Harada Yohei
Duke University.
Brain Nerve. 2022 Jan;74(1):33-35. doi: 10.11477/mf.1416201973.
The COVID-19 pandemic has had a significant impact on neurology residency education and services in the United States. The responsibility of residents was shifted from traditional house staff to frontline providers in the face of the pandemic. As such, a dynamic and rapid transformation was required, involving the development of strong leadership and teamwork skills, while protecting patients and providers from infection and ensuring the quality of education and training. Because of the increased demand from inpatient care and the risk of potential exposure to the virus, a modified rotation schedule was implemented by removing residents from outpatient clinics and minimizing their role in inpatient services. In order to maintain social distances, didactic lectures were conducted only via online platforms, and outpatients were only provided telemedicine. Although the pandemic has taken some of the in-person educational opportunities from residents, innovative changes including video conferences and telemedicine will likely continue to be used as a useful mode of medical training for residents. Herein, the author reports the changes made to the neurology residency program in response to the COVID-19 pandemic, as well as the evolution of leadership roles during this unprecedented time.
新冠疫情对美国神经病学住院医师培训教育及服务产生了重大影响。面对疫情，住院医师的职责从传统的住院部工作人员转变为一线医疗服务提供者。因此，需要进行动态且迅速的转变，包括培养强大的领导能力和团队协作技能，同时保护患者和医疗服务提供者免受感染，并确保教育培训质量。由于住院护理需求增加以及存在潜在的病毒暴露风险，实施了调整后的轮转计划，将住院医师从门诊诊所撤出，并尽量减少他们在住院服务中的作用。为了保持社交距离，教学讲座仅通过在线平台进行，门诊患者仅接受远程医疗服务。尽管疫情使住院医师失去了一些面对面的教育机会，但包括视频会议和远程医疗在内的创新变革可能会继续作为住院医师医学培训的一种有用模式。在此，作者报告了神经病学住院医师培训项目为应对新冠疫情所做的改变，以及在这一前所未有的时期领导角色的演变。
