Department of Urology, Northwell Health, New York, New York.
Department of Urology, Columbia University Irving Medical Center, New York, New York.
J Surg Educ. 2021 Sep-Oct;78(5):1544-1555. doi: 10.1016/j.jsurg.2021.03.007. Epub 2021 Mar 24.
Subinternships are integral to medical education as tools for teaching and assessing fourth-year medical students. Social distancing due to COVID-19 has precluded the ability to offer in-person subinternships - negatively impacting medical education and creating uncertainty surrounding the residency match. With no precedent for the development and implementation of virtual subinternships, the Society of Academic Urologists (SAU) developed an innovative and standardized curriculum for the Virtual Subinternship in Urology (vSIU).
The vSIU committee's mandate was to create a standardized curriculum for teaching foundational urology and assessing student performance. Thirty-three members from 23 institutions were divided into working groups and given 3 weeks to develop 10 modules based on urologic subspecialties, Accreditation Council for Graduate Medical Education core competencies, technical skills training and student assessment. Working groups were encouraged to develop innovative learning approaches. The final curriculum was assembled into the "vSIU Guidebook."
The vSIU Guidebook contains 212 pages - 64 pages core content and 2 appendices (patient cases and evaluations). It outlines a detailed 4-week curriculum with a sufficient volume of resources to offer a completely adaptable virtual course with the same rigor as a traditional subinternship. Modules contain curated teaching resources including journal articles, lectures, surgical videos and simulated clinical scenarios. Innovative learning tools include reflective writing, mentorship guidelines, videoconference-based didactics, surgical simulcasting and virtual technical skills training. The guidebook was disseminated to program directors nationally.
The vSIU is the first virtual subinternship in any specialty to be standardized and offered nationally, and it was implemented by at least 19 urology programs. This curriculum serves as a template for other specialties looking to develop virtual programs and feedback from educators and students will allow the curriculum to evolve. As the pandemic continues to challenge our paradigm, this rapid and innovative response exemplifies that the medical community will continue to meet the needs of an ever-changing educational landscape.
实习医师培训对于医学教育来说是不可或缺的，它是教授和评估四年级医学生的工具。由于 COVID-19 导致的社交距离限制，无法提供实地实习医师培训，这对医学教育产生了负面影响，并对住院医师匹配产生了不确定性。由于没有开发和实施虚拟实习医师培训的先例，学术泌尿科医师协会 (SAU) 为泌尿科虚拟实习医师培训 (vSIU) 制定了一项创新和标准化课程。
vSIU 委员会的任务是制定一个基础泌尿科教学和评估学生表现的标准化课程。来自 23 个机构的 33 名成员被分成工作组，有 3 周的时间根据泌尿科专业、研究生医学教育认证委员会核心能力、技术技能培训和学生评估来开发 10 个模块。工作组被鼓励开发创新的学习方法。最终课程被汇编到“vSIU 指南”中。
vSIU 指南包含 212 页 - 64 页核心内容和 2 个附录（患者病例和评估）。它概述了一个详细的 4 周课程，提供了足够数量的资源，可以提供与传统实习医师培训一样严格的完全适应虚拟课程。模块包含精选的教学资源，包括期刊文章、讲座、手术视频和模拟临床场景。创新的学习工具包括反思性写作、指导原则、基于视频会议的教学、手术模拟和虚拟技术技能培训。该指南已在全国范围内分发给项目主任。
vSIU 是第一个在任何专业实现标准化并在全国范围内提供的虚拟实习医师培训，至少有 19 个泌尿科项目实施了该课程。该课程为其他希望开发虚拟课程的专业提供了模板，并且教育工作者和学生的反馈将允许课程不断发展。随着大流行继续挑战我们的模式，这种快速和创新的反应表明，医学界将继续满足不断变化的教育领域的需求。
