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Backgrounds Surgery clerkship for medical students has been changed in response to clinical exposure limitation due to this pandemic. This study aim to evaluate knowledge and skill of students in surgery clerkship in covid 19 pandemics. Methods Cross-Sectional design comparing surgery clerkship before and during COVID-19.A total of 270 fourth and fifth-year medical students have enrolled in surgery clerkship from June 2019–October 2020 were selected for this study. Each student had completed education and training in the hospital for nine weeks in the rotation. Results There is no significant difference in MCQs scores before and during the pandemic. However, a significant difference was found in OSCE scores. Conclusions Combining virtual platforms and in-person clinical rotation is an effective surgery clerkship curriculum, particularly in pandemic covid 19. There are no different skill and knowledge results before and during the pandemic analyzed from MCQs and OSCE exam.

Highlights Spine is the most common extrapulmonary tuberculosis manifestation, with predilection in thoracal and lumbal. Cervical manifestation, although very rare, could elicit instability and neurological deficit. Single step surgery shows early strong stabilization, prevention of complication and reduction of using halo post-surgery.