School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Med Teach. 2021 Feb;43(2):160-167. doi: 10.1080/0142159X.2020.1829576. Epub 2020 Oct 12.
Lockdowns during the COVID-19 pandemic had a disruptive effect on medical education when they prevented medical students accessing real patients. To address this, we piloted 35 medical students at home consulting remotely with patients.
We evaluated the intervention using qualitative analysis of post-experience interviews with a sample of 13 students and 10 clinical supervisors.
The experience was perceived by all those interviewed to be both acceptable and educationally valuable. Data analysis revealed different models of implementation according to type of patients involved (acute, recently treated or expert patients) and type of communication platform used (AccuRx, Microsoft Teams or telephone). Practical and educational challenges were identified in relation to the following elements of the experience: patients consulting with students remotely, students being remotely supervised and students undertaking patient contact from home. Strategies for addressing these challenges were directly suggested by interviewees and also inferred from our analysis of the data.
Remotely supervised medical students at home undertaking remote consultations with patients can be acceptable and educationally valuable. The intervention was piloted in a UK graduate entry medical course and so it would be useful to replicate this study in other medical student populations.
在 COVID-19 大流行期间,封锁措施阻止医学生接触真实患者,对医学教育造成了干扰。为了解决这个问题,我们在家中对 35 名医学生进行了试点,让他们远程为患者提供咨询。
我们对 13 名学生和 10 名临床导师的样本进行了经验后访谈的定性分析,以此评估干预措施。
所有接受采访的人都认为这种体验既可以接受,又具有教育价值。数据分析显示,根据所涉及患者的类型(急性、最近治疗过的或专家患者)和使用的沟通平台类型(AccuRx、Microsoft Teams 或电话),实施方式存在不同的模式。在以下方面,体验中存在实际和教育方面的挑战:学生远程为患者提供咨询、学生远程接受监督、学生在家中与患者接触。受访者直接提出了应对这些挑战的策略,我们也从数据分析中推断出这些策略。
在家中接受远程监督的医学生可以远程为患者提供咨询,这种方式既可以接受,又具有教育价值。该干预措施在英国研究生入学医学课程中进行了试点,因此在其他医学生群体中复制这项研究将是有益的。