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COVID-19 大流行期间的虚拟医学学生放射科实习:保持距离不是障碍。

Virtual medical student radiology clerkships during the COVID-19 pandemic: Distancing is not a barrier.

机构信息

Aventura Hospital and Medical Center, Department of Radiology, Aventura, FL, USA.

Aventura Hospital and Medical Center, Department of Radiology, Aventura, FL, USA; Nova Southeastern University Kirin C Patel College of Allopathic Medicine, Department of Clinical Sciences, Davie, FL, USA; Florida International University Herbert Wertheim School of Medicine, Department of Radiology, Miami, FL, USA.

出版信息

Clin Imaging. 2021 Dec;80:420-423. doi: 10.1016/j.clinimag.2021.08.024. Epub 2021 Sep 8.

DOI:10.1016/j.clinimag.2021.08.024
PMID:34537485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8435397/
Abstract

BACKGROUND

Stress on medical education caused by COVID-19 has prompted medical schools to bar their students from onsite education at hospitals and clinics, limiting their educational experiences. Radiology is uniquely positioned to be a virtual rotation during this health crisis and beyond.

PURPOSE

To implement virtual radiology clerkships and evaluate educational outcomes.

METHODS

We developed virtual radiology clerkships using best practices from adult education theory; emphasizing self-directed and interactive learning through recommended reading materials, pre-recorded lectures, video conferencing, web-based learning modules from the ACR, as well as multimodality radiology resources to allow students flexibility in their individual approach to the subject matter.

RESULTS

The mean performance on standardized exams for our cohorts was 75% (range 50-96%), matching the national average of 75%. Surveys of medical students after the clerkship showed positive subjective feedback on the content and structure of the course.

CONCLUSIONS

Understanding of medical imaging is vital for student doctors to have a better understanding of applied anatomy, patient care strategies, appropriate use, and image interpretation. Radiology is uniquely positioned to be taught in a virtual format, or in a combination of online and in-person activities. Standardized examination performance for our institutional virtual radiology clerkships is comparable to performance on traditional courses. Virtual clerkships designed with adult learners in mind can help student doctors prepare for residency and future independent practice as they build knowledge and skills needed to provide high quality patient care.

摘要

背景

新冠疫情给医学教育带来压力,促使医学院禁止学生在医院和诊所进行现场教育,限制了他们的教育体验。放射科在这场卫生危机及以后特别适合进行虚拟轮转。

目的

实施虚拟放射科实习,并评估教育成果。

方法

我们借鉴成人教育理论的最佳实践,开发了虚拟放射科实习;强调通过推荐阅读材料、预录讲座、视频会议、ACR 的基于网络的学习模块以及多模态放射学资源进行自我指导和互动学习,使学生在学习主题时具有个体方法的灵活性。

结果

我们的两个实习队列的标准化考试平均成绩为 75%(范围为 50-96%),与全国平均水平 75%相匹配。实习结束后对医学生进行的调查显示,他们对课程内容和结构的主观反馈是积极的。

结论

学生医生对医学成像的理解对于更好地理解应用解剖学、患者护理策略、适当使用和图像解释至关重要。放射科特别适合以虚拟形式或在线和现场活动相结合的方式进行教学。我们机构的虚拟放射科实习的标准化考试成绩与传统课程的成绩相当。为成人学习者设计的虚拟实习可以帮助医学生为住院医师和未来的独立实践做好准备,因为他们可以建立提供高质量患者护理所需的知识和技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/8435397/a2d8e762d03b/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/8435397/457129137b55/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/8435397/a2d8e762d03b/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/8435397/457129137b55/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285b/8435397/a2d8e762d03b/gr2_lrg.jpg

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本文引用的文献

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2
Mixed Practice in Radiology Education-Has the Time Come?放射学教育中的混合式实践——时机到了吗?
J Am Coll Radiol. 2020 Jul;17(7):976-978. doi: 10.1016/j.jacr.2019.12.005. Epub 2020 Jan 6.
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An Internet-Based Radiology Course in Medical School: Comparison of Academic Performance of Students on Campus Versus Those With Absenteeism Due to Residency Interviews.
麻醉科试镜轮转中基于网络的增强型申请人体验:当前文献的系统评价
SAGE Open Med. 2023 Sep 6;11:20503121231196971. doi: 10.1177/20503121231196971. eCollection 2023.
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A Review of Virtual Medical Student Rotations During the COVID-19 Pandemic: Their Role, Advantages, Disadvantages, and Future Prospects.新冠疫情期间虚拟医学生轮转情况综述:其作用、优势、劣势及未来前景
Cureus. 2022 Apr 19;14(4):e24280. doi: 10.7759/cureus.24280. eCollection 2022 Apr.
医学院基于互联网的放射学课程:在校学生与因住院医师面试缺勤学生的学业成绩比较。
JMIR Med Educ. 2018 May 18;4(1):e14. doi: 10.2196/mededu.8747.
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The vital role of radiology in the medical school curriculum.放射学在医学院课程中的重要作用。
AJR Am J Roentgenol. 2003 May;180(5):1239-42. doi: 10.2214/ajr.180.5.1801239.