Yoon Cecilia, Lee Jihui, Fong Ericka, Lee Jennifer I
Department of Medicine, Weill Cornell Medicine/New York Presbyterian Hospital, 53 West 23rd street, 6th floor, New York, NY USA.
Med Sci Educ. 2021 Oct 19;31(6):1831-1838. doi: 10.1007/s40670-021-01422-8. eCollection 2021 Dec.
Medical education abruptly changed in the setting of the COVID-19 pandemic, impacting experiential learning in clinical clerkship as medical students were removed from direct patient interactions and care team participation. Re-configuring a hospital clinical rotation using virtual care platforms allowed students to re-engage in the clinical environment and actively participate in patient care.
During the height of the pandemic, we implemented a 4-week "virtual team member" (VTM) inpatient medicine elective for medical students in their second year and above to participate in acute patient care during the height of the COVID-19 pandemic. Tasks included providing daily updates to patients and family members along and care coordination. Faculty experts in infectious disease, mental health, ethics, and patient safety incorporated weekly didactic video talks throughout the elective. Student feedback was obtained anonymously through pre-, mid-, and post-elective questionnaires.
A total of 26 students enrolled in the two 4-week blocks, with 85% in the 2nd year. Survey response rates for the pre, mid, and post-rotation questionnaires were 96%, 77%, 58% respectively. Of the 15 students who completed the post-survey, the majority strongly and somewhat agreed that the elective met expectations (12/15, 80%), was worthwhile (14/15, 93%) and met goals (12/15, 80%). Best parts of the elective most frequently cited by students were patient care and teamwork. Working remotely was the greatest challenge.
Designing a virtual role for students successfully allowed students to re-engage in the acute care setting and connect with patients and participate in COVID-19 care.
The online version contains supplementary material available at 10.1007/s40670-021-01422-8.
在新冠疫情背景下,医学教育突然发生变化,影响了临床实习中的体验式学习,因为医学生被禁止直接与患者互动并参与护理团队工作。利用虚拟护理平台重新安排医院临床轮转,使学生能够重新融入临床环境并积极参与患者护理。
在疫情高峰期,我们为二年级及以上的医学生实施了为期4周的“虚拟团队成员”(VTM)内科住院医师选修课,以便他们在新冠疫情高峰期参与急性病患者护理。任务包括每日向患者及家属提供最新情况以及护理协调。传染病、心理健康、伦理学和患者安全方面的教师专家在整个选修课期间每周进行教学视频讲座。通过选修课开始前、中期和结束后的问卷匿名获取学生反馈。
共有26名学生参加了这两个为期4周的课程模块,其中85%为二年级学生。轮转前、中、后问卷的调查回复率分别为96%、77%、58%。在完成课后调查的15名学生中,大多数人强烈或 somewhat 同意该选修课符合预期(12/15,80%)、很有价值(14/15,93%)且达到了目标(12/15,80%)。学生最常提到的选修课最佳部分是患者护理和团队合作。远程工作是最大的挑战。
为学生设计虚拟角色成功地使学生能够重新融入急性护理环境,与患者建立联系并参与新冠护理。
在线版本包含可在10.1007/s40670-021-01422-8获取的补充材料。