新加坡 COVID-19 大流行期间本科放射诊断学学生的临床实习：安全恢复的准备、挑战和策略。
Clinical placements for undergraduate diagnostic radiography students amidst the COVID-19 pandemic in Singapore: Preparation, challenges and strategies for safe resumption.
机构信息
Division of Radiological Sciences, Radiography Department, Singapore General Hospital, Singapore.
Department of Radiology, Sengkang General Hospital, Singapore; Health and Social Sciences, Singapore Institute of Technology (SIT), Singapore.
出版信息
J Med Imaging Radiat Sci. 2020 Dec;51(4):560-566. doi: 10.1016/j.jmir.2020.08.012. Epub 2020 Aug 18.
INTRODUCTION
The COVID-19 pandemic resulted in the suspension of clinical training for undergraduate radiography students in Singapore. Coordinated preparation plans and strategies between the university and hospitals were needed to safely resume clinical placements within national and hospitals' risk control measures against COVID-19 transmission.
METHODS
Singapore Institute of Technology (SIT) and the Radiology Department of Singapore General Hospital (SGH) had collaborated to meet requirements for safe resumption of clinical placements. SIT prepared students by emphasising compliance to all risk measures, addressing concerns of risk transmission, meeting learning objectives, and reassessing infection control competencies. In tandem, SGH prepared an orientation programme and used technology for open communication among faculty, clinical educators and students which included monitoring of well-being and rapid dissemination of updates. Of note, SGH reorganised operating procedures and physical spaces to meet national standards of safe physical distancing, restricted movement between treatment areas and teams, and rosters to remain committed to the supervision and education of students.
RESULTS
Clinical placements resumed 3 months following suspension. Clinical educators faced the challenge of the need for balance between increasing clinical load and student supervision. A solution was frequent engagement and support by faculty, with educators and students via video conferencing platforms. Students' well-being was frequently checked. There was less variation in cases which simulation training made up for some of the learning objectives.
CONCLUSION
Adaptation and commitment to continue active and quality clinical education while ensuring students' safety were vital during a pandemic. Clinical training within stringent precautionary measures may shape the era of the new norm.
简介
COVID-19 大流行导致新加坡本科放射学学生的临床培训暂停。需要大学和医院之间协调制定准备计划和策略，以便在国家和医院针对 COVID-19 传播的风险控制措施下安全恢复临床实习。
方法
新加坡科技学院（SIT）和新加坡综合医院（SGH）放射科合作，以满足安全恢复临床实习的要求。SIT 通过强调遵守所有风险措施、解决风险传播问题、满足学习目标和重新评估感染控制能力来准备学生。与此同时，SGH 制定了一个入职计划，并使用技术为教师、临床教育者和学生之间的开放沟通提供便利，其中包括监测幸福感和快速传播更新。值得注意的是，SGH 重组了操作程序和物理空间，以符合安全物理距离、限制治疗区域和团队之间的移动以及轮岗的国家标准，以坚持监督和教育学生。
结果
临床实习在暂停 3 个月后恢复。临床教育者面临着增加临床工作量和学生监督之间需要平衡的挑战。解决方案是通过视频会议平台频繁与教师、教育者和学生进行接触和支持。学生的幸福感经常被检查。模拟培训弥补了一些学习目标，因此病例变化较小。
结论
在大流行期间，适应并承诺继续积极、高质量的临床教育，同时确保学生的安全至关重要。在严格的预防措施下进行临床培训可能会塑造新时代的新常态。
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