Efficacy of Virtual Case-Based General Surgery Clerkship Curriculum During COVID-19 Distancing

Shin, Taehoon; Klingler, Michael; Han, Amy; Mocsiran, Jennifer L.; Vilchez, Valery; Naples, Robert; French, Judith C.; Lipman, Jeremy M.; Rosenblatt, Steven

doi:10.1007/s40670-020-01126-5

Cited by 24 publications

(27 citation statements)

References 21 publications

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“…Thereafter, data extraction of included studies was completed by two independent reviewers. Only the searched studies related to surgical training for medical students were analyzed [4][5][6][7][8][9][10][11][12][13][14][15][16]. The articles not specifically to online education Fig.…”

Section: Methodsmentioning

confidence: 99%

Perceptions of medical students towards and effectiveness of online surgical curriculum: a systematic review

Sun

2021

BMC Med Educ

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Background Online education has been used as an adjunct modality for teaching and it attracts attention in recent years as many medical students can not accomplish their clerkship in the hospital due to COVID-19 pandemic. This study aims to collect the articles related to online surgical education for medical students, and to analyze the effectiveness of online education and the perceptions of the medical students. Method We performed a systemic literature search in PubMed, MEDLINE, EMBASE, ERIC and Cochrane library. Keywords used for searching included “medical student”, “online education”, “online teaching”, “online learning”, “distance learning”, “electronic learning”, “virtual learning” and “surgical”. Medical education research study quality instrument (MERSQI) was used for the evaluation of the quality of the searched articles. Results From 1240 studies retrieved from the databases, 13 articles were included in this study after screening. The publication year was from 2007 to 2021. The mean MERSQI score of the 13 searched articles was 12.5 +/− 1.7 (range 10.0-14.5). There were totally 2023 medical students who attended online surgical curriculum. By online course, improvement of understanding and knowledge on the studied topics could be reached. The confidence in patient encounters could be improved by online curriculum with sharing experiences, discussing, and role playing. However, students felt concentration was poor during online course. Medical students studying through video platform could get better test scores than those studying with textbooks. Regarding basic surgical skills, online teaching of suturing and knot-tying could be possible and was appreciated by the students who could practice away from the hospital and get feedbacks by instructors through online environment. The scores for the clinical competence assessment for incision, suturing and knot-tying were found to be no significant difference between the online teaching group and face-to-face teaching group. Conclusion Online surgical curriculum for medical students is not easy but inevitable in the era of COVID-19 pandemic. Although online course is not the same as physical course, there are some efforts which could be tried to increase the effectiveness. Basic surgical skills could also be taught effectively through online platform. Even if the COVID-19 pandemic is over in the future, online curriculum could still be a helpful adjunct for surgical education.

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Section: Methodsmentioning

confidence: 99%

Perceptions of medical students towards and effectiveness of online surgical curriculum: a systematic review

Sun

2021

BMC Med Educ

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“…The virtual platform was effective in teaching surgical knowledge, similar to what was found in virtual surgery clerkships. 6 The interest in surgery did not change or differ between groups. Therefore, neither experience was superior to the other for the primary and secondary outcomes of this study.…”

Section: Discussionmentioning

confidence: 91%

“…Multiple strategies are available to enhance mentorship in the virtual setting, including allocating time for student and resident "hangouts" for questions and advice. 6 Incorporation of a mentorship focus in virtual-based surgical education should be a goal of these modalities and warrants further attention.…”

Section: Discussionmentioning

confidence: 99%

“…Virtual platforms seemed a far-fetched method to deliver quality surgical education, but have demonstrated successful performance measures in new virtual surgical clerkships, and even generated interest to pursue surgical careers. 6 The opportunities for preclinical students to participate in surgery remain limited. It is nonetheless critical to provide students with these opportunities.…”

Section: Introductionmentioning

confidence: 99%

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Is a Video Worth a Thousand Words? Educating Preclinical Medical Students on Sterile Scrubbing, Gowning, and Gloving Virtually and In-Person

Elver

Braasch²,

Byer

et al. 2021

kjm

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Introduction. Programs that offer early exposure to surgery for medical students foster interest in and positive perceptions of surgery. The COVID-19 pandemic led to suspension of these activities at our institution, the University of Kansas School of Medicine. In response to the lack of virtual alternatives, a pilot virtual surgery enrichment program was implemented for first-year students in place of in-person surgical exposure. The aim of this study was to compare the efficacy of in-person and virtual-based surgical education programs to expose preclinical medical students about the surgical realm of medicine. Methods.First-year medical students participated in either a virtual (Group A) or in-person (Group B) week-long surgical enrichment program. Group assignments were dictated by COVID restrictions on each of our three medical school campuses: Salina, Wichita, and Kansas City. Pre- and post-surveys with a 14-question multiple-choice assessment of surgical knowledge were distributed to participants. Paired Wilcoxon Signed Rank tests and Mann-Whitney-U tests were used for statistical analysis. Results. There were 14 participants in Group A and 7 participants in Group B. Both groups improved significantly from pre- to post-assessment score. (Group A, p = 0.01; Group B, p = 0.04). There was no difference between groups in the magnitude of score improvement from pre- to post-assessment (p = 0.59). Conclusion. This pilot program demonstrated that virtual platforms can be a method to provide meaningful clinical experiences in surgery to preclinical medical students restricted from clinical activities. Further development of mentorship in virtual surgical programs and assessment of subjective experience is needed.

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“…Whereas the student's clinical performance in surgery clerkship related to surgical knowledge, clinical competence, and reasoning [ 3 ]. Suspended rotation may implicate clinical competence, and a virtual platform may be an alternative to delivering surgery competence and experience [ 4 ]. Combining methods between virtual learning and surgical rotation with strict protocol may use as preferences.…”

Section: Introductionmentioning

confidence: 99%

Evaluating knowledge and skill in surgery clerkship during covid 19 pandemics: A single-center experience in Indonesia

Setiawan

Sugeng

Luailiyah

et al. 2021

Annals of Medicine &Amp; Surgery

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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.

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Efficacy of Virtual Case-Based General Surgery Clerkship Curriculum During COVID-19 Distancing

Cited by 24 publications

References 21 publications

Perceptions of medical students towards and effectiveness of online surgical curriculum: a systematic review

Perceptions of medical students towards and effectiveness of online surgical curriculum: a systematic review

Is a Video Worth a Thousand Words? Educating Preclinical Medical Students on Sterile Scrubbing, Gowning, and Gloving Virtually and In-Person

Evaluating knowledge and skill in surgery clerkship during covid 19 pandemics: A single-center experience in Indonesia

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