Virtual Delivery of Simulation Education to Undergraduate Medical Students During the COVID-19 Pandemic

BackgroundThe COVID-19 pandemic has restricted in-person clinical training for medical students. Simulation-based teaching is a promising tool to introduce learners to the clinical environment. MacSim is a student-led simulation workshop for learners to develop clinical competencies. The objective of this study was to assess the impacts of MacSim and participants perspectives regarding simulation-based teaching. MethodsA comprehensive simulation, representative of a virtual care scenario, was delivered to 42 pre-clerkship medical students via video conferencing. In pairs, participants obtained histories and carried out management plans for simulated patients. Participants were surveyed and interviewed. Survey data were analyzed using the Wilcoxon signed-ranks test. Interview transcript data were thematically analyzed. ResultsPost-simulation, participants (n=24) felt more prepared to make clinical decisions, collaborate, and communicate in a virtual setting. 92% of respondents agreed MacSim was a valuable learning experience and 96% agreed more simulation-based learning should be integrated into curricula. Emergent themes from interviews (n=12) included: 1) value of simulation fidelity, 2) value of physician feedback, and 3) effectiveness of MacSim in improving virtual clinical skills. ConclusionSimulation-based teaching is of importance and educational value to medical students. It may play an increasingly prevalent role in education as virtual care is likely to become more prevalent.

Content analysis and characterization of medical tweets during the early Covid-19 pandemic

ObjectiveThe novel coronavirus disease 2019 (Covid-19) has infected millions worldwide and impacted the lives of many folds more. Many clinicians share new Covid-19 related resources, research, and ideas within the online Free Open Access to Medical Education (FOAM) community of practice. This study provides a detailed content and contributor analysis of Covid-19 related tweets among the FOAM community. Design, Setting, ParticipantsTwitter was searched from November 1st, 2019 to March 21st, 2020 for English tweets discussing Covid-19 in the FOAM community. Tweets were classified into one of 13 pre-specified content categories: original research, editorials, FOAM resource, public health, podcast or video, learned experience, refuting false information, policy discussion, emotional impact, blatantly false information, other Covid-19, and non-Covid-19. Further analysis of linked original research and FOAM resources was performed. 1000 randomly selected contributor profiles and those deemed to have contributed false information were analyzed. ResultsThe search yielded 8541 original tweets from 4104 contributors. The number of tweets in each content category were: 1557 other Covid-19 (18{middle dot}2%), 1190 emotional impact (13{middle dot}9%), 1122 FOAM resources (13{middle dot}1%), 1111 policy discussion (13{middle dot}0%), 928 advice (10{middle dot}9%), 873 learned experience (10{middle dot}2%), 424 non-Covid-19 (5{middle dot}0%), 410 podcast or video (4{middle dot}8%), 304 editorials (3{middle dot}6%), 275 original research (3{middle dot}2%), 245 public health (2{middle dot}9%), 83 refuting false information (1{middle dot}0%), and 19 blatantly false (0{middle dot}2%). ConclusionsEarly in the Covid-19 pandemic, the FOAM community used Twitter to share Covid-19 learned experiences, online resources, crowd-sourced advice, research, and to discuss the emotional impact of Covid-19. Twitter also provided a forum for post-publication peer review of new research. Sharing blatantly false information within this community was infrequent. This study highlights several potential benefits from engaging with the FOAM community on Twitter.