Postgraduate training in community medicine in India in the era of COVID-19: challenges and remedies

Cherian, Vinu; Philip, Joel

doi:10.18203/2394-6040.ijcmph20204775

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…Moving to an exclusively online platform did not negatively impact the teaching of theories, science, and medical aspects of genetic counseling (Cherian & Philip, 2020;Regier et al, 2020).…”

Section: Discussionmentioning

confidence: 93%

“…There is no doubt that the COVID-19 pandemic was and remains a very challenging time for the Genetic Counseling trainees and supervisors at UCT, as it was for others across the world (Cherian & Philip, 2020). The trainees had to continue their learning and the supervisors needed to maintain teaching and clinical services had to continue at a time of great uncertainty.…”

Section: Discussionmentioning

confidence: 99%

“…The de-escalation of the clinical services resulted in a significant reduction in the GC trainees' Clinical team meetings, case discussions, and journal club continued online. Online teaching has been available for a long time (Cherian & Philip, 2020;Gallagher & Schleyer, 2020;Regier et al, 2020;Wang et al, 2020), but higher education institutions were forced to implement online teaching to a greater extent during the COVID-19 pandemic. While this met the objective of continuing learning, in medical student training it was found that students experienced a lack of confidence in working with patients (Gallagher & Schleyer, 2020;Wang et al, 2020).…”

Section: Trainingmentioning

confidence: 99%

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Genetic counseling experiences at the University of Cape Town during COVID‐19

Wessels

Düsterwald

Barlow

et al. 2021

Journal of Genetic Counseling

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Soon after the first COVID-19 case was reported in December 2019 in Wuhan, China, South Africa announced a national lockdown in an attempt to curb the spread of the disease. Under national lockdown, businesses were closed, learning institutions moved to emergency remote teaching (ERT), and hospitals reduced their patient loads. De-escalation of clinical services at Groote Schuur and Red Cross War Memorial Children's Hospitals affected Genetic Counseling Services and resulted in a decrease in in-person and an increase in telecounseling sessions. ERT, offered by the University of Cape Town, affected the teaching of Genetic Counseling students, and other methods of training had to be found to compensate for the lack of patient contact. In this paper, we present our Genetic Counseling team's experiences of learning and clinical services during the COVID-19 pandemic in South Africa. The team met online as a group in November 2020 to discuss their experiences. The discussion was recorded and transcribed, and topics that arose during the discussion were identified.The pandemic and the accompanying lock down, which forced trainees to move back home, resulted in great uncertainty. The trainees found ERT on an online platform, including simulated cases, very helpful, but they lost the confidence to work with real patients. Telecounseling became the predominant form of service delivery and was experienced as positive when video sessions were possible. The telephone service for advanced maternal age counseling was problematic due to unreliable networks.The biggest loss for the GCs was the feeling of disconnection from peers, supervisors, and patients. The experiences highlighted positive and negative aspects as well as specific challenges faced in South Africa. Lessons learnt from the COVID-19 pandemic will be used in future to improve training of GCs and to enhance service delivery.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Trainingmentioning

confidence: 99%

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Genetic counseling experiences at the University of Cape Town during COVID‐19

Wessels

Düsterwald

Barlow

et al. 2021

Journal of Genetic Counseling

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“…Thus, an overall negative impact on quality of thesis and hence postgraduate education was observed. [ 19 ]…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on postgraduate medical education

Arora¹,

Waikhom²,

Azad³

et al. 2022

Journal of Education and Health Promotion

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BACKGROUND: The corona virus disease (COVID-19) pandemic has caused widespread effect on the lives of health care professionals. The postgraduate medical students, who are the major pillars of medical institutions had to bear multitude of setbacks due to the pandemic involving academic, research and well-being issues. MATERIALS AND METHODS: This was a cross sectional feedback based online survey done in the month of October 2021 to study the effect of COVID-19 pandemic induced changes in the postgraduate medical education; amongst 78 students pursuing MD/MS degree in all departments of a tertiary medical institute in Himalayan foothills of North India. The questionnaire consisted of ten questions; each of which needed to be answered on a five point Likert scale ranging from strongly disagree to strongly agree. Results were assessed for the most common answers of each question (represented by mode) and association between various components of the questionnaire analyzed by Spearman's rho correlation coefficient. RESULTS: The internal consistency of the questionnaire as tested by Cronbach's Alpha (0.82) was good. Most number or respondents were from surgical branches ( n = 31, 39.74%). There was a generalized agreement towards preference of resumption of onsite education (75.64%), the lack of variety of cases causing hampering of thesis work (88.46%) and increased mental stress during the pandemic (58.9%). While more time for self-study was seen as the only consensual positive aspect of online teaching (64%), most students opined that technical glitches are a major roadblock in online education (80.76%). Significant positive correlation was seen between disciplinary ease and punctuality in online teaching ( R = 0.543, P < 0.001), lack of interaction and its effect on learning and mental health ( R = 0.471; P < 0.001) and the lack of diversity in cases and difficulties in dissertation work ( R = 0.351; P < 0.05). Negative correlation was observed between the satisfaction from overall learning through online teaching and the desire of resumption of offline classes ( R = −0.491; P < 0.001). CONCLUSION: COVID-19 pandemic and its effects on medical education are long lasting. A comprehensive approach is required to rebuild the medical education curriculum, inculcating both traditional and newer virtual methods of education. A consistent support in academics and overall growth needs to be provided to medical postgraduate residents who have been the first line fighters in face of the massive disaster compromising their basic needs and education.

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Postgraduate training in community medicine in India in the era of COVID-19: challenges and remedies

Cited by 2 publications

References 7 publications

Genetic counseling experiences at the University of Cape Town during COVID‐19

Genetic counseling experiences at the University of Cape Town during COVID‐19

Impact of COVID-19 on postgraduate medical education

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