A systematic review of virtual elective programmes for medical students

Clinical electives are a compulsory part of many medical courses, enabling students to gain exposure to foreign health systems. The COVID-19 pandemic led to a surge in the development in virtual elective programmes, for which there had been a sparse evidence base. This is the first systematic review assessing the implementation, advantages and disadvantages of virtual elective programmes for medical students.

The systematic review was conducted in accordance with PRISMA guidelines. Databases were searched, capturing results from the past 10 years for original evaluations of electives where medical students engaged in a fully virtual programme with another institution, with no restrictions on location. Descriptive, quantitative and qualitative data were extracted by two independent reviewers.

Fourteen articles were included for review. All the articles were published between 2020 and 2023. All studies were conducted in the United States of America. The average length of the virtual electives in the studies was 3 weeks, and a variety of teaching formats including virtual clinics, seminars and one-on-one meetings were implemented. Logistical considerations and challenges in delivering virtual electives included the variability in students' learning styles, reduction in patient interactions and technological challenges.

Most included studies derived that these virtual electives would play a role in the future, possibly replacing in-person electives. Positive attributes of virtual electives included increasing diversity of social backgrounds, high student satisfaction and interest and reducing harms to the environment. However, further research is required to thoroughly evaluate the efficacy of virtual electives in medical education.