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2019年冠状病毒病大流行期间的医学教育:一项综合综述。

Medical education during the coronavirus disease 2019 pandemic: an umbrella review.

作者信息

Nejadghaderi Seyed Aria, Khoshgoftar Zohreh, Fazlollahi Asra, Nasiri Mohammad Javad

机构信息

Department of Medical Education, School of Medical Education and Learning Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Front Med (Lausanne). 2024 Jul 5;11:1358084. doi: 10.3389/fmed.2024.1358084. eCollection 2024.

Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic affected many aspects of lifestyle and medical education during the recent years. We aimed to determine the impacts of COVID-19 pandemic on medical education to provide an overview of systematic reviews on it.

METHODS

We searched PubMed, Scopus, Web of Science, Cochrane library, Google Scholar, and medRxiv, with the following keywords: "SARS-CoV-2," "COVID-19," "Medical Education," "E-learning," "Distance Education," "Online Learning," "Virtual Education," "systematic review," and "meta-analysis," up to 15 April 2023. Studies were included if they were systematic reviews assessing the impacts of the COVID-19 pandemic on medical sciences students. We used A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR-2) checklist for quality assessment.

RESULTS

A total of 28 systematic reviews were included. The eligible reviews included between five and 64 primary studies, ranging from 897 to 139,381 participants. Technology-enhanced learning and simulation-based learning were the most frequently used strategies. Virtual teaching has several drawbacks like technical difficulties, confidentiality problems, lower student involvement, connection problems, and digital fatigue. The overall satisfaction rate for online learning was above 50%. Also, favorable opinions about perception, acceptability, motivation, and engagement were reported. The quality of 27 studies were critically low and one was low.

CONCLUSION

There were reduced clinical exposure and satisfaction for medical students during the pandemic. Further high-quality systematic reviews are required.

摘要

背景

2019年冠状病毒病(COVID-19)大流行在近年来影响了生活方式和医学教育的许多方面。我们旨在确定COVID-19大流行对医学教育的影响,以提供关于其系统评价的概述。

方法

我们检索了PubMed、Scopus、科学网、Cochrane图书馆、谷歌学术和medRxiv,使用以下关键词:“严重急性呼吸综合征冠状病毒2”“COVID-19”“医学教育”“电子学习”“远程教育”“在线学习”“虚拟教育”“系统评价”和“荟萃分析”,截至2023年4月15日。如果研究是评估COVID-19大流行对医学生影响的系统评价,则纳入研究。我们使用测量系统评价的工具2(AMSTAR-2)清单进行质量评估。

结果

共纳入28项系统评价。符合条件的评价包括5至64项原始研究,参与者人数从897至139381不等。技术增强学习和基于模拟的学习是最常用的策略。虚拟教学有几个缺点,如技术困难、保密问题、学生参与度较低、连接问题和数字疲劳。在线学习的总体满意度超过50%。此外,还报告了对认知、可接受性、动机和参与度的积极看法。27项研究的质量极低,1项研究质量低。

结论

在大流行期间,医学生的临床接触减少且满意度降低。需要进一步进行高质量的系统评价。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e3/11257851/95e657e25c3b/fmed-11-1358084-g001.jpg

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