Noel Erika R, Mizuo Barry, Yamamoto Loren G, Ishikawa Kyle M, Chen John J, Len Kyra A
Department of Pediatrics, John A. Burns School of Medicine, University of Hawai`i, Honolulu, Hawaii, USA.
Loren G. Yamamoto, MD, MPH, MBA, Department of Pediatrics, John A. Burns School of Medicine, University of Hawai`i, Honolulu, Hawaii, USA.
SVOA Med Res. 2024;2(1):10-18. doi: 10.58624/SVOAMR.2024.02.011. Epub 2024 Jun 24.
In March 2020, the University of Hawaii John A. Burns School of Medicine suspended in person clinical teaching due to the SARS-CoV-2 (COVID) pandemic. During this period, virtual cases, telehealth participation, and online cases were incorporated into medical education. We have examined the effects of educational outcomes of third and fourth year students throughout clerkship performance, national standardized test scores, and our local fourth year OSCE examination. We found that USMLE step 2 scores were higher in the COVID-affected group. Patient logs in the COVID-affected group were lower for internal medicine, family medicine, OBGYN, and psychiatry clerkships. Clerkship performance grades in the COVID-affected group were lower for OBGYN and higher for surgery and psychiatry, but not different in other clerkships. USNBME subject specific examination scores in the COVID-affected group were higher for internal medicine, surgery, family medicine and psychiatry, but not different in all other specialties. For the fourth year OSCE, students in the COVID-affected group performed better on note taking and worse on physical examination. Future investigations will be needed to explore how our COVID-affected medical students perform in residency and beyond.
2020年3月，由于严重急性呼吸综合征冠状病毒2（COVID）大流行，夏威夷大学约翰·A·伯恩斯医学院暂停了面授临床教学。在此期间，虚拟病例、远程医疗参与和在线病例被纳入医学教育。我们研究了三年级和四年级学生在整个临床实习表现、全国标准化考试成绩以及我们当地四年级客观结构化临床考试中的教育成果影响。我们发现，受COVID影响的组中美国医师执照考试第二步的成绩更高。受COVID影响的组在内科、家庭医学、妇产科和精神科临床实习中的患者日志记录较少。受COVID影响的组在妇产科的临床实习成绩较低，而在外科和精神科较高，但在其他临床实习中没有差异。受COVID影响的组在内科、外科、家庭医学和精神科的美国国家医学考试委员会特定学科考试成绩较高，但在所有其他专业中没有差异。对于四年级客观结构化临床考试，受COVID影响的组学生在记录笔记方面表现较好，而在体格检查方面表现较差。未来需要进行调查，以探索受COVID影响的医学生在住院医师阶段及以后的表现。
