Social distancing in pandemic times has prevented physical contact educational activities. Teaching online could help in knowledge acquisition. However, when medical students progress to the clinical clerkships they would have difficulties if they do not acquire yet the basic physical examination (PE) skills. 2 | WHAT WA S TRIED? This online teaching of the basic PE plays a pivotal role in preparing junior medical students to move on to the clinical years. Our pilot 2 | WHAT WA S TRIED? We convened an expert panel to deliver a 90-minute virtual, interactive PPE educational workshop using Zoom software. This included faculty representatives from critical care, infectious disease, and infection control, a nurse manager from an active COVID-19 unit and a moderator with simulation expertise. We developed educational content following guidelines from the Center for Disease Control (CDC) and our local institution (Stanford). From our hospital simulation centre, we broadcasted live narrated demonstrations of PPE donning and doffing and provided guidance surrounding specific clinical scenarios and indications for face mask re-use. We then hosted a Q&A session addressing questions posited by attendees in the chat box. A total of 130 physicians, nursing staff and hospital staff from three departments (Surgery, Medicine, and Radiology) participated in our workshop. Participants (122/130, 94%) responded to a virtual pre-post session poll, describing confidence in safe PPE use. Our general surgery residents were then required to complete a virtual PPE Verification of Proficiency (VOP), demonstrating their knowledge of safe donning and doffing technique. For VOP, we reallocated residents to one of 6 Zoom 'breakout-rooms' where they were required to verbalise and simulate over live video the correct sequence of donning and doffing PPE based upon a checklist. Evaluation was pass/fail, where a pass required articulation of all PPE steps correctly, and trainees were immediately remediated by their exam proctor if unsuccessful.
Background:The phantom limb phenomenon (PLP) usually occurs after a lower limb amputation with the rate about 85%. Mirror therapy is considered a safety, economical and effective procedure in the treatment of PLP.Objectives: To identify the improvement of PLP and depression condition of lower limb amputees by home-based mirror therapy with individual set of exercises Methods: The lower limb amputees suffering PLP that did not reduced after a month after amputation were recruited. Each patient was trained a set of exercises which was based on his/her preference. He/ she would practice the set at home with an individual mirror for 4 weeks. The patients were scored the intensity of pain ( by VAS) and noted the total daily time experiencing pain and pain killer before and after finishing the therapy program. CESD was used to assess depression Results: From January 2020 to August 2020 We conducted a pilot study with 20 patients, most of them were men (90%).The main cause of amputation was trauma (80%). The duration and intensity of phantom limb pain or phantom limb sensation significantly reduced after the interval of performing home-based mirror therapy. The CESD score remarkably dipped after a month (p <0.05). The effectiveness continued to be improve or stable at the end of the study. Conclusion:Mirror therapy should be applied soon to amputees after amputation of the lower limb.
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