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COVID-19 疫情期间的学习:医学实习生从疫情中吸取的关键经验教训。

Learning in the Time of COVID-19: Key Lessons From the Pandemic for Medical Trainees.

机构信息

S. Jain is a fellow, Division of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, Connecticut.

W.G. Carlos III is bicentennial and associate professor, Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, Indiana.

出版信息

Acad Med. 2021 Dec 1;96(12):1660-1662. doi: 10.1097/ACM.0000000000003909.

Abstract

The COVID-19 pandemic has changed the face of education for undergraduate and graduate medical trainees. Lectures, clinical clerkships, and testing have all been impacted significantly because of patient care needs and concern for the health and safety of trainees. While traditional teaching strategies have been upended, the challenges posed by the pandemic have also created unique opportunities for trainees. In this article, the authors summarize lessons trainees can learn from the ongoing pandemic in the following areas: public health, disaster preparedness, and resource allocation; reinventing professional and personal roles to meet the needs of the health care system; flexibility in navigating testing, licensure, and certification; appraising scientific evidence quickly and accurately; balancing a physician's call to duty with fear for personal safety; combating moral injury; interprofessional collaboration; and advocating for oneself and one's colleagues. Focusing on these lessons can help educators steer their efforts to better prepare future physicians for unforeseen challenges that may come up in their personal and professional lives as well as in society as a whole.

摘要

新冠疫情改变了本科和研究生医学实习生的教育面貌。由于患者护理的需求以及对实习生健康和安全的关注,讲座、临床实习和测试都受到了重大影响。虽然传统的教学策略已经被颠覆,但疫情带来的挑战也为实习生创造了独特的机会。在本文中,作者总结了实习生可以从正在进行的疫情中学到以下方面的经验教训:公共卫生、灾难准备和资源分配;重新塑造专业和个人角色以满足医疗体系的需求;在测试、许可和认证方面的灵活性;快速准确地评估科学证据;平衡医生的职责与对个人安全的担忧;应对道德伤害;跨专业协作;以及为自己和同事发声。关注这些经验教训可以帮助教育者引导他们的努力,更好地为未来的医生做好准备,以应对他们个人和职业生活以及整个社会中可能出现的意外挑战。

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