Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic
Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic
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DOI：
10.1016/j.jsurg.2020.03.018
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发表时间：
2020-07-01
影响因子：
2.9
通讯作者：
Vreeland, Timothy J.
中科院分区：
文献类型：
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作者：
Chick, Robert Connor;Clifton, Guy Travis;Vreeland, Timothy J.
背景：COVID-19 大流行给外科住院医师项目带来了独特的挑战。由于疾病控制与预防中心和其他组织建议的限制，外科住院医师的教育环境正在迅速变化。此外，这些变化的时间进程是不确定的。方法：我们试图界定维持外科住院医师教育同时维护住院医师、教育工作者和患者安全的问题范围。在限制面对面聚集、推迟或取消医院择期手术、限制站点间轮换的基本框架内，我们提出了保持严格教育的创新解决方案。 结果：我们提出了几种创新解决方案，包括翻转课堂模式、在线练习题、以电话会议代替现场讲座、让居民参与远程医疗诊所、程序模拟和便利化 使用手术视频。尽管无法替代通过手术经验和直接患者护理进行的实践学习，但这些可能是减轻这段时间内学习机会损失的方法。结论：这些利用技术的创新解决方案可能有助于在这种前所未有的情况下缩小外科住院医生的教育差距。国家组织的支持可能有利于维持严格的外科教育。由爱思唯尔公司代表外科项目总监协会出版。
BACKGROUND: The COVID-19 pandemic presents a unique challenge to surgical residency programs. Due to the restrictions recommended by the Centers for Disease Control and Prevention and other organizations, the educational landscape for surgical residents is rapidly changing. In addition, the time course of these changes is undefined.METHODS: We attempt to define the scope of the problem of maintaining surgical resident education while maintaining the safety of residents, educators, and patients. Within the basic framework of limiting in-person gatherings, postponing or canceling elective operations in hospitals, and limiting rotations between sites, we propose innovative solutions to maintain rigorous education.RESULTS: We propose several innovative solutions including the flipped classroom model, online practice questions, teleconferencing in place of in-person lectures, involving residents in telemedicine clinics, procedural simulation, and the facilitated use of surgical videos. Although there is no substitute for hands-on learning through operative experience and direct patient care, these may be ways to mitigate the loss of learning exposure during this time.CONCLUSIONS: These innovative solutions utilizing technology may help to bridge the educational gap for surgical residents during this unprecedented circumstance. The support of national organizations may be beneficial in maintaining rigorous surgical education. Published by Elsevier Inc. on behalf of Association of Program Directors in Surgery.