Donovan Sara K, Herstein Jocelyn J, Prober Charles G, Kolars Joseph C, Gordon James A, Boyers Pam, Gold Jeffrey, Davies H Dele
University of Nebraska Medical Center, Omaha, NE, USA.
College of Public Health, Omaha, NE, USA.
J Interprof Educ Pract. 2021 Sep;24:100436. doi: 10.1016/j.xjep.2021.100436. Epub 2021 May 7.
In the spring of 2020, the COVID-19 pandemic limited access for many health professions students to clinical settings amid concerns about availability of appropriate personal protective equipment as well as the desire to limit exposure in these high-risk settings. Furthermore, the pandemic led to a need to cancel clinics and inpatient rotations, with a major impact on training for health professions and interprofessional health delivery, the long-term effects of which are currently unknown. While problematic, this also presents an opportunity to reflect on challenges facing the traditional clinical training paradigm in a rapidly changing and complex health care system and develop sustainable, high-quality competency-based educational models that incorporate rapidly progressing technologies. We call for pilot studies to explore specific simulation-based inpatient and outpatient clinical rotations for professional and interprofessional training.
2020年春，由于担心缺乏合适的个人防护装备以及希望减少在这些高风险环境中的暴露，新冠疫情限制了许多卫生专业学生进入临床实习场所。此外，疫情导致诊所和住院医师轮转计划取消，对卫生专业培训和跨专业医疗服务产生了重大影响，其长期影响目前尚不清楚。尽管存在问题，但这也提供了一个机会，来反思在快速变化且复杂的医疗体系中传统临床培训模式所面临的挑战，并开发可持续的、高质量的基于能力的教育模式，纳入快速发展的技术。我们呼吁开展试点研究，探索针对专业和跨专业培训的基于模拟的住院和门诊临床轮转。
