Richardson Michelle A, Islam Wasif, Magruder Matthew
University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Weill Cornell Medical College, New York, NY, USA.
Geriatr Orthop Surg Rehabil. 2020 Sep 29;11:2151459320951721. doi: 10.1177/2151459320951721. eCollection 2020.
The world-wide lockdown caused by Coronavirus Disease 2019 (COVID-19) has upended the trajectories of lives everywhere. The medical profession has been on the front lines of this rapidly developing situation, which in turn has called for unprecedented changes in the medical school curriculum. These changes have severe implications for medical students interested in applying to competitive surgical specialties like orthopedics.
As medical students in 3 different class years pursuing orthopedic surgery, we provide our perspectives on the impact that COVID-19 has had on medical student orthopedic education.
With the removal of away rotations and a shift to virtual interviews, rising fourth year medical students are arguably the most impacted as they prepare for the orthopedic residency application process. Third year students, who are in the exploratory phase of choosing a specialty, also face uncertainties in the shift to a "new" clerkship experience that may (1) be of shorter duration, (2) implement shifts to limit overcrowding of clinical space, and (3) increase the use of telehealth over direct patient contact.
The COVID-19 pandemic has altered the course of medical students' orthopedic education in unprecedented ways. We believe the following suggestions may be helpful for students seeking alternative, supplemental ways of learning: (1) read up on major orthopedic journals, (2) reach out to orthopedic surgeons in areas of interest, (3) reach out to program directors/medical clerkship directors/program coordinators for opportunities to attend their educational curriculum virtually, (4) attend online lectures and hospital grand rounds, and (5) practice suturing technique with a practice kit.
While the medical education landscape remains uncertain amid the evolving conditions of COVID-19, as medical students we strive to learn from this pandemic and respond to future unforeseen challenges with resilience, dedication, and compassion: all qualities we admire in orthopedic surgeons.
2019年冠状病毒病(COVID-19)导致的全球封锁打乱了各地人们的生活轨迹。医学专业一直处于这一迅速发展态势的前沿,这反过来又要求医学院课程做出前所未有的变革。这些变革对有志于申请骨科等竞争激烈的外科专业的医学生有着严重影响。
作为处于3个不同年级、有志于骨科手术的医学生,我们阐述了COVID-19对医学生骨科教育的影响。
随着外派轮转的取消以及转向虚拟面试,即将升入四年级的医学生在准备骨科住院医师申请过程中受到的影响可能最大。处于专业选择探索阶段的三年级学生,在转向“新的”临床实习体验时也面临不确定性,这种体验可能(1)持续时间更短,(2)实施轮班以限制临床空间的过度拥挤,(3)增加远程医疗的使用而减少直接接触患者。
COVID-19大流行以前所未有的方式改变了医学生骨科教育的进程。我们认为以下建议可能有助于学生寻求其他补充学习方式:(1)研读主要的骨科期刊,(2)联系感兴趣领域的骨科外科医生,(3)联系项目主任/临床实习主任/项目协调员,争取虚拟参加他们教育课程的机会,(4)参加在线讲座和医院大查房,(5)使用练习工具包练习缝合技术。
在COVID-19不断变化的形势下,医学教育前景仍不明朗,作为医学生,我们努力从这场大流行中汲取经验教训,以韧性、奉献精神和同情心应对未来不可预见的挑战:这些都是我们在骨科外科医生身上所钦佩的品质。