Shin Thomas H, Klingler Michael, Han Amy, Mocsiran Jennifer L, Vilchez Valery, Naples Robert, French Judith, Lipman Jeremy M, Rosenblatt Steven
Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A-100, Cleveland, OH 44195 USA.
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH USA.
Med Sci Educ. 2020 Nov 10;31(1):101-108. doi: 10.1007/s40670-020-01126-5. eCollection 2021 Feb.
The COVID-19 pandemic created a paradigm shift in medical education with a reliance upon alternative teaching methods to deliver meaningful surgery clerkship content. This study examines the efficacy of a novel, case-based virtual surgery clerkship curriculum to determine its impact on student experience during quarantine.
Sixteen third-year medical students enrolled in the General Surgery clerkship between April through June 2020 during COVID-19 distancing at a quaternary medical center (Cleveland Clinic, Cleveland, OH) participated in this study. Course surveys, including a 10-question curriculum-based multiple-choice assessment, were administered before and after the clerkship. Analyses include student self-perception of readiness to see a surgical consult independently, students' interest in pursuing a General Surgery residency, and improvement of surgical knowledge.
On a 5-point Likert scale, students felt significantly more assured in their ability to independently assess a surgical consult by the end of the course. Five (31%) students reported an influence of the curriculum on their personal interest in a career in General Surgery. Mean scores on the curriculum-based knowledge assessment increased. These findings highlight that a virtual platform can be a reliable alternative adjunct that delivers surgical content and positively impacts student experience.
The online version contains supplementary material available at 10.1007/s40670-020-01126-5.
新冠疫情给医学教育带来了范式转变，需要依靠替代教学方法来传授有意义的外科实习内容。本研究考察了一种新颖的、基于病例的虚拟外科实习课程的效果，以确定其在隔离期间对学生体验的影响。
2020年4月至6月期间，在一家四级医疗中心（俄亥俄州克利夫兰市的克利夫兰诊所）进行新冠疫情社交距离措施期间，16名参加普通外科实习的三年级医学生参与了本研究。在实习前后进行了课程调查，包括一项基于10个问题的课程多项选择题评估。分析内容包括学生对独立进行外科会诊准备程度的自我认知、学生对从事普通外科住院医师工作的兴趣以及外科知识的提高。
在5分制李克特量表上，学生们在课程结束时对自己独立评估外科会诊的能力明显更有信心。五名（31%）学生报告称该课程对他们个人从事普通外科职业的兴趣有影响。基于课程的知识评估的平均分数有所提高。这些发现表明，虚拟平台可以成为一个可靠的替代辅助手段，用于传授外科内容并对学生体验产生积极影响。
在线版本包含可在10.1007/s40670-020-01126-5获取的补充材料。
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