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衡量COVID相关变化对医学学生外科实习经验的影响:一种混合方法研究
Robert D Sinyard1, Taylor M Coe1, Mike Healy1
1Department of Surgery, Massachusetts General Hospital, Boston, USA.
概括
医学学生在COVID-19期间的外科文职学习中没有差异. 然而,疫情影响了学生与外科医生的关系和个人健康,这表明需要适应教学方法.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 流行病对医疗保健教育的影响
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医学教育.
- 重组的外科实习旨在在前所未有的挑战中保持教育连续性.
- 了解医学学生的经验对于适应未来危机的临床培训至关重要.
研究的目的:
- 在COVID-19大流行期间评估医学学生在重组的外科文职工作经验.
- 确定临床活动参与和学习感知方面的挑战和成功.
- 为未来受公共卫生危机影响的医学教育场景提供指导.
主要方法:
- 在COVID-19大流行之前 (2020年3月前) 和期间 (2020年6月后) 完成手术职员实习的医学学生的比较研究.
- 匿名的70个问题调查评估了职务人员的表现和看法.
- 调查数据的定量分析和半结构面试的定性见解.
主要成果:
- 在两组人群之间,在整体的职务认知,基本活动参与或架子考试成绩方面没有发现显著差异.
- 在COVID时代的学生报告说,他们对与临床和住院外科医生的互动和专业关系的看法明显较低 (p=0.03).
- 定性数据揭示了在平衡临床经验与个人健康方面的挑战,以及在疫情期间为学生建立教师关系的困难.
结论:
- 在COVID-19大流行之前和期间,外科职员的参与和学习感知保持一致.
- 疫情对学生与外科医生之间专业关系的发展产生了负面影响.
- 建议包括调整教学结构和学徒模式,以减轻未来中断对学生与教师关系的影响.
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