Changing the Status Quo: Developing a Virtual Sub-Internship in the Era of COVID-19

被引:16
作者
Mikhail, David [1 ]
Margolin, Ezra J. [2 ]
Sfakianos, John [3 ]
Clifton, Marisa [4 ]
Sorenson, Mathew [5 ]
Thavaseelan, Simone [6 ]
Haleblian, George [7 ]
Kavoussi, Louis [1 ]
Badalato, Gina M. [2 ]
Richstone, Lee [1 ]
机构
[1] Northwell Hlth, Dept Urol, New York, NY 10075 USA
[2] Columbia Univ, Irving Med Ctr, Dept Urol, New York, NY USA
[3] Mt Sinai, Dept Urol, New York, NY USA
[4] Johns Hopkins, Dept Urol, Baltimore, MD USA
[5] Univ Washington, Dept Urol, Seattle, WA 98195 USA
[6] Brown Univ, Div Urol, Providence, RI 02912 USA
[7] Brigham & Womens Hosp, Div Urol, 75 Francis St, Boston, MA 02115 USA
关键词
Virtual Subinternships; Medical Education; Electives; Virtual Electives; COVID-19; Education During Pandemics; Virtual Education; Curriculum Development; SKILLS CURRICULUM; APPLICANT; SIMULATION; PERFORMANCE; EDUCATION; SELECTION; FEEDBACK; IMPROVE; COST;
D O I
10.1016/j.jsurg.2021.03.007
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
PROBLEM: Subinternships are integral to medical education as tools for teaching and assessing fourth-year medical students. Social distancing due to COVID-19 has precluded the ability to offer in-person subinternships - negatively impacting medical education and creating uncertainty surrounding the residency match. With no precedent for the development and implementation of virtual subinternships, the Society of Academic Urologists (SAU) developed an innovative and standardized curriculum for the Virtual Subinternship in Urology (vSIU). METHODS: The vSIU committee's mandate was to create a standardized curriculum for teaching foundational urology and assessing student performance. Thirty-three members from 23 institutions were divided into working groups and given 3 weeks to develop 10 modules based on urologic subspecialties, Accreditation Council for Graduate Medical Education core competencies, technical skills training and student assessment. Working groups were encouraged to develop innovative learning approaches. The final curriculum was assembled into the "vSIU Guidebook." RESULTS: The vSIU Guidebook contains 212 pages - 64 pages core content and 2 appendices (patient cases and evaluations). It outlines a detailed 4-week curriculum with a sufficient volume of resources to offer a completely adaptable virtual course with the same rigor as a traditional subinternship. Modules contain curated teaching resources including journal articles, lectures, surgical videos and simulated clinical scenarios. Innovative learning tools include reflective writing, mentorship guidelines, videoconference-based didactics, surgical simulcasting and virtual technical skills training. The guidebook was disseminated to program directors nationally. NEXT STEPS: The vSIU is the first virtual subinternship in any specialty to be standardized and offered nationally, and it was implemented by at least 19 urology programs. This curriculum serves as a template for other specialties looking to develop virtual programs and feedback from educators and students will allow the curriculum to evolve. As the pandemic continues to challenge our paradigm, this rapid and innovative response exemplifies that the medical community will continue to meet the needs of an ever-changing educational landscape. (C) 2021 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:1544 / 1555
页数:12
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