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Medical Education During COVID 19 Pandemic: A Trainees Experiences

Article Information

Hind ELZEIN MRCP1, Tarig MOHAMED MRCGP1, Ezeldin A A Ibrahim MRCP,  FRCP2, Abdalazeem IBRAHEM MRCP1

1Cardiothoracic Department, Freeman Hospital, Newcastle-Upon-Tyne, UK.

2Internal Medicine Department, Sharg Al Neel Hospital, Khartoum, Sudan.

*Corresponding author: Abdalazeem Ibrahem, Cardiothoracic Department, Freeman Hospital, Newcastle-Upon-Tyne, UK

Received: 28 April 2022; Accepted: 06 May 2022; Published: 11 July 2022

Citation: Abdalazeem Ibrahem, Tarig Mohamed, Hind Elzein. Medical Education During COVID 19 Pandemic: A Trainees Experiences. Archives of Clinical and Biomedical Research 6 (2022): 600-605.

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Keywords

Medical education; COVID 19; virtual education; social media event; online medical education

Medical education articles; COVID 19 articles; virtual education articles; social media event articles; online medical education articles

Article Details

Background

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has led to a significant disruption in global medical education, with a substantial shift from traditional education methods to virtual teaching. As a result, the entire medical society worldwide has had to adopt a steep learning curve to respond to widespread interruption to medical education and significantly reduce routine clinical work. In addition, it required an unprecedented amount of sharing of medical knowledge and collaborations around the world [1]. During the Covid -19 era, the online method has largely replaced conventional teaching styles. The disruption ranges in structure, delivery, and future of medical education. One of the challenges is that clinical training is more brutal to deliver online. The adoption to availability of advanced technology incorporated into everyday medical education has made medical education more achievable; however, the adaption of this technology requires full understanding to enable efficient and effective teaching methods; both educators and learners require paramount time to adapt this technique [2].  To meet climate change in medical education, we implemented an online teaching platform by a group of specialty trainees and consultants from different specialties who worked as one team. The team's main objective was to develop a robust teaching program, meet the challenges, and acknowledge the rapid change in delivering medical education during such a global crisis. Therefore, a teaching platform and networking have been established to help improve and address medical training, education, and patient care regionally and internationally during the COVID-19 crisis.

A total of five online webinar series (each spanning two days) and subsequent two webinars (table 1) under the theme of acute cardiovascular care have been conducted. The immense teaching activity commenced between March 2020 and January 2021, with national and international audiences. An extensive range of topics has been covered, and more than 50 virtual sessions have been delivered, with various specialties. The teaching program has attracted encouraging feedback from the learners.  The team went a step further to create a website and YouTube channel called Neogen Medical Education to sustain the education project. The YouTube channel now serves as the hosting platform for virtual webinars and conferences [7]. An extensive range of topics has been covered. Within various specialties (table1), case-based discussions are delivered by consultants and trainees from different specialties. The audience has been asked to respond to the post-event-feedback survey. The feedback analysis has reflected that the educational program is well-received by audiences and has met expectations. A specific page created on Neogen Medical Education website (Resource page) contains all PowerPoint slides to support learning and access to education and training on the COVID-19 outbreak. Resources include links to past COVID-19 Series webinars and recommended guidance for consultant doctors and specialty trainees.

Table 1: Medical Education during COVID 19 Crisis, Acute Cardiovascular Care and Internal Medicine

Acute cardiovascular care and internal medicine in COVID-19 era (ACIM Webinar Events /series)

Webinar

 Topic

 Specialty

Webinar 1

Acute Coronary Syndrome

Cardiology

Saturday 18th – Sunday 19th April 2020

Cardiac Arrhythmias.

Cardiology

Covid-91 related VTE.

Haematology

Clinical personation of COVID-19

Internal medicine – Virology

Ventilation Therapy.

Respiratory /ICU medicine

Acute heart failure in COVID patients.

Cardiology

Myocarditis and pericarditis in COVID -19 patients

Cardiology

Acute Coronary Syndrome

Cardiology

Webinar 2

STEMI Management in COVID patient:

Cardiology

 Sunday 2nd – Sunday 3rd April 2020

PCI Vs Thrombolysis therapy

Cardiology

Cardiac Arrest in COVID Patients.

Cardiology

Late presentation STEMI in OVID patients.

Cardiology

Critical Care Management of COVID-19

ICU medicine

Heart failure management in relation to COVID-19

Cardiology

Diagnostic imaging in COVID-19.

Radiology

Update on the diagnosis of Pulmonary embolism.

Respiratory

Management of Neutropenic sepsis in COVID -19 patients.

Internal/ acute medicine

STEMI Management in COVID patient

Cardiology

Webinar 3

Renal presentation of COVID

Nephrology

 Monday 25th - Tuesday 26th May 2020

Advance heart failure Management in COVID-19 era

Cardiology

Acute atrial fibrillation in COVID -19 era

Cardiology

Neurology presentation of COVID-19

Neurology

Immunology related COVID-19

Immunology

Convalescent plasma therapy in COVID-19

Haematology

Renal presentation of COVID

Nephrology

Advance heart failure Management in COVID-19 era

Cardiology

Acute atrial fibrillation in COVID -19 era

Cardiology

Neurology presentation of COVID-19

Neurology

Immunology related COVID-19

Immunology

Webinar 4

Respiratory presentation of COVID-19

Respiratory

Thursday 11th June & Saturday 13th June 2020

Critical care management of COVID-19

ICU medicine

Summary of the clinical trials and drug therapy during corvid era.

Research/clinical trials

Emergency assessment and management of COVID-19

Acute medicine

Resuscitation of COVID patients

ALS and ICU medicine

PONIT of care ultrasound (Pocus) in COVID-19.

Respiratory

Interesting case presentation: Atrial fibrillation

Cardiology

Interesting case presentation: Acute heart failure management.

Cardiology

Respiratory presentation of COVID-19

Respiratory

Critical care management of COVID-19

ICU medicine

Webinar 5

Haematology presentation (Thrombotic and anticoagulant therapy)

Haematology

Saturday 11th - Sunday 12th July 2020

Chronic Steroids Use in COVID Era

Respiratory

Advance management of atrial fibrillation in COVID era.

Cardiology

Case presentation (PE& pulmonary hypertension).

Respiratory

Endocrinology & Diabetes presentation (DKA& HONK)

Endocrinology/Diabetes

Acute cardiovascular Care Webinar Series 1

Webinar

Topic

Speciality

Webinar 6

Chronic coronary Syndrome guideline (ESC 2019).

Cardiology

Saturday 19th September 2020

How to implement Chronic Coronary Syndrome guideline (case presentation)

Cardiology

Update on Aortic Stenosis management.

Cardiology

A challenging Case presentation (Pericardial effusion).

Cardiology

Webinar 7

Updates on antithrombotic Therapy in ACS

Cardiology

Friday 22nd January 2021

How to implement guidelines case presentation base discussion

Cardiology

ESC 2020 guidelines – Diagnosis, assessment, risk stratification

Cardiology

ESC 2020 guidelines - Invasive vs non-invasive therapy

Cardiology

Acute Arrhythmias

Cardiology

Discussion

Using social media platforms to deliver medical education during a pandemic to overcome barriers in online training to reach healthcare providers, specifically those who had limited access to more conventional communication platforms, was valuable and beneficial while practicing social distance. The revolution in telemedicine during the COVID-19 epidemic may represent a transformation in medicine with the advancement of virtual teaching. The long-term impact of the covid 19 pandemics on medical learners' educational gaps is unknown, and a retrospective study might be required [3].

The Success of an online teaching experience depends on diligent organization, leadership, and excellent communication skills. In addition, meticulous design and the adoption of interactive methods play a significant role in boosting the educational impact, which would be reflected in the excellent feedback from learners [4]. During the pandemic, virtual teaching and webinars have been increasingly serving as a platform to initiate medical education change around the globe. It is evident that "principled decision-making, change leadership, and crisis communication were essential to the educational response to the pandemic" [5].

The transition from the routine educational program to online teaching has been a tremendous and fruitful experience, and the team learned a great deal about leadership in medical education. The main goal has been to help deliver high-quality teaching programs to support our colleagues and improve healthcare outcomes. In addition, sharing experiences, including knowledge implications, strategies, and impact and limitations in such pandemic crises to be available in the higher education literature database, would further consolidate evidence in the existing literature [6].

A particularly challenging aspect of education during the pandemic was technology adoption for online training, as it was a steep learning curve while hosting the webinars. The team rapidly learned how to host live webinars and quickly adapted to using the Zoom platform. Despite the disruption of the Covid pandemic, time management, balance between professional commitments like novel patient care, residency training requirement while voluntarily dedicating time and efforts to organizing and hosting online webinars. This aspect contributes to individual experiences and the development of leadership and time management skills. Telemedicine provided the opportunity to actively engage in discussions and debates on contemporary issues, particularly in the Covid-19 era, and all leitmotifs of current health education, leadership, and management practice in public service organizations, including partnerships. These formative lessons reflect by learners as supportive and influential to the medical community during the pandemic.

Conclusion

During the Covid crisis, the entire medical community has significantly affected. However, virtual teaching platforms played an excellent practical solution in replacing the old teaching methods. Tele-education during the covid-19 crisis facilitated and encouraged medical career progression and improved academic ability, provided an excellent opportunity to develop a rapid exchange of knowledge and professional values, and a range of general non-technical skills that would help to lead across professional boundaries. Efficient and effective virtual medical education requires multiple managerial skills, particularly leadership skills as a key role of success in delivering high-quality teaching sessions. This experience demonstrated that the virtual teaching platform was a great online teaching tool. The teaching sessions program was well-received by the learner, with significant appreciation from health workers working on the frontline in the UK and internationally.

References

  1. Yuen J, Xie F. Medical education during the COVID-19 pandemic: perspectives from UK trainees. Postgraduate Medical Journal 96 (2020): 432-433.
  2. Hilburg R, Patel N, Ambruso S, et al. Medical Education During the Coronavirus Disease-2019 Pandemic: Learning From a Distance. Adv Chronic Kidney Dis 27 (2020): 412-417.
  3. Dedeilia A, Sotiropoulos MG, Hanrahan JG, et al. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In Vivo 3 (2020):1603-1611.
  4. Chrysi Rapanta1, Luca Botturi, Peter: Goodyear, & Lourdes Guàrdia4 & Marguerite Koole, Switzerland AG. 202019,
  5. Lucey CR, Johnston SC. The Transformational Effects of COVID-19 on Medical Education. JAMA 324 (2020): 1033-1034.
  6. Kerryn Butler-Henderson et al. COVID-19 in Higher Education Literature Database (CHELD V1): An open-access systematic literature review database with coding rules. Journal of Applied Learning & Teaching 3 (2020).
  7. Neogen Medical Education England. https://www.neogenmedicaleducation.co.uk/

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