Byrnes Yasmeen M, Luu Neil N, Frost Ariel S, Chao Tiffany N, Brody Robert M, Cannady Steven B, Rajasekaran Karthik, Shanti Rabie M, Newman Jason G
Perelman School of Medicine at the University of Pennsylvania, Jordan Medical Education Center, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Department of Otorhinolaryngology - Head & Neck Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
World J Otorhinolaryngol Head Neck Surg. 2021 Apr 24;8(4):302-7. doi: 10.1016/j.wjorl.2021.04.001.
To evaluate medical student and attending surgeon experiences with a novel interactive virtual Otolaryngology - Head and Neck Surgery (OHNS) medical student elective during the COVID-19 pandemic.
A virtual OHNS elective was created, with three components: (1) interactive virtual operating room (OR) experience using live-stream video-conferencing, (2) telehealth clinic, (3) virtual didactics.
OHNS Department at the University of Pennsylvania (May 2020 to June 2020).
Six medical students from the University of Pennsylvania; five attending otolaryngologists. Two surveys were designed and distributed to participating medical students and attending surgeons. Surveys included 5-point Likert scale items, with 1 indicating "not at all" and 5 indicating "very much so".
Response rate was 100% for both surveys. Students on average rated the educational value of the telehealth experience as 4.2 ± 1.2, and the virtual OR experience as 4.0 ± 0.6. Most students ( = 5, 83%) indicated that they had enough exposure to faculty they met on this rotation to ask for a letter of recommendation (LOR) for residency if needed, while attending surgeons had an average response of 3.0 ± 1.0 when asked how comfortable they would feel writing a LOR for a student they met through the rotation. A majority of students ( = 4, 67%) felt they connected enough with faculty during the rotation to ask for mentorship. Half the students ( = 5, 50%) indicated that the rotation allowed them to evaluate the department's culture either "extremely well" or "somewhat well".
Overall, participating students described this innovative virtual surgical rotation as an educationally and professionally valuable experience. With the continued suspension of visiting student rotations due to the COVID-19 pandemic, this virtual model may have continued relevance to medical education.
评估在新冠疫情期间，医学生和主治外科医生参与新型交互式虚拟耳鼻咽喉头颈外科（OHNS）医学生选修课的体验。
创建了一个虚拟OHNS选修课，包含三个部分：（1）使用实时视频会议的交互式虚拟手术室（OR）体验，（2）远程医疗诊所，（3）虚拟教学。
宾夕法尼亚大学耳鼻咽喉头颈外科（2020年5月至2020年6月）。
来自宾夕法尼亚大学的6名医学生；5名耳鼻咽喉科主治医生。设计并向参与的医学生和主治外科医生发放了两份调查问卷。问卷包括5级李克特量表项目，1表示“完全不”，5表示“非常是”。
两份调查问卷的回复率均为100%。学生对远程医疗体验的教育价值平均评分为4.2±1.2，对虚拟手术室体验的评分为4.0±0.6。大多数学生（n = 5，83%）表示，他们在这次轮转中与遇到的教员有足够的接触，如果需要，可以请他们写一封住院医师推荐信（LOR），而当被问及为通过轮转认识的学生写LOR时，主治外科医生的平均回复为3.0±1.0。大多数学生（n = 4，67%）觉得他们在轮转期间与教员有足够的联系，可以寻求指导。一半的学生（n = 5，50%）表示，这次轮转让他们“非常好”或“还算好”地评估了该科室的文化。
总体而言，参与的学生将这种创新的虚拟手术轮转描述为一次具有教育和专业价值的经历。由于新冠疫情持续暂停访学轮转，这种虚拟模式可能在医学教育中持续具有相关性。
