Wilcha Robyn-Jenia
Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
JMIR Med Educ. 2020 Nov 18;6(2):e20963. doi: 10.2196/20963.
In December 2019, COVID-19 emerged and rapidly spread worldwide. Transmission of SARS-CoV-2, the virus that causes COVID-19, is high; as a result, countries worldwide have imposed rigorous public health measures, such as quarantine. This has involved the suspension of medical school classes globally. Medical school attachments are vital to aid the progression of students' confidence and competencies as future physicians. Since the outbreak of COVID-19, medical schools have sought ways to replace medical placements with virtual clinical teaching.
The objective of this study was to review the advantages and disadvantages of virtual medical teaching for medical students during the COVID-19 pandemic based on the current emerging literature.
A brief qualitative review based on the application and effectiveness of virtual teaching during the COVID-19 pandemic was conducted by referencing keywords, including medical student virtual teaching COVID-19, virtual undergraduate medical education, and virtual medical education COVID-19, in the electronic databases of PubMed and Google Scholar. A total of 201 articles were found, of which 34 were included in the study. Manual searches of the reference lists of the included articles yielded 5 additional articles. The findings were tabulated and assessed under the following headings: summary of virtual teaching offered, strengths of virtual teaching, and weaknesses of virtual teaching.
The strengths of virtual teaching included the variety of web-based resources available. New interactive forms of virtual teaching are being developed to enable students to interact with patients from their homes. Open-access teaching with medical experts has enabled students to remain abreast of the latest medical advancements and to reclaim knowledge lost by the suspension of university classes and clinical attachments. Peer mentoring has been proven to be a valuable tool for medical students with aims of increasing knowledge and providing psychological support. Weaknesses of virtual teaching included technical challenges, confidentiality issues, reduced student engagement, and loss of assessments. The mental well-being of students was found to be negatively affected during the pandemic. Inequalities of virtual teaching services worldwide were also noted to cause differences in medical education.
In the unprecedented times of the COVID-19 pandemic, medical schools have a duty to provide ongoing education to medical students. The continuation of teaching is crucial to enable the graduation of future physicians into society. The evidence suggests that virtual teaching is effective, and institutions are working to further develop these resources to improve student engagement and interactivity. Moving forward, medical faculties must adopt a more holistic approach to student education and consider the mental impact of COVID-19 on students as well as improve the security and technology of virtual platforms.
2019年12月,新型冠状病毒肺炎(COVID-19)出现并迅速在全球传播。导致COVID-19的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)传播性很强;因此,世界各国都实施了严格的公共卫生措施,如隔离。这导致全球范围内医学院课程暂停。医学院实习对于帮助学生提升作为未来医生的信心和能力至关重要。自COVID-19疫情爆发以来,医学院一直在寻求用虚拟临床教学取代医学实习。
本研究的目的是根据当前新出现的文献,综述COVID-19大流行期间虚拟医学教学对医学生的优缺点。
通过在PubMed和谷歌学术等电子数据库中检索关键词,包括医学生虚拟教学COVID-19、虚拟本科医学教育和虚拟医学教育COVID-19,对COVID-19大流行期间虚拟教学的应用和效果进行简要的定性综述。共找到201篇文章,其中34篇纳入本研究。对纳入文章的参考文献列表进行人工检索又得到5篇文章。研究结果按照以下标题制成表格并进行评估:虚拟教学内容总结、虚拟教学的优点和虚拟教学的缺点。
虚拟教学的优点包括有各种各样的网络资源。新的交互式虚拟教学形式正在开发中,使学生能够在家中与患者互动。与医学专家进行的开放获取教学使学生能够跟上最新的医学进展,并弥补因大学课程和临床实习暂停而损失的知识。同伴辅导已被证明是医学生增加知识和获得心理支持的宝贵工具。虚拟教学的缺点包括技术挑战、保密问题、学生参与度降低和评估缺失。研究发现,在大流行期间学生的心理健康受到负面影响。还注意到全球虚拟教学服务的不平等导致医学教育存在差异。
在COVID-19大流行这一史无前例的时期,医学院有责任为医学生提供持续教育。教学的持续进行对于未来医生能够毕业进入社会至关重要。证据表明虚拟教学是有效的,各机构正在努力进一步开发这些资源,以提高学生的参与度和互动性。展望未来,医学院必须采取更全面的方法进行学生教育,考虑COVID-19对学生的心理影响,并改善虚拟平台的安全性和技术。