Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic

Chick, Robert C.; Clifton, Guy T.; Peace, Kaitlin M.; Propper, Brandon W.; Hale, Diane F.; Alseidi, Adnan; Vreeland, Timothy J.

doi:10.1016/j.jsurg.2020.03.018

Cited by 905 publications

(888 citation statements)

References 8 publications

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“…Online learning is being used successfully to provide training related to COVID-19 for policy makers and health and care workers, as well as the general public (e.g., the WHO, the National Health Service (NHS) Health Education England, FutureLearn). Digital approaches are also being used to educate future healthcare workers through Massive Open Online Courses (MOOC) (e.g., [21]: interns; [22]: medical residents). However, to our knowledge, in March 2020, there was no online learning package available that focused specifically on supporting the psychological wellbeing of healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Blake

Bermingham

Johnson

et al. 2020

IJERPH

535

557

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The coronavirus pandemic (COVID-19) will undoubtedly have psychological impacts for healthcare workers, which could be sustained; frontline workers will be particularly at risk. Actions are needed to mitigate the impacts of COVID-19 on mental health by protecting and promoting the psychological wellbeing of healthcare workers during and after the outbreak. We developed and evaluated a digital learning package using Agile methodology within the first three weeks of UK outbreak. This e-package includes evidence-based guidance, support and signposting relating to psychological wellbeing for all UK healthcare employees. A three-step rapid development process included public involvement activities (PPIs) (STEP 1), content and technical development with iterative peer review (STEP 2), and delivery and evaluation (STEP 3). The package outlines the actions that team leaders can take to provide psychologically safe spaces for staff, together with guidance on communication and reducing social stigma, peer and family support, signposting others through psychological first aid (PFA), self-care strategies (e.g., rest, work breaks, sleep, shift work, fatigue, healthy lifestyle behaviours), and managing emotions (e.g., moral injury, coping, guilt, grief, fear, anxiety, depression, preventing burnout and psychological trauma). The e-package includes advice from experts in mental wellbeing as well as those with direct pandemic experiences from the frontline, as well as signposting to public mental health guidance. Rapid delivery in STEP 3 was achieved via direct emails through professional networks and social media. Evaluation included assessment of fidelity and implementation qualities. Essential content was identified through PPIs (n = 97) and peer review (n = 10) in STEPS 1 and 2. The most important messages to convey were deemed to be normalisation of psychological responses during a crisis, and encouragement of self-care and help-seeking behaviour. Within 7 days of completion, the package had been accessed 17,633 times, and healthcare providers had confirmed immediate adoption within their health and wellbeing provisions. Evaluation (STEP 3, n = 55) indicated high user satisfaction with content, usability and utility. Assessment of implementation qualities indicated that the package was perceived to be usable, practical, low cost and low burden. Our digital support package on 'psychological wellbeing for healthcare workers' is free to use, has been positively evaluated and was highly accessed within one week of release. It is available here: Supplementary Materials. This package was deemed to be appropriate, meaningful and useful for the needs of UK healthcare workers. We recommend provision of this e-package to healthcare workers alongside wider strategies to support their psychological wellbeing during and after the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Blake

Bermingham

Johnson

et al. 2020

IJERPH

535

557

View full text Add to dashboard Cite

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confidence: 99%

Student’s Perception of Online Learning during COVID Pandemic

2020

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To the Editor: Coronavirus pandemic has not only impacted human life but also impacted medical education and residency training all over [1]. With principles of social distancing, all face to face classes were suspended due to the ongoing COVID 19 pandemic [2]. Considering its implications on our students, an online teaching session was conducted every day for 12 d. We used a free version of Zoom which allows maximum of 100 participants and for time period of 40 min. Students' perceptions were collected at the end of this lecture series.Feedback responses were obtained from 77 participants. Of these, 87% (67) were post-graduate students. Participants found the sessions to be relevant to their learning needs and clinical practice [n = 75 (97%)]. Majority of the participants perceived that the sessions were tailored to their level of learning [n = 76 (99%)] and found the sessions to be interesting and enjoyable [n = 72 (95%)]. All of the participants (n = 77) felt that each pediatric sub-specialty should start their classes for postgraduates, and that online classes should be made a part of the medical postgraduate curriculum.In the open comments, participants responded that these online sessions broke monotonous routine, were a good utilization of time and the material was easy to access. They felt motivated to read on those topics and it helped them not to think of COVID and sleep peacefully. Most frequent factors hindering learning were stated as limitation on the number of participants, time limitation of the sessions, and technical faults during the conduct of sessions. These shortcomings were addressed subsequently through buying advanced version of the software that allows more time, and better opportunity to interact with students.COVID pandemic made us realize the importance of online training for our pediatric postgraduate students. Students' satisfaction levels with online learning were comparable to the previous studies [3]. Apart from gain in knowledge, the present study revealed the impact of online learning on the morale of our students by creating a diversion from the ongoing pandemic situation. We conclude that online teaching is feasible, cheap and must be made a part of the postgraduate training in India beyond the prevailing lockdown.

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“…We first converted our pre-existing didactic activities into virtual sessions similar to those in use by other training programs [4]; these included the fellow core lecture series, journal club, case conference, and grand rounds. The chat box and voice features of the virtual platform ensured that sessions were interactive.…”

Section: Step 3: Continue Fellows' Educationmentioning

confidence: 99%

Adapting a GI Fellowship to a Pandemic: Novel Approaches to Accommodating a Novel Virus

et al. 2020

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Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic

Cited by 905 publications

References 8 publications

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Student’s Perception of Online Learning during COVID Pandemic

Adapting a GI Fellowship to a Pandemic: Novel Approaches to Accommodating a Novel Virus

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