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从医学生视角理解新冠疫情对本科医学教育的影响

Understanding the consequence of COVID-19 on undergraduate medical education: Medical students' perspective.

作者信息

Sani Immanuel, Hamza Yaser, Chedid Youssef, Amalendran Jubilent, Hamza Nadir

机构信息

Leicester Medical School, George Davies Centre, Lancaster Road, Leicester, LE1 7HA, United Kingdom.

GKT School of Medical Education, Kings College London, Great Maze Pond, London, SE1 1UL, United Kingdom.

出版信息

Ann Med Surg (Lond). 2020 Sep 5;58:117-119. doi: 10.1016/j.amsu.2020.08.045. eCollection 2020 Oct.

Abstract

The coronavirus disease 2019 pandemic has significantly influenced the normal operations of all human affairs on a global scale. Indeed, the pandemic has had a considerable impact on the delivery of medical education in the UK for both pre-clinical and clinical year students. In response to the escalating case fatality rate due to the pandemic, there has been widespread termination of clinical placements, face-to-face teaching sessions, and examinations that require a physical presence by UK medical schools. It is hoped that the cancellation of the aforementioned activities will greatly reduce the exposure of medical students to the coronavirus however, the consequences of these actions may pose substantial issues for the learning experience and professional development of medical students. One such issue is the lack of regular communication between students and personal tutors which may give rise to burnout within students and impede academic performance. Furthermore, the suspension of clinical placements may result in a gradual reduction in students' clinical skills competence. The practice of medicine is grounded upon the application of basic science which involves undertaking clinical procedures and as such, students may be at a disadvantage due to the missed opportunity to refine these essential skills. In this article, we provide an overview of the consequences of the COVID-19 pandemic on medical education, specifically regarding curriculum delivery and assessment of students. We also adopt a holistic approach by considering the impact of the pandemic on the mental wellbeing of medical students during this unprecedented time. We offer pragmatic suggestions to uphold the quality of medical education such as the implementation of virtual interprofessional education sessions to solve clinical vignettes and virtual consultation skills with simulated patients. We conclude with suggested areas for future research to examine the effectiveness of a virtual interprofessional education model on both short and long-term learning as well as encouraging medical students and academic staff to trial innovative methods of teaching. Despite the resultant complications of the pandemic on medical education, these challenging times may present a serendipitous opportunity for medical students to cultivate the personal attributes expected of a doctor in the face of adversity. In light of the pandemic, there is scope to reconsider the effectiveness of current medical education and welcome innovative methods of delivering education whilst ensuring quality. The combination of recent telecommunication developments with current teaching methodologies may positively change the future landscape of medical education.

摘要

2019年冠状病毒病大流行在全球范围内对所有人类事务的正常运作产生了重大影响。事实上,这场大流行对英国临床前和临床阶段学生的医学教育交付产生了相当大的影响。为应对因大流行导致的病死率不断上升,英国医学院广泛终止了临床实习、面对面教学课程以及需要学生亲自到场的考试。希望取消上述活动将大大减少医学生接触冠状病毒的机会,然而,这些行动的后果可能给医学生的学习体验和职业发展带来重大问题。其中一个问题是学生与个人导师之间缺乏定期沟通,这可能导致学生倦怠并阻碍学业表现。此外,临床实习的暂停可能会导致学生临床技能能力逐渐下降。医学实践基于基础科学的应用,这涉及进行临床操作,因此,由于错过提升这些基本技能的机会,学生可能处于劣势。在本文中,我们概述了COVID-19大流行对医学教育的影响,特别是在课程交付和学生评估方面。我们还采用整体方法,考虑大流行在这个前所未有的时期对医学生心理健康的影响。我们提供务实的建议以维持医学教育质量,例如实施虚拟跨专业教育课程来解决临床案例以及与模拟患者进行虚拟咨询技能培训。我们最后提出了未来研究的建议领域,以检验虚拟跨专业教育模式对短期和长期学习的有效性,并鼓励医学生和学术人员尝试创新的教学方法。尽管大流行给医学教育带来了并发症,但这些充满挑战的时期可能为医学生提供一个意外的机会,使其在面对逆境时培养医生应具备的个人特质。鉴于大流行,有空间重新考虑当前医学教育的有效性,并欢迎创新的教育交付方法,同时确保质量。近期电信发展与当前教学方法的结合可能会积极改变医学教育的未来格局。

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