Health Professional Development Center, Chiba University Hospital, Chiba, Japan.
Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan.
BMC Med Educ. 2022 Jun 12;22(1):453. doi: 10.1186/s12909-022-03525-1.
Coronavirus disease (COVID-19) has induced an urgent need to train medical students not only in infection prevention control but also in the treatment of infectious diseases, including COVID-19. This study evaluates the impact of simulated clinical practice with peer role-plays and a lecture on clinical education for COVID-19.
The sample for the study included 82 fourth- and fifth-year medical students undergoing clinical clerkship in respiratory medicine. They answered questionnaires and participated in semi-structured focus group interviews (FGIs) regarding the advantages of simulated clinical practice with peer role-plays and lectures on clinical education for COVID-19.
A total of 75 students participated in the COVID-19 education program between January and November 2021. The responses to the questionnaire revealed that the satisfaction level of students with COVID-19 education was high. No significant change was found among students concerning fear of COVID-19 before and after the program. The degree of burden of handling information on COVID-19 reduced significantly, while the degree with respect to the use of personal protective equipment (PPE), including appropriate wearing and removing of PPE, and care of patients with confirmed COVID-19 while taking steps to prevent infection, exhibited a decreasing trend. Nine FGIs were conducted (n = 74). The advantages of simulated clinical practice were segregated into five categories (infection prevention control, educational methods, burden on healthcare providers, self-reflection, and fear of COVID-19); and that of the lecture were segregated into four categories (information literacy, knowledge of COVID-19, educational methods, and self-reflection).
Simulated clinical practice with peer role-plays and the lecture pertaining to COVID-19 can prove to be efficient and safe methods for learning about COVID-19 infection and prevention control for medical students. They can reduce the burden of COVID-19 patients' care. Moreover, they can also provide an opportunity for self-reflection, realize the burden of medical care, and acquire relevant information.
冠状病毒病（COVID-19）促使不仅需要培训医学生进行感染预防与控制，还要培训他们治疗传染病，包括 COVID-19。本研究评估了模拟临床实践与同伴角色扮演和 COVID-19 临床教育讲座对临床教育的影响。
研究样本包括 82 名正在进行呼吸内科临床实习的四年级和五年级医学生。他们回答了有关模拟临床实践与同伴角色扮演和 COVID-19 临床教育讲座对 COVID-19 临床教育的优势的问卷，并参加了半结构化焦点小组访谈（FGI）。
共有 75 名学生在 2021 年 1 月至 11 月期间参加了 COVID-19 教育计划。对问卷的回应显示，学生对 COVID-19 教育的满意度很高。在计划前后，学生对 COVID-19 的恐惧没有明显变化。处理 COVID-19 信息的负担显著减轻，而在采取措施预防感染的同时，正确佩戴和脱下个人防护设备（PPE）以及照顾确诊 COVID-19 患者的能力呈下降趋势。共进行了 9 次 FGI（n=74）。模拟临床实践的优势分为五类（感染预防控制、教育方法、医护人员负担、自我反思和对 COVID-19 的恐惧）；讲座的优势分为四类（信息素养、COVID-19 知识、教育方法和自我反思）。
模拟临床实践与同伴角色扮演和 COVID-19 讲座对于医学生学习 COVID-19 感染预防与控制来说是有效且安全的方法。它们可以减轻 COVID-19 患者护理的负担。此外，它们还可以提供自我反思的机会，认识到医疗保健的负担，并获得相关信息。
