Clinical Learning in Medical and Health Professions Education amid COVID-19 Pandemic: A Literature Review of Various Methods and Innovations

Authors

  • Totok Harjanto Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Sri Setiyarini Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Titi S. Prihatiningsih Department of Medical Education and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7845

Keywords:

Clinical learning, COVID-19, Medical and health professions education, E-learning

Abstract

BACKGROUND: COVID-19 has caused disruption to medical education and health care systems around the world. The highly contagious nature of the virus makes it difficult for educational institutions to continue their studies as usual, thus affecting the medical and health professions education which is based on face-to-face lectures, practicum, skills laboratories, and clinical practice in health facilities.

AIM: This paper discovers clinical learning initiatives across the globe and highlights the contribution toward educational processes.

METHODOLOGY: This study utilized an integrated literature review method. A systematic search for articles published was performed in Springer, ScienceDirect, PubMed, and EBSCOHost. Primary search monetary terms were e-learning (all synonyms) and health sciences education (all synonyms), including COVID-19. Articles published within the period of COVID-19 pandemic included in this study. For the synthesis, the 20 included studies selected were coded. In this study, data were synthesized through narrative synthesis using thematic analysis (TA). To identify the recurrent themes author followed six steps when synthesizing data using TA, for example, familiarizing with the data, developing initial (sub) codes, searching for (sub) themes, reviewing (sub) themes, compiling ideas or issues, and producing final data in line with the study aims and objectives.

RESULTS: Out of records identified, a total of citations was screened, of which 20 were found to be of relevance to this study most were quantitative (14.70%) in design. Studies were published in 2020 since the beginning of COVID-19 pandemic. The geographical range of papers covered mostly the moderate-income regions. On conducting TA of the included studies, it was possible to obtain two broad descriptive themes/categories: enablers or drivers of, and barriers or challenges to, under which important themes have emerged.

CONCLUSION: Study suggests that developing e-learning in effective clinical learning is needed, not only limited to moving the learning process but also needing to follow the instructional design, so that learning outcomes can be achieved by students. In addition, a learning process that promotes self-directed-learning is needed so that students have flexibility, use relevant learning styles and are able to integrate knowledge, skills and attitudes as a meaningful learning process.

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References

Silva ON, Hernandez S, Kim EH, Kim AS, Gosnell J, Roman SA, et al. Surgery clerkship curriculum changes at an academic institution during the COVID-19 pandemic. J Surg Educ. 2021;78(1):327-31. http://doi.org/10.1016/j.jsurg.2020.07.009 PMid:32888850

Guadix SW, Winston GM, Chae JK, Haghdel A, Chen J, Younus I, et al. Medical student concerns relating to neurosurgery education during COVID-19. World Neurosurg. 2020;139:e836-47. http://doi.org/10.1016/j.wneu.2020.05.090 PMid:32426066

Pollom EL, Sandhu N, Frank J, Miller JA, Obeid JP, Kastelowitz N, et al. Continuing medical student education during the coronavirus disease 2019 (COVID-19) pandemic: Development of a virtual radiation oncology clerkship. Adv Radiat Oncol. 2020;5(4):732-6. http://doi.org/10.1016/j.adro.2020.05.006 PMid:32775783

McNeely CL, Schintler LA, Stabile B. Social determinants and COVID-19 disparities: Differential pandemic effects and dynamics. World Med Health Policy. 2020;12(3):206-17. http://doi.org/10.1002/wmh3.370

Chretien KC, Raj JM, Abraham RA, Aronowitz P, Astiz DJ, Chheda SG, et al. AAIM recommendations for the 2020-2021 internal medicine residency application cycle in response to the COVID-19 pandemic. Am J Med. 2020;133(10):1223-6.e6. http://doi.org/10.1016/j.amjmed.2020.06.002 PMid:32659220

Chiodini J. Online learning in the time of COVID-19. Travel Med Infect Dis. 2020;34:101669. http://doi.org/10.1016/j.tmaid.2020.101669 PMid:32289547

Dewart G, Corcoran L, Thirsk L, Petrovic K. Nursing education in a pandemic: Academic challenges in response to COVID-19. Nurse Educ Today. 2020;92:104471. http://doi.org/10.1016/j.nedt.2020.104471 PMid:32502723

Doherty I, McKimm J. e-learning in clinical teaching. Br J Hosp Med. 2010;71(1):111-4. http://doi.org/10.12968/hmed.2010.71.1.45973 PMid:20081642

Malhotra R, Gautam D, George J. Orthopaedic resident management during the COVID-19 pandemic AIIMS model. J Clin Orthop Trauma. 2020;11:S307-8. http://doi.org/10.1016/j.jcot.2020.05.001 PMid:32405190

Matalon SA, Souza DA, Gaviola GC, Silverman SG, Mayo- Smith WW, Lee LK. Trainee and attending perspectives on remote radiology readouts in the era of the COVID-19 pandemic. Acad Radiol. 2020;27(8):1147-53. http://doi.org/10.1016/j.acra.2020.05.019 PMid:32507612

Huang HL, Chou CP, Leu S, You HL, Tiao MM, Chen CH. Effects of a quasi-experimental study of using flipped classroom approach to teach evidence-based medicine to medical technology students. BMC Med Educ. 2020;20(1):31. http://doi.org/10.1186/s12909-020-1946-7

Haworth A, Fielding AL, Marsh S, Rowshanfarzad P, Santos A, Metcalfe P, et al. Will COVID-19 change the way we teach medical physics post pandemic? Phys Eng Sci Med. 2020;43(3):735-8. http://doi.org/10.1007/s13246-020-00898-9 PMid:32720293

Chertoff JD, Zarzour JG, Morgan DE, Lewis PJ, Canon CL, Harvey JA. The early influence and effects of the coronavirus disease 2019 (COVID-19) pandemic on resident education and adaptations. J Am Coll Radiol. 2020;17(10):1322-8. http://doi.org/10.1016/j.jacr.2020.07.022 PMid:32818485

Sneyd JR, Mathoulin SE, O’Sullivan EP, So VC, Roberts FR, Paul AA, et al. The impact of the COVID-19 pandemic on anaesthesia trainees and their training. Br J Anaesth. 2020;125(4):450-5. http://doi.org/10.1016/j.bja.2020.07.011 PMid:32773215

Kan JY, Zhu L, Fong NJ, Ruan X, Ong AM, Lee G, et al. Conducting of web-based workshops for final year medical students preparing to enter the workforce during the COVID-19 pandemic. Med Sci Educ. 2020;31(1):1-5. http://doi.org/10.1007/s40670-020-01125-6 PMid:33133758

Khurshid Z, De Brún A, Moore G, McAuliffe E. Virtual adaptation of traditional healthcare quality improvement training in response to COVID-19: A rapid narrative review. Hum Resour Health. 2020;18(1):81. http://doi.org/10.1186/s12960-020-00527-2 PMid:33115494

Boyd CJ, Inglesby DC, Corey B, Greene BJ, Harrington MA, Johnson MD, et al. Impact of COVID-19 on away rotations in surgical fields. J Surg Res. 2020;255(205):96-8. http://doi.org/10.1016/j.jss.2020.05.049 PMid:32543384

Balhareth A, AlDuhileb MA, Aldulaijan FA, Aldossary MY. Impact of COVID-19 pandemic on residency and fellowship training programs in Saudi Arabia: A nationwide cross-sectional study. Ann Med Surg. 2020;57:127-32. http://doi.org/10.1016/j.amsu.2020.07.025

Creswell JW. Research Design: Qualitative, Quantitative, and Mixed Method Approaches. 4th ed. Los Angeles, Calif: Los Angeles, Calif; 2013.

Adesoye T, Davis CH, Del Calvo H, Shaikh AF, Chegireddy V, Chan EY, et al. Optimization of surgical resident safety and education during the COVID-19 pandemic lessons learned. J Surg Educ. 2021;78(1):315-20. http://doi.org/10.1016/j.jsurg.2020.06.040 PMid:32739443

Rosman IS, Schadt CR, Samimi SS, Rosenbach M. Approaching the dermatology residency application process during a pandemic. J Am Acad Dermatol. 2020;83(5):e351-2. http://doi.org/10.1016/j.jaad.2020.07.066 PMid:32702459

Durfee SM, Goldenson RP, Gill RR, Rincon SP, Flower E, Avery LL. medical student education roadblock due to COVID- 19: Virtual radiology core clerkship to the rescue. Acad Radiol. 2020;27(10):1461-6. http://doi.org/10.1016/j.acra.2020.07.020 PMid:32747181

Roytman M, Shah S. Lessons learned during the COVID-19 pandemic: A single institution radiology chief resident experience. Clin Imaging. 2020;68:90-93. http://doi.org/10.1016/j.clinimag.2020.06.030 PMid:32580107

Conlon TA, McCarthy P, McGovern R, Slattery S, Yates J, Murphy S. The impact of COVID-19 on medical student education navigating uncharted territory. Ir Med J. 2020;113(6):109. PMid:32818364

Konrad S, Fitzgerald A, Deckers C. Nursing fundamentals supporting clinical competency online during the COVID- 19 pandemic. Teach Learn Nurs. 2021;16(1):53-6. http://doi.org/10.1016/j.teln.2020.07.005 PMid:32837448

Guraya S. Combating the COVID-19 outbreak with a technology-driven e-flipped classroom model of educational transformation. J Taibah Univ Med Sci. 2020;15(4):253-4. http://doi.org/10.1016/j.jtumed.2020.07.006 PMid:32837509

Ramos O, Mierke A, Eastin M, Morrison MJ, Wongworawat DM, Danisa O. COVID-19 pandemic and the implications for orthopaedic and neurosurgery residents and fellows on spine rotations. North Am Spine Soc J. 2020;1:100006. http://doi.org/10.1016/j.xnsj.2020.100006

Conroy ML, Garcia-Pittman EC, Ali H, Lehmann SW, Yarns BC. The COVID-19 AAGP online trainee curriculum: Development and method of initial evaluation. Am J Geriatr Psychiatry. 2020;28(9):1004-8. http://doi.org/10.1016/j.jagp.2020.06.003 PMid:32624338

Dua AB, Kilian A, Grainger R, Fantus SA, Wallace ZS, Buttgereit F, et al. Challenges, collaboration, and innovation in rheumatology education during the COVID-19 pandemic: Leveraging new ways to teach. Clin Rheumatol. 2020;39(12):3535-41. http://doi.org/10.1007/s10067-020-05449-x PMid:33067772

Stambough JB, Curtin BM, Gililland JM, Guild GN 3rd, Kain MS, Karas V, et al. The past, present, and future of orthopedic education: Lessons learned from the COVID-19 pandemic. J Arthroplast. 2020;35(7):S60-4. http://doi.org/10.1016/j.arth.2020.04.032 PMid:32345564

Parke DW. COVID-19 era impacts on the American academy of ophthalmology. Ophthalmology. 2020;127(11):1447-50. http://doi.org/10.1016/j.ophtha.2020.07.056 PMid:32828553

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Published

2021-12-19

How to Cite

1.
Harjanto T, Setiyarini S, Prihatiningsih TS. Clinical Learning in Medical and Health Professions Education amid COVID-19 Pandemic: A Literature Review of Various Methods and Innovations. Open Access Maced J Med Sci [Internet]. 2021 Dec. 19 [cited 2022 Jun. 27];9(T5):13-9. Available from: https://oamjms.eu/index.php/mjms/article/view/7845