Goldenberg Matthew N, Hersh David C, Wilkins Kirsten M, Schwartz Michael L
Department of Psychiatry, Yale University School of Medicine, New Haven, CT USA.
Department of Pediatrics, Yale University School of Medicine, New Haven, CT USA.
Med Sci Educ. 2020 Jun 3;30(3):1273-1276. doi: 10.1007/s40670-020-00994-1. eCollection 2020 Sep.
Medical schools around the world have been grappling with how to adapt undergraduate medical curricula in the face of the COVID-19 pandemic. Our institution made the decision to suspend all clinical clerkships the day before the Association of American Medical Colleges (AAMC) recommended to US medical schools a similar suspension of "medical student participation in any activities that involved patient contact." This manuscript describes the rapid evolution in our decision-making as we weighed various information, values, and priorities in the face of the emerging public health crisis. We discuss how a compromised learning environment and concerns about student, patient, and the public health led to the suspension. We also consider next steps as we move forward in this uncertain time.
面对新冠疫情,世界各地的医学院都在努力应对如何调整本科医学课程。在美国医学院协会(AAMC)向美国医学院建议类似地暂停“医学生参与任何涉及患者接触的活动”的前一天,我们学校就决定暂停所有临床实习。本文描述了在面对新出现的公共卫生危机时,我们在权衡各种信息、价值观和优先事项过程中决策的迅速演变。我们讨论了学习环境受损以及对学生、患者和公众健康的担忧如何导致了实习的暂停。我们还考虑了在这个不确定的时期向前推进的后续步骤。