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10.1136/postgradmedj-2021-139728

http://scihub22266oqcxt.onion/10.1136/postgradmedj-2021-139728
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suck abstract from ncbi


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pmid33593809      Postgrad+Med+J 2021 ; 97 (1149): 417-422
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  • Necessity is the mother of invention: how the COVID-19 pandemic could change medical student placements for the better #MMPMID33593809
  • Stout RC; Roberts S; Maxwell-Scott H; Gothard P
  • Postgrad Med J 2021[Jul]; 97 (1149): 417-422 PMID33593809show ga
  • COVID-19 led to the widespread withdrawal of face-to-face hospital-based clinical placements, with many medical schools switching to online learning. This precipitated concern about potential negative impact on clinical and interprofessional skill acquisition. To overcome this problem, we piloted a 12-week COVID-19 safe face-to-face clinical placement for 16 medical students at the Hospital for Tropical Diseases, London, during the first wave of the COVID-19 pandemic. COVID-19 infection control measures necessitated that students remained in 'social bubbles' for placement duration. This facilitated an apprenticeship-style teaching approach, integrating students into the clinical team for placement duration. Team-based learning was adopted to develop and deliver content. Teaching comprised weekly seminars, experiential ward-based attachments and participation in quality improvement and research projects. The taught content was evaluated through qualitative feedback, reflective practice, and pre-apprenticeship and post-apprenticeship confidence questionnaires across 17 domains. Students' confidence improved in 14 of 17 domains (p<0.05). Reflective practice indicated that students valued the apprenticeship model, preferring the longer clinical attachment to existent shorter, fragmented clinical placements. Students described improved critical thinking, group cohesion, teamwork, self-confidence, self-worth and communication skills. This article describes a framework for the safe and effective delivery of a longer face-to-face apprenticeship-based clinical placement during an infectious disease pandemic. Longer apprenticeship-style attachments have hidden benefits to general professional training, which should be explored by medical schools both during the COVID-19 pandemic and, possibly, for any future clinical placements.
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Clinical Clerkship/methods/trends[MESH]
  • |*Clinical Competence[MESH]
  • |*Education, Medical, Undergraduate/methods/organization & administration[MESH]
  • |*Teaching/standards/trends[MESH]
  • |Education, Distance[MESH]
  • |Hospitals, Teaching/organization & administration[MESH]
  • |Humans[MESH]
  • |Infection Control/methods[MESH]
  • |Interprofessional Education[MESH]
  • |London[MESH]
  • |Quality Improvement[MESH]
  • |SARS-CoV-2[MESH]


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