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Table of Contents
LETTER TO EDITOR
Year : 2020  |  Volume : 7  |  Issue : 3  |  Page : 156-157

Medical edification curated for COVID-19


1 Department of Anaesthesiology and Critical Care, Level III Indian Field Hospital, Goma, Democratic Republic of the Congo
2 Department of Psychiatry, Level III Indian Field Hospital, Goma, Democratic Republic of the Congo
3 Department of Anaesthesiology and Critical Care, AFMC, Pune, Maharashtra, India

Date of Submission28-Jun-2020
Date of Acceptance01-Jul-2020
Date of Web Publication26-Aug-2020

Correspondence Address:
Dr. Shibu Sasidharan
Department of Anaesthesiology and Critical Care, Level III IFH Hospital, GOMA
Democratic Republic of the Congo
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iahs.iahs_69_20

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How to cite this article:
Sasidharan S, Dhillon HS, Singh S. Medical edification curated for COVID-19. Int Arch Health Sci 2020;7:156-7

How to cite this URL:
Sasidharan S, Dhillon HS, Singh S. Medical edification curated for COVID-19. Int Arch Health Sci [serial online] 2020 [cited 2020 Sep 26];7:156-7. Available from: http://www.iahs.kaums.ac.ir/text.asp?2020/7/3/156/293498



Dear Editor,

Medical teaching comprises giving a student a collaborative experience of the art and skill of the practice of medicine. As doctors, we know that this is acquired through authentic patient experiences. For the same, a clinical teacher uses clinical lectures, simulations, laboratory sessions, small group interactions, cadaver dissection, etc., to create a complete clinical immersion experience.

COVID-19 pandemic is a fractious time for medical education. Many natural disasters, attacks and epidemics have challenged the delivery of education in the past, yet nothing compares to the level this potentially fatal pandemic has wrecked. While the need for medically trained doctors have never been so important globally, preparing doctors for the same have not been more challenging. World over, the practical and logistics trials are immense. While we fear that the medical students might acquire the infection from the patients or each other, we also fear the spread of the contagion through them as asymptomatic virus carriers.[1]

Clinical methods are best learnt by the bedside of real patients.[2] Over time, experience and maturity, the methods do evolve and change as new techniques and new concepts arise, but the start of this learning curve begins at the bedside, or in the clinic with an educator teaching you how the clinical examination is done, by example. However to flatten the curve, medical education is being imparted as virtual teaching in the form of recorded lectures, webinars, and live-streams. However, this unquestionably hampers the real-time feedback and “back-and forth” that develops in the class. While e-classes can teach the theory of medicine, it cannot replicate the practise of medicine. The skills of therapeutic touch required during examination and treatment, compassion, empathy, etc., cannot be taught using audio-visual modalities. Lack of social interaction barricades the growth of teamwork and communication skills, which will prepare the future doctors for effective, comprehensive patient care and multidisciplinary, inter-professional practice.

Other factors affecting teaching/classes are lack of COVID-19 testing facilities, decreased attendance of patients in outpatient departments, cancellation of elective surgical cases, and lack of personal protection equipments.

Learning in medicine is a conglomerate of acquiring knowledge, skill, and art of dealing with the patients. As we adapt ourselves to this “new – normal,” medical education has not been more unhinged. While the integration of technology is a critical and required part of medical education, it should not cause over-reliance on it and decrease our human skills like compassion and empathy.[3] The need of the hour is to think outside the box and set objective standards for the online format of classes. We need forward-thinking and scholarly approach to review the curriculum for future doctors and find solutions to have near-authentic patient experience.[4] While this is a time for both students and medical educators to help contribute to the advance of medical education and to formulate skills for the times ahead, this could also be the defining time in history while the new code of medical education is written.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
The Role of Medical Students during the COVID-19 Pandemic Annals of Internal Medicine. Available from: https://www.acpjournals.org/doi/10.7326/M20-1281. [Last accessed on 2020 Jun 18].  Back to cited text no. 1
    
2.
Drake WM, Hutchison R. Hutchison's Clinical Methods, An Integrated Approach to Clinical Practice With STUDENT CONSULT Online Access, 23: Hutchison's Clinical Methods. Elsevier Health Sciences; 2012.  Back to cited text no. 2
    
3.
Irby DM, Cooke M, O'Brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med 2010;85:220-7.  Back to cited text no. 3
    
4.




 

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