Faculty of Medicine and Health, University of Sydney, Sydney.
S Afr J Commun Disord. 2022 Aug 15;69(2):e1-e6. doi: 10.4102/sajcd.v69i2.897.
Vietnam's first speech and language therapy (SLT) degrees commenced in 2019 utilising international educators. Continuity of the degrees was impacted by travel restrictions during the coronavirus disease 2019 (COVID-19) pandemic.
This article presents a descriptive case report exploring the viability of online learning to continue clinical education (CE) of SLT students in Vietnam during the pandemic.
Students were scheduled for face to face placements throughout 2021. International SLT educators were to travel to Vietnam and work with interpreters and locally trained certificate level therapists to provide placement supervision. When travel became impossible, tele-supervision by international therapists working remotely and in partnership with local therapists and interpreters was arranged. The second wave of Covid-19 excluded students from healthcare settings early in their placements. To conclude these placements, tele-supervisors led online case-based discussions with students. For subsequent placements, Vietnamese and international therapists facilitated two to three weeks of online case-based group discussions for students, using cases with videos or avatars.
Learning outcomes for students, as evidenced in written and oral assessments demonstrated attainment of many of the learning objectives of the placements. Satisfaction for all participants (students, tele-supervisors, online group facilitators) was high. Students will undertake face to face placements in the future; however they will commence these placements with heightened clinical reasoning and planning skills.
Online CE is possible in LMIC and, as part of a program which includes face to face placements, can support essential CE outcomes and enhance preparation for subsequent direct experiences with patients.
2019 年，越南首次开设言语治疗（SLT）学位课程，聘请国际教育工作者授课。但由于 2019 冠状病毒病（COVID-19）大流行期间的旅行限制，学位课程的连续性受到影响。
本报告介绍了一个案例研究，探讨了在 COVID-19 大流行期间，越南利用在线学习继续为言语治疗学生提供临床教育（CE）的可行性。
学生计划于 2021 年进行面对面实习。国际言语治疗师原计划前往越南，与口译员和经过培训的证书级治疗师合作，提供实习监督。由于旅行变得不可能，便安排国际治疗师远程工作，并与当地治疗师和口译员合作进行远程监督。第二波 COVID-19 疫情使学生在实习早期被排除在医疗保健环境之外。为完成这些实习，远程监督者通过在线病例讨论引导学生。对于随后的实习，越南和国际治疗师为学生安排了两到三周的在线病例小组讨论，使用带有视频或头像的病例。
学生的学习成果在书面和口头评估中得到证明，达到了实习的许多学习目标。所有参与者（学生、远程监督者、在线小组辅导者）都非常满意。学生将在未来进行面对面实习；但他们将在这些实习中开始提高临床推理和规划技能。
在线 CE 在 LMIC 是可行的，并且作为包括面对面实习的项目的一部分，可以支持必要的 CE 成果，并为随后与患者的直接体验做好准备。
