From the Department of Physical Medicine and Rehabilitation, University of Miami Leonard M. Miller School of Medicine, Miami, Florida (LYH, JG, RI, DM, CP, AS, TT, DRG); and University of Miami/Jackson Memorial Hospital PM&R Residency Program, Miami, Florida (NM, AA).
Am J Phys Med Rehabil. 2021 Sep 1;100(9):831-836. doi: 10.1097/PHM.0000000000001831.
The novel coronavirus 2019 pandemic has led to new dilemmas in medical education because of an initial shortage of personal protective equipment, uncertainty regarding disease transmission and treatments, travel restrictions, and social distancing guidelines. These new problems further compound the already existing problem of limited medical student exposure to the field of physical medicine and rehabilitation, particularly for students in medical schools lacking a department of physical medicine and rehabilitation, approximately 50% of medical schools. A virtual medical student physical medicine and rehabilitation rotation was created to mitigate coronavirus 2019-related limitations and impact on medical education. Using audiovisual technology, students had the opportunity to participate in clinical inpatient and outpatient care, live-streamed procedures, and virtual didactics, develop and showcase their clinical knowledge and reasoning skills, and become familiar with the culture of the physical medicine and rehabilitation residency program. Adaptive educational approaches, including integration of the flipped classroom model, success, pitfalls, and areas for improvement will be described and discussed. Providing nontraditional methods for physical medicine and rehabilitation education and exposure to medical students is crucial to maintain and promote growth of the field in this unprecedented and increasingly virtual era.
2019 年新型冠状病毒大流行导致医学教育出现了新的困境,原因包括个人防护装备最初短缺、对疾病传播和治疗方法不确定、旅行限制以及保持社交距离的指导方针。这些新问题进一步加剧了本来就存在的问题,即医学生对物理医学与康复领域的接触有限,特别是对于那些没有物理医学与康复系的医学院校的学生,大约占医学院校的 50%。创建了虚拟医学生物理医学与康复轮转,以减轻与 2019 年冠状病毒相关的限制以及对医学教育的影响。学生利用视听技术,有机会参与临床住院和门诊护理、现场直播的程序以及虚拟教学,发展和展示他们的临床知识和推理技能,并熟悉物理医学与康复住院医师培训计划的文化。本文将描述和讨论适应性教育方法,包括翻转课堂模式的整合、成功、陷阱和改进领域。为医学生提供非传统的物理医学与康复教育和接触机会对于在这个前所未有的、日益虚拟的时代保持和促进该领域的发展至关重要。