Avoiding student infection during a Middle East respiratory syndrome (MERS) outbreak: a single medical school experience.
Avoiding student infection during a Middle East respiratory syndrome (MERS) outbreak: a single medical school experience.
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DOI：
10.3946/kjme.2016.30
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发表时间：
2016-06
影响因子：
--
通讯作者：
Han T
中科院分区：
文献类型：
--
作者：
Park SW;Jang HW;Choe YH;Lee KS;Ahn YC;Chung MJ;Lee KS;Lee K;Han T
在传染病爆发时，医学生虽然在医院担任临床见习，但在医护人员的防护管理中容易被忽视。2015年初夏，中东呼吸综合征（MERS）袭击了韩国，成均馆大学医学院（SKKUSOM）的学生面临感染该疾病的风险。本报告的目的是分享SKKUSOM应对MERS疫情的经验，并为医学院在面临类似挑战时提供建议。通过反思行动的过程中，我们检查了SKKUSOM的努力，以避免学生在MERS爆发感染，并得出了一些实用的指导方针，医学院可以采用，以确保学生在传染病爆发的安全。学校领导进行了持续的风险评估，并制定了应急计划，以平衡学生的安全和医学教育的连续性。他们把实习生的职位重新安排到另一家医院，并提供远程讲座和辅导。五个建议提取医学院考虑在感染暴发：立即停止临床实习;合理决策学校关闭;使用信息技术;不断与医院沟通;和教师，员工和学生的开放式沟通。医学院校需要主动出击，积极寻求应对学生感染的对策。医学院必须与其索引医院和相关人员保持持续的沟通。为了保证学生的学习，医学院可以考虑提供远程教育与在线技术。
In outbreaks of infectious disease, medical students are easily overlooked in the management of healthcare personnel protection although they serve in clinical clerkships in hospitals. In the early summer of 2015, Middle East respiratory syndrome (MERS) struck South Korea, and students of Sungkyunkwan University School of Medicine (SKKUSOM) were at risk of contracting the disease. The purpose of this report is to share SKKUSOM’s experience against the MERS outbreak and provide suggestions for medical schools to consider in the face of similar challenges. Through a process of reflection-on-action, we examined SKKUSOM’s efforts to avoid student infection during the MERS outbreak and derived a few practical guidelines that medical schools can adopt to ensure student safety in outbreaks of infectious disease. The school leadership conducted ongoing risk assessment and developed contingency plans to balance student safety and continuity in medical education. They rearranged the clerkships to another hospital and offered distant lectures and tutorials. Five suggestions are extracted for medical schools to consider in infection outbreaks: instant cessation of clinical clerkships; rational decision making on a school closure; use of information technology; constant communication with hospitals; and open communication with faculty, staff, and students. Medical schools need to take the initiative and actively seek countermeasures against student infection. It is essential that medical schools keep constant communication with their index hospitals and the involved personnel. In order to assure student learning, medical schools may consider offering distant education with online technology.