Abstract：
The unexpected COVID-19 crisis has disrupted medical education and patient care in unprecedented ways. Despite the challenges, the health-care system and patients have been both creative and resilient in finding robust \"temporary\" solutions to these challenges. It is not clear if some of these COVID-era transitional steps will be preserved in the future of medical education and telemedicine.
The goal of this commentary is to address the sometimes substantial changes in medical education, continuing medical education (CME) activities, residency and fellowship programs, specialty society meetings, and telemedicine, and to consider the value of some of these profound shifts to \"business as usual\" in the health-care sector.
This is a commentary is based on the limited available literature, online information, and the front-line experiences of the authors.
COVID-19 has clearly changed residency and fellowship programs by limiting the amount of hands-on time physicians could spend with patients. Accreditation Council for Graduate Medicine Education has endorsed certain policy changes to promote greater flexibility in programs but still rigorously upholds specific standards. Technological interventions such as telemedicine visits with patients, virtual meetings with colleagues, and online interviews have been introduced, and many trainees are \"techno-omnivores\" who are comfortable using a variety of technology platforms and techniques. Webinars and e-learning are gaining traction now, and their use, practicality, and cost-effectiveness may make them important in the post-COVID era. CME activities have migrated increasingly to virtual events and online programs, a trend that may also continue due to its practicality and cost-effectiveness. While many medical meetings of specialty societies have been postponed or cancelled altogether, technology allows for virtual meetings that may offer versatility and time-saving opportunities for busy clinicians. It may be that future medical meetings embrace a hybrid approach of blending digital with face-to-face experience. Telemedicine was already in place prior to the COVID-19 crisis but barriers are rapidly coming down to its widespread use and patients seem to embrace this, even as health-care systems navigate the complicated issues of cybersecurity and patient privacy. Regulatory guidance may be needed to develop safe, secure, and patient-friendly telehealth applications. Telemedicine has affected the prescribing of controlled substances in which online counseling, informed consent, and follow-up must be done in a virtual setting. For example, pill counts can be done in a video call and patients can still get questions answered about their pain therapy, although it is likely that after the crisis, prescribing controlled substances may revert to face-to-face visits.
The health-care system finds itself in a very fluid situation at the time this was written and changes are still occurring and being assessed.
Many of the technological changes imposed so abruptly on the health-care system by the COVID-19 pandemic may be positive and it may be beneficial that some of these transitions be preserved or modified as we move forward. Clinicians must be objective in assessing these changes and retaining those changes that clearly improve health-care education and patient care as we enter the COVID era.
The goal of this commentary is to address the sometimes substantial changes in medical education, continuing medical education (CME) activities, residency and fellowship programs, specialty society meetings, and telemedicine, and to consider the value of some of these profound shifts to \"business as usual\" in the health-care sector.
This is a commentary is based on the limited available literature, online information, and the front-line experiences of the authors.
COVID-19 has clearly changed residency and fellowship programs by limiting the amount of hands-on time physicians could spend with patients. Accreditation Council for Graduate Medicine Education has endorsed certain policy changes to promote greater flexibility in programs but still rigorously upholds specific standards. Technological interventions such as telemedicine visits with patients, virtual meetings with colleagues, and online interviews have been introduced, and many trainees are \"techno-omnivores\" who are comfortable using a variety of technology platforms and techniques. Webinars and e-learning are gaining traction now, and their use, practicality, and cost-effectiveness may make them important in the post-COVID era. CME activities have migrated increasingly to virtual events and online programs, a trend that may also continue due to its practicality and cost-effectiveness. While many medical meetings of specialty societies have been postponed or cancelled altogether, technology allows for virtual meetings that may offer versatility and time-saving opportunities for busy clinicians. It may be that future medical meetings embrace a hybrid approach of blending digital with face-to-face experience. Telemedicine was already in place prior to the COVID-19 crisis but barriers are rapidly coming down to its widespread use and patients seem to embrace this, even as health-care systems navigate the complicated issues of cybersecurity and patient privacy. Regulatory guidance may be needed to develop safe, secure, and patient-friendly telehealth applications. Telemedicine has affected the prescribing of controlled substances in which online counseling, informed consent, and follow-up must be done in a virtual setting. For example, pill counts can be done in a video call and patients can still get questions answered about their pain therapy, although it is likely that after the crisis, prescribing controlled substances may revert to face-to-face visits.
The health-care system finds itself in a very fluid situation at the time this was written and changes are still occurring and being assessed.
Many of the technological changes imposed so abruptly on the health-care system by the COVID-19 pandemic may be positive and it may be beneficial that some of these transitions be preserved or modified as we move forward. Clinicians must be objective in assessing these changes and retaining those changes that clearly improve health-care education and patient care as we enter the COVID era.
摘要：
意外的COVID-19危机以前所未有的方式扰乱了医学教育和患者护理。尽管面临挑战,医疗保健系统和患者在寻找应对这些挑战的强有力的“临时”解决方案方面既富有创造力又富有弹性。目前尚不清楚这些COVID时代的过渡步骤中的一些是否会在未来的医学教育和远程医疗中得到保留。
本评论的目的是解决医学教育有时发生的重大变化，继续医学教育（CME）活动，居住和研究金计划，专业社会会议，和远程医疗，并考虑其中一些深刻转变对医疗保健部门“一切照旧”的价值。
这是一篇基于有限的现有文献的评论，在线信息,以及作者的前线经验。
COVID-19通过限制医生与患者在一起的动手时间，明显改变了住院医师和研究金计划。研究生医学教育认证委员会已批准某些政策变更，以促进计划的更大灵活性，但仍严格遵守特定标准。技术干预措施，如远程医疗患者就诊，与同事的虚拟会议，并引入了在线采访，许多受训者是“技术杂食者”，他们乐于使用各种技术平台和技术。网络研讨会和电子学习现在越来越受欢迎，和它们的使用，实用性,和成本效益可能使它们在后COVID时代变得重要。CME活动已越来越多地迁移到虚拟活动和在线计划，由于其实用性和成本效益，这一趋势也可能继续下去。虽然许多专业协会的医学会议已被全部推迟或取消，技术允许虚拟会议，可以为忙碌的临床医生提供多功能性和节省时间的机会。未来的医疗会议可能会采用一种混合数字与面对面体验的混合方法。在COVID-19危机之前，远程医疗已经到位，但其广泛使用的障碍正在迅速下降，患者似乎接受了这一点，即使医疗保健系统在网络安全和患者隐私等复杂问题上导航。可能需要监管指导来制定安全，安全,和患者友好的远程医疗应用程序。远程医疗已经影响了受控物质的处方，其中在线咨询，知情同意,跟进必须在虚拟环境中进行。例如,药丸计数可以在视频通话中完成，患者仍然可以得到关于疼痛治疗的问题回答，尽管很可能在危机之后，处方受控物质可能会恢复到面对面的访问。
在撰写本文时，医疗保健系统发现自己处于非常不稳定的状态，变化仍在发生并正在评估中。
COVID-19大流行突然强加给医疗保健系统的许多技术变革可能是积极的，随着我们的前进，保留或修改其中一些过渡可能是有益的。当我们进入COVID时代时，临床医生必须客观地评估这些变化，并保留那些明显改善医疗保健教育和患者护理的变化。
本评论的目的是解决医学教育有时发生的重大变化，继续医学教育（CME）活动，居住和研究金计划，专业社会会议，和远程医疗，并考虑其中一些深刻转变对医疗保健部门“一切照旧”的价值。
这是一篇基于有限的现有文献的评论，在线信息,以及作者的前线经验。
COVID-19通过限制医生与患者在一起的动手时间，明显改变了住院医师和研究金计划。研究生医学教育认证委员会已批准某些政策变更，以促进计划的更大灵活性，但仍严格遵守特定标准。技术干预措施，如远程医疗患者就诊，与同事的虚拟会议，并引入了在线采访，许多受训者是“技术杂食者”，他们乐于使用各种技术平台和技术。网络研讨会和电子学习现在越来越受欢迎，和它们的使用，实用性,和成本效益可能使它们在后COVID时代变得重要。CME活动已越来越多地迁移到虚拟活动和在线计划，由于其实用性和成本效益，这一趋势也可能继续下去。虽然许多专业协会的医学会议已被全部推迟或取消，技术允许虚拟会议，可以为忙碌的临床医生提供多功能性和节省时间的机会。未来的医疗会议可能会采用一种混合数字与面对面体验的混合方法。在COVID-19危机之前，远程医疗已经到位，但其广泛使用的障碍正在迅速下降，患者似乎接受了这一点，即使医疗保健系统在网络安全和患者隐私等复杂问题上导航。可能需要监管指导来制定安全，安全,和患者友好的远程医疗应用程序。远程医疗已经影响了受控物质的处方，其中在线咨询，知情同意,跟进必须在虚拟环境中进行。例如,药丸计数可以在视频通话中完成，患者仍然可以得到关于疼痛治疗的问题回答，尽管很可能在危机之后，处方受控物质可能会恢复到面对面的访问。
在撰写本文时，医疗保健系统发现自己处于非常不稳定的状态，变化仍在发生并正在评估中。
COVID-19大流行突然强加给医疗保健系统的许多技术变革可能是积极的，随着我们的前进，保留或修改其中一些过渡可能是有益的。当我们进入COVID时代时，临床医生必须客观地评估这些变化，并保留那些明显改善医疗保健教育和患者护理的变化。
