M. Walters is a first-year emergency medicine resident, Indiana University School of Medicine, Indianapolis, Indiana.
T. Alonge is a first-year psychiatry resident, Yale School of Medicine, New Haven, Connecticut.
Acad Med. 2022 Mar 1;97(3S):S40-S48. doi: 10.1097/ACM.0000000000004525.
This article provides an overview of issues facing medical students in such key areas as communication, preclinical and clinical education, increased isolation, disruption to time-based curricula, inequities in virtual learning, racial trauma, medical student activism, increased conversations surrounding race and racism, LGBTQIA+ students, dual-degree students, and the virtual residency cycle. This article described challenges navigated by medical students during the COVID-19 pandemic, as well as triumphs resulting from the disruption and actionable recommendations in key areas. While the pandemic presented new challenges for medical students, it also uncovered or exacerbated long-standing problems. The intent is for medical schools and institutions to use these recommendations to create learning environments that do not depend on medical student resilience. The main takeaways for medical schools are to: (1) maintain an individualized and learner-centered ethos while remaining dynamic, flexible, and ready to embrace both immediate and incremental changes; (2) maintain open lines of communication; (3) implement policies and practices that support students' academic, physical, and mental well-being; (4) engage and support students who bear historically disadvantaged identities on the basis of race, ethnicity, sexual orientation, gender, or disability; and (5) support creative and collaborative partnerships between medical institutions and students to ensure the ongoing evolution of medical education to meet the needs of learners and patients.
本文概述了医学生在沟通、临床前和临床教育、隔离增加、以时间为基础的课程中断、虚拟学习中的不平等、种族创伤、医学生的积极性、围绕种族和种族主义的讨论增加、LGBTQIA+ 学生、双学位学生以及虚拟居住周期等关键领域面临的问题。本文描述了医学生在 COVID-19 大流行期间所面临的挑战,以及由此带来的突破和在关键领域的可行建议。虽然大流行给医学生带来了新的挑战,但也揭示或加剧了长期存在的问题。本文的目的是让医学院和医疗机构利用这些建议来创建不依赖医学生适应能力的学习环境。医学院的主要收获是:(1)在保持动态、灵活和随时准备接受即时和渐进式变革的同时,保持个性化和以学习者为中心的精神;(2)保持沟通渠道畅通;(3)实施支持学生学术、身体和心理健康的政策和做法;(4)关注和支持那些在种族、族裔、性取向、性别或残疾方面处于历史劣势地位的学生;(5)支持医疗机构和学生之间的创造性和合作性伙伴关系,以确保医学教育的持续发展,以满足学习者和患者的需求。