新冠肺炎疫情史無前例的影響美國,許多學校停課也包含醫學教育,大部分的醫學生隔離在家無法到校學習或到臨床實習;考量到新冠肺炎此疾病的高危險性和高傳染力及個人保護用品的短缺的情況下,於2020年3月17日醫學院已將見習醫師由醫院撤離,同時醫學院也實行一些相關配套措施,包括:將臨床課程改為線上教學,提供虛擬病患,調整學年時間,以及讓見習醫師參與遠距醫療(telemedicine)的情境;隨著新冠肺炎疫情對美國影響加劇,在可能面臨醫療人員短缺的情況下,見習醫師和醫學生可能需要參與部分的醫療照護,學校應迅速有彈性地做好及時處置來面對可能面臨的嚴峻情形;此次新冠肺炎的全球大流行,可能造成日後遠距醫療的發展,以及某種程度調整現行研究程序規範及臨床試驗的彈性,醫學教育應記錄這次因應新冠肺炎的全球大流行所做的改變,不僅對未來的醫學教育有所貢獻,也對臨床各科有啟發性的影響。

(財團法人國家衛生研究院 蔡慧如博士摘要整理)

These are unprecedented times. Although the necessary focus has been to care for patients and communities, the emergence of severe acute respiratory syndrome coronavirus 2 has disrupted medical education and requires intense and prompt attention from medical educators. The need to prepare future physicians has never been as focused as it is now in the setting of a global emergency. The profound effects of coronavirus disease 2019 (COVID-19) may forever change how future physicians are educated.

This pandemic presents practical and logistical challenges and concerns for patient safety, recognizing that students may potentially spread the virus when asymptomatic and may acquire the virus in the course of training. This Viewpoint discusses the current status of medical education, describes how COVID-19 may affect preclerkship and clerkship learning environments, and explores potential implications of COVID-19 for the future of medical education.

Author:Suzanne Rose  
原文連結:https://jamanetwork.com/journals/jama/fullarticle/2764138