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Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic.
MedEdPORTAL. 2021 03 02; 17:11106.M

Abstract

Introduction

During the COVID-19 pandemic, third-year medical students were temporarily unable to participate in onsite clinical activities. We identified the curricular components of an internal medicine (IM) clerkship that would be compromised if students learned solely from online didactics, case studies, and simulations (i.e., prerounding, oral presentations, diagnostic reasoning, and medical management discussions). Using these guiding principles, we created a virtual rounds (VR) curriculum to provide IM clerkship students with clinical exposure during a virtual learning period.

Methods

Held three times a week for 2 weeks, VR consisted of three curricular components. First, clerkship students prerounded on an assigned hospitalized patient by remotely accessing the electronic health record and calling into hospital rounds. Second, each student prepared an oral presentation on their assigned patient. Third, using videoconferencing, students delivered these oral presentations to telemedicine VR small groups consisting of three to four students and three tele-instructors. Tele-instructors then provided feedback on oral presentations and taught clinical concepts. We assessed the effectiveness of VR by anonymously surveying students and tele-instructors.

Results

Twenty-nine students and 34 volunteer tele-instructors participated in VR over four blocks. A majority of students felt VR improved their prerounding abilities (86%), oral presentation abilities (93%), and clinical reasoning skills (62%). All students found small group to be useful.

Discussion

VR allowed students to practice rounding skills in a supportive team-based setting. The lessons learned from its implementation could facilitate education during future pandemics and could also supplement in-person clerkship education.

Authors+Show Affiliations

Medical Student, University of California, San Francisco, School of Medicine.Medical Student, University of California, San Francisco, School of Medicine.Professor, Department of Medicine, and Director, Internal Medicine Clerkship, University of California, San Francisco, School of Medicine.Assistant Professor-Volunteer, Department of Medicine, University of California, San Francisco, School of Medicine.Associate Professor, Department of Medicine, University of California, San Francisco, School of Medicine.Assistant Professor, Department of Medicine, and Assistant Site Director, Internal Medicine Clerkship, University of California, San Francisco, School of Medicine.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33768143

Citation

Sukumar, Smrithi, et al. "Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic." MedEdPORTAL : the Journal of Teaching and Learning Resources, vol. 17, 2021, p. 11106.
Sukumar S, Zakaria A, Lai CJ, et al. Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic. MedEdPORTAL. 2021;17:11106.
Sukumar, S., Zakaria, A., Lai, C. J., Sakumoto, M., Khanna, R., & Choi, N. (2021). Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic. MedEdPORTAL : the Journal of Teaching and Learning Resources, 17, 11106. https://doi.org/10.15766/mep_2374-8265.11106
Sukumar S, et al. Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic. MedEdPORTAL. 2021 03 2;17:11106. PubMed PMID: 33768143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Designing and Implementing a Novel Virtual Rounds Curriculum for Medical Students' Internal Medicine Clerkship During the COVID-19 Pandemic. AU - Sukumar,Smrithi, AU - Zakaria,Adam, AU - Lai,Cindy J, AU - Sakumoto,Matthew, AU - Khanna,Raman, AU - Choi,Nancy, Y1 - 2021/03/02/ PY - 2021/3/26/entrez PY - 2021/3/27/pubmed PY - 2021/4/7/medline KW - COVID-19 KW - Chart Review KW - Clerkship KW - Clinical Medical Education KW - Clinical Teaching/Bedside Teaching KW - Distance Learning KW - Hospital Medicine KW - Internal Medicine KW - Telemedicine KW - Virtual Learning KW - Virtual Rounds SP - 11106 EP - 11106 JF - MedEdPORTAL : the journal of teaching and learning resources JO - MedEdPORTAL VL - 17 N2 - Introduction: During the COVID-19 pandemic, third-year medical students were temporarily unable to participate in onsite clinical activities. We identified the curricular components of an internal medicine (IM) clerkship that would be compromised if students learned solely from online didactics, case studies, and simulations (i.e., prerounding, oral presentations, diagnostic reasoning, and medical management discussions). Using these guiding principles, we created a virtual rounds (VR) curriculum to provide IM clerkship students with clinical exposure during a virtual learning period. Methods: Held three times a week for 2 weeks, VR consisted of three curricular components. First, clerkship students prerounded on an assigned hospitalized patient by remotely accessing the electronic health record and calling into hospital rounds. Second, each student prepared an oral presentation on their assigned patient. Third, using videoconferencing, students delivered these oral presentations to telemedicine VR small groups consisting of three to four students and three tele-instructors. Tele-instructors then provided feedback on oral presentations and taught clinical concepts. We assessed the effectiveness of VR by anonymously surveying students and tele-instructors. Results: Twenty-nine students and 34 volunteer tele-instructors participated in VR over four blocks. A majority of students felt VR improved their prerounding abilities (86%), oral presentation abilities (93%), and clinical reasoning skills (62%). All students found small group to be useful. Discussion: VR allowed students to practice rounding skills in a supportive team-based setting. The lessons learned from its implementation could facilitate education during future pandemics and could also supplement in-person clerkship education. SN - 2374-8265 UR - https://www.unboundmedicine.com/medline/citation/33768143/Designing_and_Implementing_a_Novel_Virtual_Rounds_Curriculum_for_Medical_Students'_Internal_Medicine_Clerkship_During_the_COVID_19_Pandemic_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/33768143/ DB - PRIME DP - Unbound Medicine ER -