Savage David J
Internal Medicine University of California San Diego La Jolla CA USA.
FASEB Bioadv. 2021 Mar 18;3(6):449-455. doi: 10.1096/fba.2020-00133. eCollection 2021 Jun.
The COVID-19 pandemic has been transformative for healthcare and medical education. Physician trainees and the education system that serves them adapted quickly so that trainees could finish the academic year on time and advance to the next phase of training without compromising clinical competency or public safety. Systemic changes have had the most significant impact on telemedicine training, virtual learning, secure testing, and the interview process for residency and fellowship training positions. Trainees are now getting regular, supervised practice experience with telemedicine. Some secure testing is being done remotely, without jeopardizing examination test items or trainee assessment. Attending physicians are experimenting with novel ways to engage learners with video for virtual rounds to keep the rounding team safe. Finally, the interview process for medical school, residency, and fellowship programs, which has traditionally been an expensive and travel-laden process, has been made completely virtual for the first time ever. These changes have disadvantages, including a lack of social connection, potential distraction when learning remotely, and limited contact with a potential training program when interviewing by video. This perspective paper, written by a senior internal medicine resident, details his firsthand experience with these changes during the pandemic. It also looks forward to how the current changes will likely change medical education permanently and for the better.
新冠疫情给医疗保健和医学教育带来了变革。医师学员以及为他们服务的教育系统迅速做出调整,以便学员能够按时完成学年学业,并进入下一阶段的培训,同时不影响临床能力或公共安全。系统性变革对远程医疗培训、虚拟学习、安全测试以及住院医师和专科培训职位的面试流程产生了最为显著的影响。学员现在正通过远程医疗获得定期的、有监督的实践经验。一些安全测试正在远程进行,而不会危及考试题目或学员评估。主治医生正在尝试用新颖的方式通过视频让学习者参与虚拟查房,以保障查房团队的安全。最后,医学院、住院医师培训项目和专科培训项目的面试流程,这个传统上既昂贵又充满差旅的过程,有史以来首次完全变为虚拟形式。这些变革也存在弊端,包括缺乏社交联系、远程学习时可能分心,以及通过视频面试时与潜在培训项目的接触有限。这篇由一名内科住院医师撰写的观点文章详细阐述了他在疫情期间对这些变革的亲身经历。文章还展望了当前的变革可能如何永久性地且向好地改变医学教育。