Teele Sarah A, Sindelar Anthony, Brown David, Kane David A, Thatte Nikhil, Williams Ryan J, Gueverra Joy, Wolbrink Traci A
Department of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States of America.
Massachusetts General Hospital Institute of Health Professions, Boston, MA, United States of America.
Prog Pediatr Cardiol. 2021 Mar;60:101320. doi: 10.1016/j.ppedcard.2020.101320. Epub 2020 Nov 4.
In the setting of the coronavirus disease 2019 (COVID-19) pandemic, an emergency hospital-wide eWork policy was enacted at Boston Children's Hospital on March 16, 2020. The number of clinicians on campus was restricted to only essential personnel, guidelines limited clinical care delivery to solely non-elective patients, and strict maximums were placed on the numbers of people allowed to congregate in the same physical space. With this abrupt transition to social distancing and electronic communication, the established approach to educating graduate medical trainees became obsolete overnight. Anticipating significant impact on trainee and faculty professional and personal lives, the importance of adaptive teaching strategies was evident. This document details one approach to redesigning the clinical learning system including a description of the learners and environment, the pedagogical principles that guided the approach, and technological tools used in implementation. Additionally, available literature pertinent to this topic is explored, assessment of the work to date is presented, and suggestions are provided regarding future directions related to online graduate medical education.
在2019年冠状病毒病(COVID-19)大流行期间,2020年3月16日,波士顿儿童医院制定了一项全院范围的紧急电子工作政策。校园内的临床医生数量限制为仅必要人员,指南将临床护理服务限制为仅针对非择期患者,并且对允许聚集在同一物理空间的人数设定了严格上限。随着向社交距离和电子通信的突然转变,既定的研究生医学培训生教育方法一夜之间过时了。预计这将对培训生和教员的职业及个人生活产生重大影响,适应性教学策略的重要性显而易见。本文详细介绍了一种重新设计临床学习系统的方法,包括对学习者和环境的描述、指导该方法的教学原则以及实施过程中使用的技术工具。此外,还探讨了与该主题相关的现有文献,介绍了对迄今为止工作的评估,并就在线研究生医学教育的未来方向提出了建议。