2021, Number 39
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Inv Ed Med 2021; 10 (39)
Changes and strategies of medical education in response to the COVID-19 pandemic
Manrique-Gutiérrez G, Motte-García E, Naveja-Romero J, Sánchez-Mendiola M, Gutiérrez-Cirlos C
Language: Spanish
References: 142
Page: 79-95
PDF size: 688.99 Kb.
ABSTRACT
The health contingency due to COVID-19 caused social
distancing measures that drastically altered the way
how daily activities are carried out, including education.
The students moved from having educational activities
in a face-to-face format to a completely virtual scenario,
which generated concern among authorities, teachers,
and students about how to best achieve the theoretical
and practical skills medical education requires. Consequently,
the emergence and application of various virtual
platforms, software applications, and digital technologies
in the medical curricula have emerged as appropriate
methods to prepare future physicians.
To describe the changes and strategies in undergraduate
and graduate medical education during the
pandemic, a systematic review that cover 205 articles
was conducted. It describes the implementation of videoconferencing
platforms and virtual classrooms that
synchronously and asynchronously cover theoretical
knowledge, 3D programs, and virtual simulators to put
into practice clinical skills since cancellation of clerkships
and reduction of elective procedures decreased practical
training. Clinical activities mostly focus on work in COVID
areas and intensive care units, telemedicine, training on
the proper use of personal protective equipment (PPE),
and management of COVID patients. Finally, different
research activities are performed remotely, and students
have access to mental health services.
Therefore, despite the pandemic has posed a great
challenge in complying with educational programs due
to the difficulty of replacing the experience of patient
interaction and having adequate access to electronic devices
with good connectivity, the adoption of new virtual
tools has helped sustain medical education and marks
an inflection point in the ways medicine will be taught and
practiced in the future.
REFERENCES
Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, et al. COVID-19: towards controlling of a pandemic. Lancet. 2020;395(10229):1015-8. doi:10.1016/S0140- 6736(20)30673-5
World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. [consultado el 2 de febrero de 2021]. Disponible en: https://covid19.who.int/
Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg. 2020;78:185-93. doi: 10.1016/j.ijsu.2020.04.018
Rose S. Medical Student Education in the Time of COVID-19. JAMA. 2020;323(21):2131-2. doi:10.1001/jama.2020.5227
Zawacki-Richter O, Kerres M, Bedenlier S, Bond M, Buntins K. Systematic Reviews in Educational Research - Methodology, Perspectives and Application. Wiesbaden: Springer VS; 2019. doi:10.1007/978-3-658-27602-7
Hammick M, Dornan T, Steinert Y. Conducting a best evidence systematic review. Part 1: From idea to data coding. BEME Guide No. 13. Med Teach. 2010;32(1):3-15. doi:10.3109/01421590903414245
Khan KS, Kunz R, Kleijnen J, Antes G. Five steps to conducting a systematic review. J R Soc Med. 2003;96(3):118-21. doi:10.1258/jrsm.96.3.118
Gordon M, Patricio M, Horne L, Muston A, Alston SR, Pammi M, et al. Developments in medical education in response to the COVID-19 pandemic: A rapid BEME systematic review: BEME Guide No. 63. Med Teach. 2020;42(11):1202-15. doi:10.1080/0142159X.2020.1807484
Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In Vivo. 2020;34(3 Suppl):1603-11. doi:10.21873/invivo.11950
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097. doi: 10.1371/journal.pmed.1000097
Hilburg R, Patel N, Ambruso S, Biewald MA, Farouk SS. Medical Education During the Coronavirus Disease-2019 Pandemic: Learning from a Distance. Adv Chronic Kidney Dis. 2020;27(5):412-7. doi: 10.1053/j.ackd.2020.05.017
Chen CH, Mullen AJ. COVID-19 Can Catalyze the Modernization of Medical Education. JMIR Med Educ. 2020;6(1): e19725. doi:10.2196/19725
Almarzooq ZI, Lopes M, Kochar A. Virtual Learning During the COVID-19 Pandemic: A Disruptive Technology in Graduate Medical Education. J Am Coll Cardiol. 2020;75(20): 2635-8. doi: 10.1016/j.jacc.2020.04.015
Tabatabai S. COVID-19 impact and virtual medical education. J Adv Med Educ Prof. 2020;8(3):140-43. doi:10.30476/ jamp.2020.86070.1213
Do Phuoc H, Cao Ba H, Pham Quang V, Nguyen Hoang P. Solution to teaching physical examination skills amid pandemic. Med Educ. 2020;54(11):1072-3. doi:10.1111/medu.14309
Abbasi MS, Ahmed N, Sajjad B, Alshahrani A, Saeed S, Sarfaraz S, et al. E-Learning perception, and satisfaction among health sciences students amid the COVID-19 pandemic. Work. 2020;67(3):549-56. doi:10.3233/WOR-203308
Al-Balas M, Al-Balas HI, Jaber HM, Obeidat K, Al-Balas H, Aborajooh EA, et al. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ. 2020;20(1):341. doi:10.1186/s12909-020-02257-4
Al-Ahmari AN, Ajlan AM, Bajunaid K, Alotaibi NM, Al- Habib H, Sabbagh AJ, et al. Perception of Neurosurgery Residents and Attendings on Online Webinars During COVID- 19 Pandemic and Implications on Future Education. World Neurosurg. 2020:S1878-8750(20)32390-1. doi: 10.1016/j. wneu.2020.11.015
Byrnes KG, Kiely PA, Dunne CP, McDermott KW, Coffey JC. Communication, collaboration, and contagion: “Virtualisation” of anatomy during COVID-19. Clin Anat. 2021;34(1):82- 9. doi:10.1002/ca.23649
Agarwal S, Sabadia S, Abou-Fayssal N, Kurzweil A, Balcer LJ, Galetta SL. Training in neurology: Flexibility and adaptability of a neurology training program at the epicenter of COVID-19. Neurology. 2020 Jun 16;94(24):e2608-e2614. doi:10.1212/WNL.0000000000009675
Odedra D, Chahal BS, Patlas MN. Impact of COVID-19 on Canadian Radiology Residency Training Programs. Can Assoc Radiol J. 2020;71(4):482-9. doi:10.1177/0846537120933215
Upadhyaya GK, Jain VK, Iyengar KP, Patralekh MK, Vaish A. Impact of COVID-19 on post-graduate orthopaedic training in Delhi-NCR. J Clin Orthop Trauma. 2020;11:S687-95. doi: 10.1016/j.jcot.2020.07.018
Srivastava V, Pandey V, Tiwari P, Patel S, Ansari MA, Shukla VK. Utility of Real-Time Online Teaching During COVID Era Among Surgery Postgraduates. Indian J Surg. 2020;82: 762-8. doi:10.1007/s12262-020-02592-2
Gomez E, Azadi J, Magid D. Innovation Born in Isolation: Rapid Transformation of an In-Person Medical Student Radiology Elective to a Remote Learning Experience During the COVID-19 Pandemic. Acad Radiol. 2020;27(9):1285-90. doi: 10.1016/j.acra.2020.06.001
Naidoo N, Akhras A, Banerjee Y. Confronting the Challenges of Anatomy Education in a Competency-Based Medical Curriculum During Normal and Unprecedented Times (COVID- 19 Pandemic): Pedagogical Framework Development and Implementation. JMIR Med Educ. 2020;6(2):e21701. doi:10.2196/21701
Martinelli SM, Chen F, Isaak RS, Huffmyer JL, Neves SE, Mitchell JD. Educating Anesthesiologists During the COVID-19 Pandemic and Beyond. Anesth Analg. 2020. doi:10.1213/ANE.0000000000005333
Pather N, Blyth P, Chapman JA, Dayal MR, Flack NAMS, Fogg QA, et al. Forced Disruption of Anatomy Education in Australia and New Zealand: An Acute Response to the Covid-19 Pandemic. Anat Sci Educ. 2020;13(3):284-300. doi:10.1002/ase.1968
Paesano N, Santomil F, Tobia I. Impact of COVID-19 Pandemic on Ibero-American Urology Residents: Perspective of American Confederation of Urology (CAU). Int Braz J Urol. 2020;46(suppl. 1):165-69. doi: 10.1590/S1677-5538.IBJU.2020.S120
Plancher KD, Shanmugam JP, Petterson SC. The Changing Face of Orthopaedic Education: Searching for the New Reality After COVID-19. Arthrosc Sports Med Rehabil. 2020; 2(4):e295-e298. doi: 10.1016/j.asmr.2020.04.007
Sidpra J, Gaier C, Reddy N, Kumar N, Mirsky D, Mankad K. Sustaining education in the age of COVID-19: a survey of synchronous web-based platforms. Quant Imaging Med Surg. 2020;10(7):1422-7. doi:10.21037/qims-20-714
Gaur U, Majumder MAA, Sa B, Sarkar S, Williams A, Singh K. Challenges and Opportunities of Preclinical Medical Education: COVID-19 Crisis and Beyond [published online ahead of print, 2020 Sep 22]. SN Compr Clin Med. 2020;1-6. doi:10.1007/s42399-020-00528-1
Smigelski M, Movassaghi M, Small A. Urology Virtual Education Programs During the COVID-19 Pandemic. Curr Urol Rep. 2020;21(12):50. doi:10.1007/s11934-020-01004-y
Sierra-Fernández CR, López-Meneses M, Azar-Manzur F, Trevethan-Cravioto S. Medical Education during the health contingency by COVID-19: Lessons for the future. Arch Cardiol Mex. 2020;90(Supl):50-5. doi:10.24875/ACM. M20000073
Chertoff JD, Zarzour JG, Morgan DE, Lewis PJ, Canon CL, Harvey JA. The Early Influence and Effects of the Coronavirus Disease 2019 (COVID-19) Pandemic on Resident Education and Adaptations. J Am Coll Radiol. 2020;17(10):1322-8. doi: 10.1016/j.jacr.2020.07.022
Conroy ML, Garcia-Pittman EC, Ali H, Lehmann SW, Yarns BC. The COVID-19 AAGP Online Trainee Curriculum: Development and Method of Initial Evaluation. Am J Geriatr Psychiatry. 2020;28(9):1004-8. doi: 10.1016/j.jagp.2020.06.003
Mishra K, Boland MV, Woreta FA. Incorporating a virtual curriculum into ophthalmology education in the coronavirus disease-2019 era. Curr Opin Ophthalmol. 2020;31(5):380- 5. doi:10.1097/ICU.0000000000000681
De Ponti R, Marazzato J, Maresca AM, Rovera F, Carcano G, Ferrario MM. Pre-graduation medical training including virtual reality during COVID-19 pandemic: a report on students’ perception. BMC Med Educ. 2020;20(1):332. doi:10.1186/s12909-020-02245-8
Kohan L, Durbhakula S, Zaidi M, Phillips CCR, Rowan CC, Brenner GJ, et al. Changes in Pain Medicine Training Programs Associated with COVID-19: Survey Results. Anesth Analg. 2020. doi:10.1213/ANE.0000000000005314
Garg M, Eniasivam A, Satterfield J, Norton B, Austin E, Dohan D. Rapid transition of a preclinical health systems science and social justice course to remote learning in the time of coronavirus. Med Educ Online. 2020;25(1):1812225. doi:10.1080/10872981.2020.1812225
Lieberman JA, Nester T, Emrich B, Staley EM, Bourassa LA, Tsang HC. Coping With COVID-19. Am J Clin Pathol. 2021;155(1):79-86. doi:10.1093/ajcp/aqaa152
Durfee SM, Goldenson RP, Gill RR, Rincon SP, Flower E, Avery LL. Medical Student Education Roadblock Due to COV- ID-19: Virtual Radiology Core Clerkship to the Rescue. Acad Radiol. 2020;27(10):1461-6. doi: 10.1016/j.acra.2020.07.020
Kanneganti A, Lim KMX, Chan GMF, Choo S-N, Choolani M, Ismail-Pratt I, et al. Pedagogy in a pandemic - COVID- 19 and virtual continuing medical education (vCME) in obstetrics and gynecology. Acta Obstet Gynecol Scand. 2020;99(6):692-5. doi:10.1111/aogs.13885
Ashokka B, Ong SY, Tay KH, Loh NHW, Gee CF, Samarasekera DD. Coordinated responses of academic medical centres to pandemics: Sustaining medical education during COVID-19. Med Teach. 2020;42(7):762-71. doi:10.1080/0142 159X.2020.1757634
Camargo CP, Tempski PZ, Busnardo FF, Martins M de A, Gemperli R. Online learning, and COVID-19: a meta-synthesis analysis. Clinics. 2020;75:e2286. http://dx.doi.org/10.6061/ clinics/2020/e2286
Shehata MH, Abouzeid E, Wasfy NF, Abdelaziz A, Wells RL, Ahmed SA. Medical Education Adaptations Post COVID-19: An Egyptian Reflection. J Med Educ Curric Dev. 2020;7:1-9. doi:10.1177/2382120520951819
Saiyad S, Virk A, Mahajan R, Singh T. Online Teaching in Medical Training: Establishing Good Online Teaching Practices from Cumulative Experience. Int J Appl Basic Med Res. 2020;10(3):149-55. doi:10.4103/ijabmr.IJABMR_358_20
Alkhowailed MS, Rasheed Z, Shariq A, Elzainy A, El Sadik A, Alkhamiss A, et al. Digitalization plan in medical education during COVID-19 lockdown. Inform Med Unlocked. 2020;20:100432. doi:10.1016/j.imu.2020.100432
Rafi AM, Varghese PR, Kuttichira P. The Pedagogical Shift During COVID 19 Pandemic: Online Medical Education, Barriers and Perceptions in Central Kerala. J Med Educ Curric Dev. 2020;7:1-4. doi:10.1177/2382120520951795
McRoy C, Patel L, Gaddam DS, Rothenberg S, Herring A, Hamm J, et al. Radiology Education in the Time of COVID- 19: A Novel Distance Learning Workstation Experience for Residents. Acad Radiol. 2020;27(10):1467-74. doi:10.1016/j. acra.2020.08.001
Wang C, Xie A, Wang W, Wu H. Association between medical students’ prior experiences and perceptions of formal online education developed in response to COVID-19: a crosssectional study in China. BMJ Open. 2020;10(10):e041886. doi:10.1136/bmjopen-2020-041886
Mukhopadhyay S, Booth AL, Calkins SM, Doxtader EE, Fine SW, Gardner JM, et al. Leveraging Technology for Remote Learning in the Era of COVID-19 and Social Distancing. Arch Pathol Lab Med. 2020;144(9):1027-36. doi:10.5858/ arpa.2020-0201-ED
Lima KR, das Neves B-HS, Ramires CC, dos Santos Soares M, Martini VÁ, Lopes LF, et al. Student assessment of online tools to foster engagement during the COVID-19 quarantine. Adv Physiol Educ. 2020;44(4):679-83. doi:10.1152/ advan.00131.2020
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open. 2020; 10(11):e042378. doi:10.1136/bmjopen-2020-042378
Azlan CA, Wong JHD, Tan LK, A D Huri MSN, Ung NM, Pallath V, et al. Teaching and learning of postgraduate medical physics using Internet-based e-learning during the COVID- 19 pandemic - A case study from Malaysia. Phys Med. 2020;80:10-6. doi:10.1016/j.ejmp.2020.10.002
Domen CH, Collins RL, Davis JJ. The APPCN multisite didactic initiative: Development, benefits, and challenges. Clin Neuropsychol. 2020;35(1):115-32. doi:10.1080/13854046.2020.1785013
Shelgikar AV. Optimizing virtual and distance learning during an emergency and beyond. J Clin Sleep Med. 2020;16(11): 1929-32. doi:10.5664/jcsm.8728
Looi JC, Bonner D, Maguire P, Finlay A, Keightley P, Parige R, et al. Flattening the curve of COVID-19 for medical education in psychiatry and addiction medicine. Australas Psychiatry. 2021;29(1):31-4. doi:10.1177/1039856220946647
Nepal S, Atreya A, Menezes RG, Joshi RR. Students’ Perspective on Online Medical Education Amidst the COVID-19 Pandemic in Nepal. J Nepal Health Res Counc. 2020;18(3) :551-5. doi:10.33314/jnhrc.v18i3.2851
Remtulla R. The Present and Future Applications of Technology in Adapting Medical Education Amidst the COVID-19 Pandemic. JMIR Med Educ. 2020;6(2):e20190. doi:10.2196/20190
Vollbrecht PJ, Porter-Stransky KA, Lackey-Cornelison WL. Lessons learned while creating an effective emergency remote learning environment for students during the COVID-19 pandemic. Adv Physiol Educ. 2020;44(4):722-5. doi:10.1152/ advan.00140.2020
Zingaretti N, Contessi Negrini F, Tel A, Tresoldi MM, Bresadola V, Parodi PC. The Impact of COVID-19 on Plastic Surgery Residency Training. Aesthetic Plast Surg. 2020;44(4): 1381-5. doi:10.1007/s00266-020-01789-w
Kivlehan E, Chaviano K, Fetsko L, Javaid S, Chandan P, Rojas A-M, et al. COVID-19 pandemic: Early effects on pediatric rehabilitation medicine training. J Pediatr Rehabil Med. 2020;13(3):289-99. doi:10.3233/PRM-200765
Mohan AT, Vyas KS, Asaad M, Khajuria A. Plastic Surgery Lockdown Learning during Coronavirus Disease 2019: Are Adaptations in Education Here to Stay? Plast Reconstr Surg Glob Open. 2020;8(7):e3064. doi:10.1097/GOX.0000000000003064
Wendt S, Abdullah Z, Barrett S, Daruwalla C, Go JA, Le B, et al. A virtual COVID-19 ophthalmology rotation [publicado en línea, 2020 Oct 12]. Surv Ophthalmol. 2020;S0039- 6257(20)30139-9. doi:10.1016/j.survophthal.2020.10.001
Gulati RR, Reid H, Gill M. Instagram for peer teaching: opportunity and challenge. Educ Prim Care. 2020;31(6):382-4. doi:10.1080/14739879.2020.1811163
Longhurst GJ, Stone DM, Dulohery K, Scully D, Campbell T, Smith CF. Strength, Weakness, Opportunity, Threat (SWOT) Analysis of the Adaptations to Anatomical Education in the United Kingdom and Republic of Ireland in Response to the Covid-19 Pandemic. Anat Sci Educ. 2020;13(3):301-11. doi:10.1002/ase.1967
Laloo R, Giorga A, Williams A, Biyani CS, Yiasemidou M. Virtual surgical education for core surgical trainees in the Yorkshire deanery during the COVID-19 pandemic. Scott Med J. 2020;65(4):138-43. doi:10.1177/0036933020951927
Hau HM, Weitz J, Bork U. Impact of the COVID-19 Pandemic on Student and Resident Teaching and Training in Surgical Oncology. J Clin Med. 2020;9(11):3431. doi:10.3390/ jcm9113431
Goyal H, Gajendran M, Boregowda U, Perisetti A, Aziz M, Bansal P, et al. Current and future implications of COVID-19 on gastroenterology training and clinical practice. Int J Clin Pract. 2020;74(12):e13717. doi:10.1111/ijcp.13717
García Vazquez A, Verde JM, Dal Mas F, Palermo M, Cobianchi L, Marescaux J, et al. Image-Guided Surgical e-Learning in the Post-COVID-19 Pandemic Era: What Is Next? J Laparoendosc Adv Surg Tech A. 2020;30(9):993-7. doi:10.1089/ lap.2020.0535
Teele SA, Sindelar A, Brown D, Kane DA, Thatte N, Williams RJ, et al. Online Education In A Hurry: Delivering Pediatric Graduate Medical Education During COVID-19 [publicado en línea, 2020 Nov 4]. Prog Pediatr Cardiol. 2020;101320. doi:10.1016/j.ppedcard.2020.101320
Shin TH, Klingler M, Han A, Mocsiran JL, Vilchez V, Naples R, et al. Efficacy of Virtual Case-Based General Surgery Clerkship Curriculum During COVID-19 Distancing. Med Sci Educ. 2020;1-8. doi:10.1007/s40670-020-01126-5
Steehler AJ, Pettitt-Schieber B, Studer MB, Mahendran G, Pettitt BJ, Henriquez OA. Implementation and Evaluation of a Virtual Elective in Otolaryngology in the Time of COVID-19 [published online ahead of print, 2020 Aug 11]. Otolaryngol Head Neck Surg. 2020;1-6. doi:10.1177/0194599820951150
Yaqinuddin A, Kashir J, AlKattan W, AlKattan K. Applying integrated video assisted learning approaches for medical clerkship - potential adaptations in the post-COVID-19 era. J Med Educ Curric Dev. 2020;7:1-6. doi:10.1177/2382120520963043
Megaloikonomos PD, Thaler M, Igoumenou VG, Bonanzinga T, Ostojic M, Couto AF, et al. Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe. Int Orthop. 2020;44(9):1611-9. doi:10.1007/s00264- 020-04742-3
Subash M, Sakumoto M, Bass J, Hong P, Muniyappa A, Pierce L, et al. The emerging role of clinical informatics fellows in service learning during the COVID-19 pandemic [publicado en línea, 2020 Nov 4]. J Am Med Inform Assoc. 2020. doi:10.1093/jamia/ocaa241
Matalon SA, Souza DAT, Gaviola GC, Silverman SG, Mayo- Smith WW, Lee LK. Trainee and Attending Perspectives on Remote Radiology Readouts in the Era of the COVID-19 Pandemic. Acad Radiol. 2020;27(8):1147-53. doi:10.1016/j. acra.2020.05.019
Mallon D, Pohl JF, Phatak UP, Fernandes M, Rosen JM, Lusman SS, et al. Impact of COVID-19 on Pediatric Gastroenterology Fellow Training in North America. J Pediatr Gastroenterol Nutr. 2020;71(1):6-11. doi:10.1097/MPG.0000000000002768
Zhang AS, Myers M, Kee CJ, McClary KN, Barton RS, Massey PA. Adapting Orthopaedic Surgery Training Programs During the COVID-19 Pandemic and Future Directions. Arthrosc Sports Med Rehabil. 2020;2(5):e683-e696. doi:10.1016/j.asmr.2020.06.008
White EM, Shaughnessy MP, Esposito AC, Slade MD, Korah M, Yoo PS. Surgical Education in the Time of COVID: Understanding the Early Response of Surgical Training Programs to the Novel Coronavirus Pandemic. J Surg Educ. 2020; S1931-7204(20)30270-1. doi:10.1016/j.jsurg.2020.07.036
Pennell CE, Kluckow H, Chen SQ, Wisely KM, Walker BL. Live-streamed ward rounds: a tool for clinical teaching during the COVID-19 pandemic. Med J Aust. 2020;213(7):306-8. e1. doi:10.5694/mja2.50765
Sahi PK, Mishra D, Singh T. Medical Education Amid the COVID-19 Pandemic. Indian Pediatr. 2020;57(7):652-57. doi:10.1007/s13312-020-1894-7
Katirji L, Smith L, Pelletier-Bui A, Hillman E, Zhang XC, Pasirstein M, et al. Addressing Challenges in Obtaining Emergency Medicine Away Rotations and Standardized Letters of Evaluation Due to COVID-19 Pandemic. West J Emerg Med. 2020;21(3):538-41. doi:10.5811/westjem.2020.3.47444
Warnica W, Moody A, Probyn L, Bartlett E, Singh N, Pakkal M. Lessons Learned From the Effects of COVID-19 on the Training and Education Workflow of Radiology Residents- A Time for Reflection: Perspectives of Residency Program Directors and Residents in Canada [publicado en línea, 2020 Oct 13]. Can Assoc Radiol J. 2020;846537120963649. doi:10.1177/0846537120963649
Weissman G, Arrighi JA, Botkin NF, Damp JB, Keating FK, Menon V, et al. The Impact of COVID-19 on Cardiovascular Training Programs: Challenges, Responsibilities, and Opportunities. J Am Coll Cardiol. 2020;76(7):867-70. doi:10.1016/j.jacc.2020.06.026
Sneyd JR, Mathoulin SE, O’Sullivan EP, So VC, Roberts FR, Paul AA, et al. Impact of the COVID-19 pandemic on anaesthesia trainees and their training. Br J Anaesth. 2020;125(4): 450-5. doi:10.1016/j.bja.2020.07.011
Juprasert JMMMS, Gray KD, Moore MD, Obeid L, Peters AW, Fehling D, et al. Restructuring of a General Surgery Residency Program in an Epicenter of the Coronavirus Disease 2019 Pandemic: Lessons From New York City. JAMA Surg. 2020;155(9):870-5. doi:10.1001/jamasurg.2020.3107
Rajan S, Bebawy J, Avitsian R, Lee CZ, Rath G, Luoma A, et al. The Impact of the Global SARS-CoV-2 (COVID-19) Pandemic on Neuroanesthesiology Fellowship Programs Worldwide and the Potential Future Role for ICPNT Accreditation. J Neurosurg Anesthesiol. 2020;82-6. doi: 10.1097/ ANA.0000000000000738. PMID: 33075035.
Sabharwal S, Ficke JR, LaPorte DM. How We Do It: Modified Residency Programming and Adoption of Remote Didactic Curriculum During the COVID-19 Pandemic. J Surg Educ. 2020;77(5):1033-6. doi:10.1016/j.jsurg.2020.05.026
Kanneganti A, Sia CH, Ashokka B, Ooi SBS. Continuing medical education during a pandemic: an academic institution’s experience. Postgrad Med J. 2020;96(1137):384-6. doi:10.1136/postgradmedj-2020-137840
Lewis CT, Zeineddine HA, Esquenazi Y. Challenges of Neurosurgery Education During the Coronavirus Disease 2019 (COVID-19) Pandemic: A U.S. Perspective. World Neurosurg. 2020;138:545-7. doi:10.1016/j.wneu.2020.04.179
Khan KS, Keay R, McLellan M, Mahmud S. Impact of the COVID-19 pandemic on core surgical training. Scott Med J. 2020;65(4):133-7. doi:10.1177/0036933020949217
Schwartz AM, Wilson JM, Boden SD, Moore TJ Jr, Bradbury TL Jr, Fletcher ND. Managing Resident Workforce and Education During the COVID-19 Pandemic: Evolving Strategies and Lessons Learned. JB JS Open Access. 2020;5(2):e0045. doi:10.2106/JBJS.OA.20.00045
Westerman ME, Tabakin AL, Sexton WJ, Chapin BF, Singer EA. Impact of CoVID-19 on resident and fellow education: Current guidance and future opportunities for urologic oncology training programs [publicado en línea, 2020 Sep 30]. Urol Oncol. 2020;S1078-1439(20)30462-2. doi:10.1016/j. urolonc.2020.09.028
Pokrajac N, Schertzer K, Poffenberger CM, Alvarez A, Marin-Nevarez P, Winstead-Derlega C, et al. Mastery Learning Ensures Correct Personal Protective Equipment Use in Simulated Clinical Encounters of COVID-19. West J Emerg Med. 2020;21(5):1089-94. doi:10.5811/westjem.2020.6.48132
Monroig-Bosque PDC, Hsu JW, Lin MS, Shehabeldin AN, Rogers JT, Kim CF, et al. Pathology Trainee Redeployment and Education During the COVID-19 Pandemic: An Institutional Experience. Acad Pathol. 2020;7:2374289520953548. doi:10.1177/2374289520953548
Thakur A, Soklaridis S, Crawford A, Mulsant B, Sockalingam S. Using Rapid Design Thinking to Overcome COVID-19 Challenges in Medical Education. Acad Med. 2021;96(1):56- 61. doi:10.1097/ACM.0000000000003718
Munjal T, Kavanagh KR, Ezzibdeh RM, Valdez TA. The impact of COVID-19 on global disparities in surgical training in pediatric otolaryngology. Int J Pediatr Otorhinolaryngol. 2020;138:110267. doi:10.1016/j.ijporl.2020.110267
Soosaipillai G, Archer S, Ashrafian H, Darzi A. Breaking Bad News Training in the COVID-19 Era and Beyond. J Med Educ Curric Dev. 2020;7:2382120520938706. doi:10.1177/2382120520938706
Kim SM, Park SG, Jee YK, Song IH. Perception and attitudes of medical students on clinical clerkship in the era of the Coronavirus Disease 2019 pandemic. Med Educ Online. 2020;25(1):1809929. doi:10.1080/10872981.2020.1809929
Rolak S, Keefe AM, Davidson EL, Aryal P, Parajuli S. Impacts, and challenges of United States medical students during the COVID-19 pandemic. World J Clin Cases. 2020;8(15):3136- 41. doi:10.12998/wjcc.v8.i15.3136
Deepika V, Soundariya K, Karthikeyan K, Kalaiselvan G. ‘Learning from home’: role of e-learning methodologies and tools during novel coronavirus pandemic outbreak [publicado en línea, 2020 Nov 5]. Postgrad Med J. 2020;1-8. doi:10.1136/ postgradmedj-2020-137989
Suneja S, Gangopadhyay S, Kaur C. Efforts to cope with CBME in COVID-19 era to teach biochemistry in medical college. Biochem Mol Biol Educ. 2020;48(6):670-4. doi:10.1002/bmb.21469
Singal A, Bansal A, Chaudhary P, Singh H, Patra A. Anatomy education of medical and dental students during COVID- 19 pandemic: a reality check. Surg Radiol Anat. 2020;1-7. doi:10.1007/s00276-020-02615-3
Pitt MB, Li ST, Klein M. Novel Educational Responses to COVID- 19: What is Here to Stay?. Acad Pediatr. 2020;20(6):733- 4. doi:10.1016/j.acap.2020.06.002
Fuller R, Joynes V, Cooper J, Boursicot K, Roberts T. Could COVID-19 be our ‘There is no alternative’ (TINA) opportunity to enhance assessment?. Med Teach. 2020;42(7):781-6. doi:10.1080/0142159X.2020.1779206
Khan RA, Jawaid M. Technology Enhanced Assessment (TEA) in COVID 19 Pandemic. Pak J Med Sci. 2020;36(COVID19- S4):S108-S110. doi:10.12669/pjms.36.COVID19-S4.2795
Nagji A, Yilmaz Y, Zhang P, Dida J, Cook-Chaimowitz L, Dong JK, et al. Converting to Connect: A Rapid RE-AIM Evaluation of the Digital Conversion of a Clerkship Curriculum in the Age of COVID-19. AEM Educ Train. 2020;4(4): 330-9. doi:10.1002/aet2.10498
Cleland J, Chu J, Lim S, Low J, Low-Beer N, Kwek TK. COVID 19: Designing and conducting an online mini-multiple interview (MMI) in a dynamic landscape. Med Teach. 2020;42(7):776-80. doi:10.1080/0142159X.2020.1762851
Hopwood J, Myers G, Sturrock A. Twelve tips for conducting a virtual OSCE [publicado en línea, 2020 Oct 20]. Med Teach. 2020;1-4. doi:10.1080/0142159X.2020.1830961
Lawrence K, Hanley K, Adams J, Sartori DJ, Greene R, Zabar S. Building Telemedicine Capacity for Trainees During the Novel Coronavirus Outbreak: a Case Study and Lessons Learned. J Gen Intern Med. 2020;35(9):2675-9. doi:10.1007/ s11606-020-05979-9
Cho DY, Yu JL, Um GT, Beck CM, Vedder NB, Friedrich JB. The Early Effects of COVID-19 on Plastic Surgery Residency Training: The University of Washington Experience. Plast Reconstr Surg. 2020;146(2):447-54. doi:10.1097/ PRS.0000000000007072
Richardson MA, Islam W, Magruder M. The Evolving Impact of COVID-19 on Medical Student Orthopedic Education: Perspectives From Medical Students in Different Phases of the Curriculum. Geriatr Orthop Surg Rehabil. 2020;11:2151459320951721. doi:10.1177/2151459320951721
Thum DiCesare JA, Segar DJ, Donoho D, Radwanski R, Zada G, Yang I. Democratizing Access to Neurosurgical Medical Education: National Efforts in a Medical Student Training Camp During Coronavirus Disease 2019. World Neurosurg. 2020;144:e237-e243. doi:10.1016/j.wneu.2020.08.100
Kan JYL, Zhu L, Fong NJM, Ruan X, Ong AML, Lee G, et al. Conducting of Web-Based Workshops for Final Year Medical Students Preparing to Enter the Workforce During the COVID-19 Pandemic. Med Sci Educ. 2020;1-5. doi:10.1007/ s40670-020-01125-6
Pepper MS, Burton SG. Research in COVID-19 times: The way forward. S Afr Med J. 2020;110(8):756-8. http://dx.doi. org/10.7196/SAMJ.2020.v110i8.15053
Kohan L, Sobey C, Wahezi S, Brancolini S, Przkora R, Shaparin N, et al. Maintaining High-Quality Multidisciplinary Pain Medicine Fellowship Programs: Part II: Innovations in Clinical Care Workflow, Clinical Supervision, Job Satisfaction, and Postgraduation Mentorship for Pain Fellows During the COVID-19 Pandemic. Pain Med. 2020;21(8):1718-28. doi:10.1093/pm/pnaa176
Virarkar M, Jensen C, Javadi S, Saleh M, Bhosale PR. Radiology Education Amid COVID-19 Pandemic and Possible Solutions. J Comput Assist Tomogr. 2020;44(4):472-8. doi:10.1097/RCT.0000000000001061
Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID- 19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020;35:38-42. doi:10.1016/j. prrv.2020.06.009
Turner S, Pham T, Robledo K, Turner S, Brown C, Sundaresan P. Rapid Adaptation of Cancer Education in Response to the COVID-19 Pandemic: Evaluation of a Live Virtual Statistics and Research Skills Workshop for Oncology Trainees. J Cancer Educ. 2020;1-6. doi:10.1007/s13187-020-01898-9
Abbas M, Dhane M, Beniey M, Meloche-Dumas L, Eissa M, Guérard-Poirier N, et al. Repercussions of the COVID-19 pandemic on the well-being and training of medical clerks: a pan-Canadian survey. BMC Med Educ. 2020;20(1):385. doi:10.1186/s12909-020-02293-0
Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al. Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020; 15(11):e0242905. doi:10.1371/journal.pone.0242905
Singhi EK, Dupuis MM, Ross JA, Rieber AG, Bhadkamkar NA. Medical Hematology/Oncology Fellows’ Perceptions of Online Medical Education During the COVID-19 Pandemic. J Cancer Educ. 2020;35(5):1034-40. doi:10.1007/s13187-020- 01863-6
Elsalem L, Al-Azzam N, Jum’ah AA, Obeidat N, Sindiani AM, Kheirallah KA. Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences. Ann Med Surg (Lond). 2020;60:271-9. doi:10.1016/j.amsu.2020.10.058
Rajab MH, Gazal AM, Alkattan K. Challenges to Online Medical Education During the COVID-19 Pandemic. Cureus. 2020;12(7):e8966. doi:10.7759/cureus.8966
Guidotti Breting LM, Towns SJ, Butts AM, Brett BL, Leaffer EB, Whiteside DM. 2020 COVID-19 American Academy of Clinical Neuropsychology (AACN) Student Affairs Committee survey of neuropsychology trainees. Clin Neuropsychol. 2020;34(7-8):1284-313. doi:10.1080/13854046.2020.1809712
Aziz H, James T, Remulla D, Sher L, Genyk Y, Sullivan ME, et al. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ. 2020;S1931-7204(20)30271-3. doi:10.1016/j. jsurg.2020.07.037
Khoo T, Warren N, Jenkins A, Turner J. Teaching medical students remotely during a pandemic - what can psychiatry offer?. Australas Psychiatry. 2020;1039856220971931. doi:10.1177/1039856220971931
UNESCO. Education in a post-COVID world: Nine ideas for public action. Paris: International Commission on the Futures of Education; 2020. Disponible en: https://unesdoc. unesco.org/ark:/48223/pf0000373717/PDF/373717eng.pdf. multi
Chatterjee I, Chakraborty P. Use of Information Communication Technology by Medical Educators Amid COVID-19 Pandemic and Beyond. J Educ Technol Syst. 2020;0(0):1-15. doi:10.1177/0047239520966996
Mukhtar K, Javed K, Arooj M, Sethi A. Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era. Pak J Med Sci. 2020;36(COVID19- S4):S27-S31. doi:10.12669/pjms.36.COVID19-S4.2785
Khalil R, Mansour AE, Fadda WA, Almisnid K, Aldamegh M, Al-Nafeesah A, et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ. 2020;20(1):285. doi:10.1186/ s12909-020-02208-z
Sindiani AM, Obeidat N, Alshdaifat E, Elsalem L, Alwani MM, Rawashdeh H, et al. Distance education during the COVID-19 outbreak: A cross-sectional study among medical students in North of Jordan. Ann Med Surg (Lond). 2020; 59:186-94. doi: 10.1016/j.amsu.2020.09.036
Sindiani AM, Obeidat N, Alshdaifat E, Elsalem L, Alwani MM, Rawashdeh H, et al. Digital regenerative medicine, and surgery pedagogy for virtual learning in the time of COVID-19. Regen Med. 2020;15(8):1937-41. doi:10.2217/ rme-2020-0106
Senapati A, Khan N, Chebrolu LB. Impact of Social Media and Virtual Learning on Cardiology During the COVID-19 Pandemic Era and Beyond. Methodist Debakey Cardiovasc J. 2020;16(3):e1-e7. doi:10.14797/mdcj-16-3-e1
Keller DS, Grossman RC, Winter DC. Choosing the new normal for surgical education using alternative platforms. Surgery (Oxf). 2020;38(10):617-22. doi:10.1016/j.mpsur.2020.07.017
Cheng X, Chan LK, Pan SQ, Cai H, Li YQ, Yang X. Gross Anatomy Education in China during the Covid-19 Pandemic: A National Survey. Anat Sci Educ. 2021;14(1):8-18. doi:10.1002/ase.2036
Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;20(1):206. doi:10.1186/ s12909-020-02117-1
Loda T, Löffler T, Erschens R, Zipfel S, Herrmann-Werner A. Medical education in times of COVID-19: German students’ expectations - A cross-sectional study. PLoS One. 2020;15(11):e0241660. doi:10.1371/journal.pone.0241660
Newcomb AB, Duval M, Bachman SL, Mohess D, Dort J, Kapadia MR. Building Rapport and Earning the Surgical Patient’s Trust in the Era of Social Distancing: Teaching Patient-Centered Communication During Video Conference Encounters to Medical Students. J Surg Educ. 2021;78(1):336- 41. doi:10.1016/j.jsurg.2020.06.018
Recht MP, Fefferman NR, Bittman ME, Dane B, Fritz J, Hoffmann JC, et al. Preserving Radiology Resident Education During the COVID-19 Pandemic: The Simulated Daily Readout. Acad Radiol. 2020;27(8):1154-61. doi:10.1016/j. acra.2020.05.021
Wlodarczyk JR, Alicuben ET, Hawley L, Sullivan M, Ault GT, Inaba K. Development, and emergency implementation of an online surgical education curriculum for a General Surgery program during a global pandemic: The University of Southern California experience. Am J Surg. 2020; S0002- 9610(20)30537-7. doi: 10.1016/j.amjsurg.2020.08.045