Tuma Faiz, Kamel Mohamed K, Shebrain Saad, Ghanem Maher, Blebea John
General Surgery Department, Central Michigan University College of Medicine, USA.
Genera Surgery Department, Western Michigan University Homer Stryker MD School of Medicine, USA.
Ann Med Surg (Lond). 2021 Feb;62:253-257. doi: 10.1016/j.amsu.2021.01.057. Epub 2021 Jan 21.
Coping with the COIVD-19 global-pandemic major changes in healthcare and educational operational policies, mandates the implementation of alternative surgical curriculum objects (components) to replace some of the traditional face-to-face activities.
The objective of the study is to review and discuss various alternative curriculum objects (components) that can be used to restructure conventional surgical training curricula during the Declared Healthcare Emergency surgery rotations. The goal is to identify and recommend effective alternative educational activities that are compliant with the new social physical distancing regulations.
Various curricular components and objects were examined. The educational value of the curriculum objects is studied and analyzed in terms of feasibility, knowledge gain/learning effectiveness, the need for facilitation or feedback, and the evaluation. Several curriculum objects were proposed with description of their value and applications.
The selected and proposed activities include scenario-based MCQ writing exercises, video-based surgical skills interactive training, online learning modules, virtual rounding, reflection assignments, surgical skills simulation training, research education, and medical education learning. Their educational value is described and scaled.
There is urgent and challenging need for surgical training using additional alternative curriculum objects (components). Working with the available resources and experiences is crucial to maximize the learning outcomes. Distance (online) education and educational technology tools and concepts provide a spectrum of valuable educational activities. Further work and studies are needed to optimize their utility.
应对新冠疫情对医疗保健和教育运营政策带来的重大变化，要求实施替代性外科课程目标（组成部分），以取代一些传统的面对面活动。
本研究的目的是回顾和讨论各种替代性课程目标（组成部分），这些目标可用于在宣布的医疗紧急情况手术轮转期间重组传统外科培训课程。目标是确定并推荐符合新的社交物理距离规定的有效替代性教育活动。
检查了各种课程组成部分和目标。从可行性、知识获取/学习效果、促进或反馈的需求以及评估等方面研究和分析了课程目标的教育价值。提出了几个课程目标，并描述了它们的价值和应用。
所选和提议的活动包括基于情景的多项选择题写作练习、基于视频的外科技能互动培训、在线学习模块、虚拟查房、反思作业、外科技能模拟培训、研究教育和医学教育学习。描述并衡量了它们的教育价值。
迫切需要使用额外的替代性课程目标（组成部分）进行外科培训，这具有挑战性。利用现有资源和经验对于最大化学习成果至关重要。远程（在线）教育以及教育技术工具和理念提供了一系列有价值的教育活动。需要进一步开展工作和研究以优化其效用。
