Medical School Approach to Manage the Current COVID-19 Crisis
Identifieur interne : 000407 ( Pmc/Corpus ); précédent : 000406; suivant : 000408Medical School Approach to Manage the Current COVID-19 Crisis
Auteurs : Dujeepa D. SamarasekeraSource :
- Academic Medicine [ 1040-2446 ] ; 2020.
Url:
DOI: 10.1097/ACM.0000000000003425
PubMed: NONE
PubMed Central: 7179053
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Medical School Approach to Manage the Current COVID-19 Crisis</title><author><name sortKey="Samarasekera, Dujeepa D" sort="Samarasekera, Dujeepa D" uniqKey="Samarasekera D" first="Dujeepa D." last="Samarasekera">Dujeepa D. Samarasekera</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7179053</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179053</idno><idno type="RBID">PMC:7179053</idno><idno type="doi">10.1097/ACM.0000000000003425</idno><idno type="pmid">NONE</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000407</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000407</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Medical School Approach to Manage the Current COVID-19 Crisis</title><author><name sortKey="Samarasekera, Dujeepa D" sort="Samarasekera, Dujeepa D" uniqKey="Samarasekera D" first="Dujeepa D." last="Samarasekera">Dujeepa D. Samarasekera</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Academic Medicine</title><idno type="ISSN">1040-2446</idno><idno type="eISSN">1938-808X</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lum, Lhw" uniqKey="Lum L">LHW Lum</name></author><author><name sortKey="Tambyah, Pa" uniqKey="Tambyah P">PA Tambyah</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Acad Med</journal-id><journal-id journal-id-type="iso-abbrev">Acad Med</journal-id><journal-id journal-id-type="publisher-id">ACM</journal-id><journal-title-group><journal-title>Academic Medicine</journal-title></journal-title-group><issn pub-type="ppub">1040-2446</issn><issn pub-type="epub">1938-808X</issn><publisher><publisher-name>Published for the Association of American Medical Colleges by Lippincott Williams & Wilkins</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7179053</article-id><article-id pub-id-type="art-access-id">00003</article-id><article-id pub-id-type="doi">10.1097/ACM.0000000000003425</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Medical School Approach to Manage the Current COVID-19 Crisis</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Samarasekera</surname><given-names>Dujeepa D.</given-names></name><degrees>MHPE, FAMS, FRCP (Edin)</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><aff id="aff1">Director, Centre for Medical Education, Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant, Ministry of Health, Singapore;<email xlink:href="dujeepa@nus.edu.sg">dujeepa@nus.edu.sg</email>.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Goh</surname><given-names>Denise Li Meng</given-names></name><degrees>MMed, FRCPCH, MD</degrees><xref ref-type="aff" rid="aff2">2</xref></contrib><aff id="aff2">Associate professor and chair, Faculty Assessment Committee, Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant, Department of Paediatrics, National University Hospital, Singapore.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Lau</surname><given-names>Tang Ching</given-names></name><degrees>MMed, MRCP, FRCP (Edin)</degrees><xref ref-type="aff" rid="aff3">3</xref></contrib><aff id="aff3">Vice-dean (education), Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant rheumatologist, University Medicine Cluster, National University Hospital, Singapore.</aff></contrib-group><pub-date pub-type="ppub"><day>22</day><month>4</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>15</day><month>4</month><year>2020</year></pub-date><elocation-id>10.1097/ACM.0000000000003425</elocation-id><permissions><copyright-statement>Copyright © 2020 by the Association of American Medical Colleges</copyright-statement><copyright-year>2020</copyright-year><license license-type="NIH OGC"><license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="acm-publish_ahead_of_print-10.1097_acm.0000000000003425.pdf"></self-uri></article-meta></front><body><sec><title>To the Editor:</title><p>The COVID-19 pandemic has disrupted learning in many educational institutions around the world, particularly in medical schools. Whenever possible, the impact should be minimized to ensure academic continuity and to maintain the efficiency of the health care system. At National University of Singapore, Yong Loo Lin School of Medicine, we used the following guiding principles to develop systematic and holistic measures during the COVID-19 outbreak. We believe that these principles are useful for other medical schools developing contingency plans. Our approach to ensure academic continuity and quality was based on best practices in the following 4 areas:</p><list list-type="simple"><list-item><label>(1)</label><p><italic>A centralized system of management</italic>: A centralized contingency work group was set up and tasked to develop the precautionary measures, implementing a business continuity plan and policies that came from health authorities. They also ensured systematic dissemination of information to all stakeholders. A one-stop direct communication link was made available for any clarifications. These were important to develop the trust and confidence in the school and the shared information.</p></list-item><list-item><label>(2)</label><p><italic>Ensuring safety of all students, staff, and patients/standardized patients</italic>: This was extremely crucial and was based on early detection and reducing the risk of widespread transmission. Besides improving cleaning frequency and limiting movement to other health care institutions to prevent cross-cluster contamination, the collective effort of staff allowed rapid implementation of split-team work arrangements to preserve functional integrity. Extra effort was also spent to provide isolated students with basic necessities and mental health support services to alleviate stress.</p></list-item><list-item><label>(3)</label><p><italic>Transparency and consistency in information dissemination</italic>: Misinformation is readily available online, so our institution was determined to disseminate trusted information. One way was to dispel the myths by creating the COVID-19 Chronicles, which are educational one-page cartoons. Also, the higher management (e.g., provost) built trust by updating students and staff on infected cases within our school.</p></list-item><list-item><label>(4)</label><p><italic>Continuity of learning quality and rigor</italic>: We achieved this via long-term planning as our school had already developed and documented its e-learning platform and staff were using it. Some staff involved students in the formulation of their contingency plans. Classes with more than 50 students and clinical placements were converted to online learning. The Zoom videoconference platform was used for a scenario-based station during admissions. Robustness of the assessment system was maintained through these principles<sup><xref rid="R1" ref-type="bibr">1</xref></sup>: infection control measures, (2) awareness of the way students were training and preparing for examinations, and (3) reduction of fallout due to fear of contracting COVID-19.</p></list-item></list><p>We hope that these guiding principles will be helpful to other medical schools dealing with the COVID-19 outbreak.</p></sec><sig-block><sig>Dujeepa D. Samarasekera, MHPE, FAMS, FRCP (Edin)<break></break>Director, Centre for Medical Education, Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant, Ministry of Health, Singapore; dujeepa@nus.edu.sg.<break></break>Denise Li Meng Goh, MMed, FRCPCH, MD<break></break>Associate professor and chair, Faculty Assessment Committee, Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant, Department of Paediatrics, National University Hospital, Singapore.<break></break>Tang Ching Lau, MMed, MRCP, FRCP (Edin)<break></break>Vice-dean (education), Yong Loo Lin School of Medicine, National University of Singapore, and senior consultant rheumatologist, University Medicine Cluster, National University Hospital, Singapore.</sig></sig-block></body><back><fn-group><fn fn-type="COI-statement"><p><italic>Disclosures:</italic> None reported.</p></fn></fn-group><ref-list><title>Reference</title><ref id="R1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lum</surname><given-names>LHW</given-names></name><name><surname>Tambyah</surname><given-names>PA</given-names></name></person-group><article-title>Outbreak of COVID-19—An urgent need for good science to silence our fears?</article-title><source>Singapore Med J</source>. <year>2020</year>;<volume>61</volume>:<fpage>55</fpage>–<lpage>57</lpage>.<pub-id pub-id-type="pmid">32052064</pub-id></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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