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Published: 20-12-2021

Major changes and pedagogical challenges in the curriculum of physicians in the post-pandemic of COVID-19: a systematic review

FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FACERES – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
FAMERP – College of Medicine of Sao Jose do Rio Preto, Sao Paulo, Brazil
Medical education Medical curriculum Telehealth Management Disciplines COVID-19

Abstract

Introduction: Respiratory disease (COVID-19) caused by the new coronavirus (SARSCoV-2) has spread around the world causing respiratory illnesses and deaths. The COVID-19 pandemic caused an unprecedented crisis in the field of education. It is essential to reflect on the role of educational systems in curricular training, especially for doctors. Objective: The present study prepared a systematic review to analyze the main curriculum changes in medical education institutions around the world. Methods: The present study followed a systematic review model (PRISMA). The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar database, using scientific articles from 2009 to 2021. Results: As a corollary of the literary search system, 155 studies were analyzed and submitted to eligibility analysis, and then 55 high to moderate quality studies were selected. Biases did not compromise the scientific basis of the studies. It was analyzed that it is crucial that the academic education community learn from experience and prioritize a forward-thinking academic approach as practical solutions are implemented. The pandemic has brought about a lasting transformation in medicine with the advancement of telehealth, adaptive research protocols, and clinical trials with flexible approaches to achieving solutions. The studies analyzed in general did not address criticisms about the weaknesses of remote education, limiting themselves to defending it as the only viable strategy. There was no consensus on the inclusion of students in the practical activities of curricular internships and medical internships. A part of the studies defends the inclusion in hospital spaces as a way to contribute to overcoming the health crisis imposed by the pandemic. The studies evidenced the inclusion of pandemic management disciplines with a focus on public health in the medical curricula. Conclusion: The medical activity and curriculum underwent and are undergoing significant changes and adaptations. Thus, the doctor will need to develop other skills, without losing the traditional ones. The highlight is telehealth and soft skills, as they will allow students to connect to the best in world medicine, highlighting the importance of scientific knowledge when establishing treatments in cases of pandemics with a focus on public health.

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References

  1. World Health Organization. Report of the WHO-China joint mission on Coronavirus Disease 2019 (COVID-19).
  2. World Health Organization. Advice on the use of masks the community, during home care and in health care settings in the context of the novel coronavirus (2019-nCoV) outbreak Interim guidance, 29 Jan. 2020. WHO/nCov/IPC_Masks/2020.1. Available in: https://www. who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance. Accessed in October, 15, 2021.
  3. World Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: Interim guidance. Jan. 2020. Available in: https://www.who.int/publicationsdetail/clinical-management-of-severe-acute- respiratory-infection-when-novelcoronavirus-(ncov)-infection-is-suspected. Accessed in October, 20, 2021.
  4. UNESCO Digital Library website (2020). Marco de ação e recomendações para a reabertura de escolas. abr.. Available in: https://unesdoc.unesco.org/ark:/48223/pf0000373348_por. Accessed in October, 20, 2021.
  5. WORLD HEALTH ORGANIZATION. UNICEF. IFRC (2020). Key messages and actions for COVID-19 prevention and control in schools. March. Available in: https://www.who.int/docs/default-source/coronaviruse/key-messages-and-actionsfor-covid19-prevention-and-control-in-schoolsmarch2020.pdf?sfvrsn=baf81d52_4&gclid=Cj0KCQjwoPL2BRDxARIsAEMm9yyhpkw2N6vL2qCIh6idMeCR7pJkdOPWrZxsu_UwMbf1xyZcxHUkaAo6YEALw_wcB. Accessed in: November, 10, 2021.
  6. WORLD HEALTH ORGANIZATION (2020). Coronavirus disease (COVID-19) pandemic. Available in:: https://www.who.int/emergencies/diseases/novelcoronavirus2019?gclid=Cj0KCQjw3Nv3BRC8ARIsAPh8hgKZe3P6ZHdvDTfYCu 9EPqfuYhj_rCKWMp HvY5EhvXJ9WMsTMDKOZrYaAuv1EALw_wcB. Accessed in: November, 10, 2021.
  7. Agência Nacional de Vigilância Sanitária (ANVISA). Gerência de Inspeção e Fiscalização Sanitária de Alimentos, Cosméticos e Saneantes. Gerência Geral de Inspeção e Fiscalização Sanitária. Available in: http://portal.anvisa.gov.br/documents/219201/4340788/NOTA_TECNICA_N__48_ __Boas_Pr aticas_e_Covid_19__Revisao_final.pdf/ba26fbe0-a79c-45d7-b8bdfbd2bfdb2437. Accessed in: November, 11, 2021.
  8. Fauci AS, Lane HC, Redfield RR. Covid-19 – navigating the uncharted. N Engl J Med. 2020; 382:1268-9.
  9. Arandjelovic A, Arandjelovic K, Dwyer K, Shaw C. COVID-19: considerations for medical education during a pandemic. Med Ed Publish. 2020;9(1):87.
  10. Stella RCR, Puccini RF. A formação profissional no contexto das Diretrizes Curriculares Nacionais para o Curso de Medicina. In: Puccini RF, Sampaio LO, Batista NA, organizadores. A formação médica na Unifesp: excelência e compromisso social. São Paulo: Editora Unifesp; 2008. p. 53-69.
  11. Moura ACA, Mariano LA, Gottems LBD, Bolognani CV, Fernandes SES, Bittencourt, RJ. Estratégias de ensino-aprendizagem para formação humanista, crítica, reflexiva e ética na graduação médica: revisão sistemática. Rev Bras Educ Med. 2020;44(3):e076.
  12. Aromataris E, Munn Z. Joanna Briggs Institute Reviewer’s Manual. Australia: The Joanna Briggs Institute; 2017.
  13. Leão MF, Dutra MM, Alves ACT. Estratégias didáticas voltadas para o ensino de ciências: experiências pedagógicas na formação inicial de professores. Uberlândia: Edibrás; 2018.
  14. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8:19-32.
  15. Klasen JM, Vithyapathy A, Zante B, Burm S. “The storm has arrived”: the impact of SARS-CoV-2 on medical students. Perspect Med Educ. 2020 Jun;9(3):181-5. doi: 10.1007/s40037-020-00592-2.
  16. Bezerra IMP. State of the art of nursing education and the challenges to use remote technologies in the time of corona virus pandemic. J Hum Growth Dev. 2020;30(1):141-7, 2020.
  17. O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J, McGrath D. Barriers and solutions to online learning in medical education – an integrative review. BMC Med Educ. 2018;18(1):130.
  18. Bediang G, Stoll B, Geissbuhler A, Klohn A, Stuckelberger A, Nko’o S, et al. Computer literacy and e-learning perception in Cameroon: the case of Yaounde Faculty of Medicine and Biomedical Sciences. BMC Med Educ. 2013;13(57):1-8.
  19. Vidal E. Ensino à distância versus ensino tradicional. Porto: Universidade Fernando Pessoa, Porto 2002.
  20. Castells M. La Galaxia Internet: reflexiones sobre Internet, empresa y sociedad. Barcelona: Areté; 2001.
  21. Rasmussen S, Sperling P, Poulsen MS, Emmersen J, Andersen S. Medical students for health-care staff shortages during the COVID-19 pandemic. Lancet. 2020;395(10234):e79-e80. doi: 10.1016/S0140- 6736(20)30923-5.
  22. Naik N, Finkelstein RA, Howell J, Rajwani K, Ching K. Telesimulation for COVID-19 ventilator management training with social-distancing restrictions during the coronavirus pandemic. Simul Gaming.2020;51(4):571- 7. doi: 10.1177/1046878120926561.
  23. Menon A, Klein EJ, Kollars K, Kleinhenz ALW. Medical students are not essential workers: examining institutional responsibility during the COVID-19 pandemic. Acad Med. 2020;95(8):1149-51. doi: 10.1097/ ACM.0000000000003478.
  24. Akers A, Blough C, Iyer MS. COVID-19 Implications on clinical clerkships and the residency application process for medical students. Cureus. 2020 Apr 23;12(4):e7800. doi: 10.7759/cureus.7800.
  25. Liu Y, Jin GF, Wang JM, Xia YK, Shen HB, Wang CQ, et al. Thoughts on the reform of preventive medicine education in the context of new medicine. Zhonghua Yu Fang Yi Xue Za Zhi. 2020;54(6):593-596. doi: 10.3760/cma.j.cn112150-20200328-00461.
  26. Liang ZC, Ooi SBS, Wang W. Pandemics and their impact on medical training: lessons from Singapore. Acad Med. 2020;95(9):1359-61.
  27. Schneider SL, Council ML. Distance learning in the era of COVID-19. Arch Dermatol Res. 2020 May 8:1-2. doi: 10.1007/s00403-020-02088-9.
  28. Menon A, Klein EJ, Kollars K, Kleinhenz ALW. Medical students are not essential workers: examining institutional responsibility during the COVID-19 pandemic. Acad Med. 2020;95(8):1149-51. doi: 10.1097/ ACM.0000000000003478.
  29. Mukhopadhyay S, Booth AL, Calkins SM, Doxtader EE, Fine SW, Gardner JM, et al. Leveraging technology for remote learning in the era of COVID-19 and social distancing: tips and resources for pathology educators and trainees. Arch Pathol Lab Med. 2020;144(9):1027-1036. doi:10.5858/arpa.2020-0201-ED.
  30. Regier DS, Smith WE, Byers HM. Medical genetics education in the midst of the COVID-19 pandemic: shared resources. Am J Med Genet. 2020;182A:1302-8.
  31. Stokes DC. Senior medical students in the COVID-19 response: an opportunity to be proactive. Acad Emerg Med. 2020;27(4):343-5. doi: 10.1111/acem.13972.
  32. Naik N, Finkelstein RA, Howell J, Rajwani K, Ching K. Telesimulation for COVID-19 ventilator management training with social-distancing restrictions during the coronavirus pandemic. Simul Gaming.2020;51(4):571- 7. doi: 10.1177/1046878120926561.
  33. Calhoun KE, Yale LA, Whipple ME, Allen SM, Wood DE, Tatum RP. The impact of COVID-19 on medical student surgical education: implementing extreme pandemic response measures in a widely distributed surgical clerkship experience. Am J Surg. 2020;220(1):44-7. doi: 10.1016/j. amjsurg.2020.04.024.
  34. Hall AK, Nousiainen MT, Campisi P, Dagnone JD, Frank, JR, Kroeker, KI, et al. Training disrupted: practical tips for supporting competencybased medical education during the COVID-19 pandemic. Med Teach. 2020;42(7):756-61. doi: 10.1080/0142159X.2020.1766669.
  35. Pather N, Blyth P, Chapman JA, Dayal MR, Flack NAMS, Fogg QA, et al. Forced disruption of anatomy education in Australia and New Zealand: an acute response to the Covid-19 pandemic. Anat Sci Educ. 2020;13(3):284- 300. doi: 10.1002/ase.1968.
  36. Moszkowicz D, Duboc H, Dubertret C, Roux D, Bretagnol F. Daily medical education for confined students during COVID-19 pandemic: a simple videoconference. Clin Anat. 2020;33(6):927-8. doi: 10.1002/ca.23601.
  37. Tretter JT, Windram J, Faulkner T, Hudgens M, Sendzikaite S, Blom NA, et al. Heart university: a new online educational forum in paediatric and adult congenital cardiac care. The future of virtual learning in a post-pandemic world? Cardiol Young 2020;30(4):560-7. doi: 10.1017/ S1047951120000852.
  38. Cleland J, Tan ECP, Tham KY, Low-Beer N. How Covid-19 opened up questions of sociomateriality in healthcare education. Adv Health Sci Educ Theory Pract. 2020;25(2):479-82. doi: 10.1007/s10459-020-09968-9.
  39. Singh K, Srivastav S, Bhardwaj A, Dixit A, Misra S. Medical education during the COVID-19 pandemic: a single institution experience. Indian Pediatr. 2020;57(7):678-9.
  40. Sahi PK, Singh T, Mishra T. Medical education amid the COVID-19 pandemic. Indian Pediatr. 2020;57:652-7.
  41. Lall S, Singh N. Covid-19: unmasking the new face of education. International Journal of Research in Pharmaceutical Sciences. 2020;11(1):48-53.
  42. Zayapragassarazan Z. COVID-19: strategies for engaging remote learners in medical education [version 1; not peer reviewed]. F1000Research 2020;9:273. doi: 10.7490/f1000research.1117846.1.
  43. Tokuç B, Varol G. Medical education in Turkey in time of COVID-19. Balkan Med J. 2020 Jun 1;37(4):180-1. doi: 10.4274/balkanmedj.galenos.2020.2020.4.003.
  44. Rasmussen S, Sperling P, Poulsen MS, Emmersen J, Andersen S. Medical students for health-care staff shortages during the COVID-19 pandemic. Lancet. 2020;395(10234):e79-e80. doi: 10.1016/S0140- 6736(20)30923-5.
  45. Gaber DA, Shehata MH, Amin HAA. Online team-based learning sessions as interactive methodologies during the pandemic. Med Educ. 2020;54(7):666-7. doi: 10.1111/medu.14198.
  46. Longhurst GJ, Stone DM, Dulohery K, Scully D, Campbell T, Smith CF. Strength, weakness, opportunity, threat (SWOT) analysis of the adaptations to anatomical education in the United Kingdom and Republic of Ireland in response to the Covid-19 pandemic. Anat Sci Educ. 2020;13(3):301-11. doi: 10.1002/ase.1967.
  47. Sahu P. Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus. 2020 Apr 4;12(4):e7541. doi: 10.7759/cureus.7541.
  48. Ashokka B, Ong SY, Tay KH, Loh NHW, Gee CF, Samarasekera DD. Coordinated responses of academic medical centres to pandemics: sustaining medical education during COVID-19. Med Teach. 2020;42(7):762-71.
  49. Digital assessment - how does it challenge local practices and national law? A Norwegian case study. Raaheim A, Mathiassen K, Moen V, Lona I, Gynnild V, Bunæs BR, Hasle ET. Eur J High Educ. 2018;9:219–231.
  50. Althwanay A, Ahsan F, Oliveri F, Goud HK, Mehkari Z, Mohammed L, Javed M, Rutkofsky IH. Medical Education, Pre- and Post-Pandemic Era: A Review Article. Cureus. 2020 Oct 2;12(10):e10775. doi: 10.7759/cureus.10775. PMID: 33154845; PMCID: PMC7606206.
  51. Castro MRH, Calthorpe LM, Fogh SE, McAllister S, Johnson CL, Isaacs ED, Ishizaki A, Kozas A, Lo D, Rennke S, Davis J, Chang A. Lessons From Learners: Adapting Medical Student Education During and Post-COVID-19. Acad Med. 2021 May 4;96(12):1671–9. doi: 10.1097/ACM.0000000000004148. Epub ahead of print. PMID: 33951675; PMCID: PMC8603439.
  52. Rasmussen S., Sperling P., Poulsen M.S., Emmersen J., Andersen S. Medical students for health-care staff shortages during the COVID-19 pandemic. Lancet. 2020.
  53. Nadell Faber O. Medical students can help combat Covid-19. Don’t send them home. 2020; Available from: https://www.statnews.com/2020/03/14/medical-students-canhelp-combat-covid-19/.
  54. Klasen J., Vithyapathy A., Zante B., Burm S. The storm has arrived – the impact of SARS-CoV-2 on medical students. Perspect Med Educ. 2020 doi: 10.1007/s40037020-00592-2.
  55. Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020 Sep;35:38-42. doi: 10.1016/j.prrv.2020.06.009. Epub 2020 Jun 18. PMID: 32653468; PMCID: PMC7301824.

How to Cite

Anbar Neto, T., Zotarelli Filho, I. J., Anbar, J. P. D., Meinberg, M. L. R., Faria, T. V., Iembo, T., Cardoso, M., Calixto, C. T. A., Shimabukuro, C. Y. A., & Facio Júnior, F. N. (2021). Major changes and pedagogical challenges in the curriculum of physicians in the post-pandemic of COVID-19: a systematic review. MedNEXT Journal of Medical and Health Sciences, 2(5). https://doi.org/10.54448/mdnt21519