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医学教育,疫情前和疫情后时代:一篇综述文章。

Medical Education, Pre- and Post-Pandemic Era: A Review Article.

作者信息

Althwanay Aldanah, Ahsan Farah, Oliveri Federico, Goud Harshit K, Mehkari Zainab, Mohammed Lubna, Javed Moiz, Rutkofsky Ian H

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Cardiology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2020 Oct 2;12(10):e10775. doi: 10.7759/cureus.10775.

Abstract

A pandemic is the worldwide outbreak and spread of a disease. Although pandemics of influenza have occurred rarely, approximately once every few decades in more than three centuries, the outbreaks of H1N1 and H5N1 influenza, the severe acute respiratory syndrome (SARS), and most recently, the novel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have necessitated the institution of protective and preventive measures such as school closure and mandatory quarantine of infected people, as social distancing is considered to be the most effective preventative strategy until the development of a vaccine, treatment, or both. The current pandemic has also resulted in a transformation in medical education for both undergraduate and postgraduate medical students. Clinical rotations for undergraduates have been suspended all over the world; inter-hospital residency rotations and combined teaching sessions have also been curtailed until further notice. During this most recent pandemic, a number of medical schools have immediately converted their whole clinical curriculum into online formats. Similarly, educational and clinical assessments have been converted into online assessments. However, as the pandemic eras tend to recur over time and epidemics will continue to break out, medical students and healthcare workers will remain susceptible to contagion. Hence, we need to adopt a new educational system that would be safe and sustainable in the long run.

摘要

大流行是指疾病在全球范围内的爆发和传播。尽管流感大流行极为罕见,在三个多世纪里大约每隔几十年才发生一次,但甲型H1N1和H5N1流感、严重急性呼吸综合征(SARS)以及最近由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的新型冠状病毒病(COVID-19)的爆发,都促使人们采取了诸如学校关闭和对感染者进行强制隔离等防护和预防措施,因为在研发出疫苗或治疗方法或两者兼具之前,保持社交距离被认为是最有效的预防策略。当前的大流行还导致了本科和研究生医学教育的变革。世界各地的本科临床实习都已暂停;医院间的住院医师轮转和联合教学课程也已缩减,直至另行通知。在最近这次大流行期间,许多医学院校已立即将其整个临床课程转换为在线形式。同样,教育和临床评估也已转换为在线评估。然而,由于大流行时期往往会随着时间的推移而反复出现,疫情也将持续爆发,医学生和医护人员仍将容易受到感染。因此,我们需要采用一种从长远来看既安全又可持续的新教育体系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/7606206/af3e3c622f08/cureus-0012-00000010775-i01.jpg

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