先进临床护理和医学教育方面处于领先地位的学术医疗中心(AHC)。这场危机几乎触及 AHC 工作的各个方面,医学院优先考虑学习者的福利,正在努力适应暂停的临床活动和虚拟课堂。虽然卫生专业的学生目前在直接临床护理方面的贡献有限,但他们仍然是那些选择医疗保健职业并热衷于在困难时期为人们的需求做出贡献的聪明、创新和积极进取的人。通过确定支持卫生系统科学(HSS)和临床技能学习和专业发展的增值、参与性角色,已经为实施他们的承诺奠定了基础。这场大流行,伴随着迅速扩大的劳动力和患者护理需求,促使人们重新审视学生如何做出贡献。在宾夕法尼亚州立大学医学院,工作人员和学生领导组成了 COVID-19 应对团队,优先考虑并调整学生的工作与医疗系统的需求。从 2020 年 3 月中旬开始,作者使用定性方法和对从多个来源收集的数据进行内容分析,确定了学生贡献的 4 个类别:社区、医疗服务提供系统、劳动力和医学院。作者描述了一个灵活的共同生产过程,将所有利益相关者聚集在一起,以促进工作。这些角色的学习议程与 HSS 能力相对应,这是所有学生的一项不断发展的要求。新冠疫情为利用学生的能力来改善健康状况提供了一个独特的机会。其他 AHC 可能会发现这个运营框架在 COVID-19 大流行期间以及作为应对扰乱美国教育和医疗保健系统的未来挑战的蓝图都很有用。