Education Institute and Staff, Respiratory Institute; Jean Wall Bennett Professor of Emphysema Research and Samson Global Leadership Academy Endowed Chair, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH.
Chest. 2021 Feb;159(2):743-748. doi: 10.1016/j.chest.2020.09.087. Epub 2020 Sep 18.
The coronavirus pandemic has disrupted clinical practice, health-care organizations, and life. In the context that "a crisis is a terrible thing to waste," as disruptive as the pandemic has been to traditional practices-both clinically and educationally-opportunities have also presented. Clinical benefits have included the propulsion of clinical innovation, including such items as the development of novel vaccines and accelerated understanding of multiplex ventilation. Approaches to educating students and other learners have also changed radically, with the suspension of live teaching in most instances and a precipitous transition to virtual instruction. This perspective considers a SWOT analysis (strengths, weaknesses, opportunities, and threats) associated with the coronavirus pandemic in health care that focuses on the implications for education. Although the obvious disadvantages (weaknesses) regard the loss of face-to-face interaction with all of its consequences (eg, isolation, risks to camaraderie, loss of hands-on training opportunities, and loss of in-person celebratory events like graduations and end-of-training celebrations), there are clearly offsetting strengths. These include growing experience with virtual teaching and virtual learning strategies, the invitation to codify best virtual teaching practices, a tightening of alignment between undergraduate and graduate medical education (eg, around virtual interview strategies), and opportunities for both self-reflection and a commitment to act virtuously. On balance, the pandemic has created the opportunity, indeed the necessity, to innovate in practice and in education, making the landscape ripe for creative practice, new mastery, and the concomitant benefits to learners and to educators.
冠状病毒大流行扰乱了临床实践、医疗保健组织和生活。在“危机是一件可怕的事情,不能浪费”的背景下,大流行对传统实践(包括临床实践和教育实践)造成了很大的破坏,但也带来了机会。临床效益包括推动临床创新,包括开发新型疫苗和加速对多模式通气的理解等项目。教育学生和其他学习者的方法也发生了根本性的变化,大多数情况下暂停了现场教学,迅速转向虚拟教学。本观点考虑了与冠状病毒大流行相关的医疗保健中的 SWOT 分析(优势、劣势、机会和威胁),重点关注其对教育的影响。尽管明显的劣势(劣势)是失去与所有人的面对面互动及其后果(例如,隔离、友情风险、实践培训机会的丧失以及毕业典礼和培训结束庆祝等面对面庆祝活动的丧失),但也有明显的优势。这些优势包括越来越多的虚拟教学和虚拟学习策略经验、邀请编纂最佳虚拟教学实践、本科和研究生医学教育之间的一致性加强(例如,围绕虚拟面试策略),以及自我反思和承诺采取道德行为的机会。总的来说,大流行创造了在实践和教育中创新的机会,甚至是必要性,使实践和新掌握的领域为学习者和教育者带来了创造性实践、新的掌握以及相应的好处。