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

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          Abstract

          Background

          The COVID-19 pandemic presents a unique challenge to surgical residency programs. Due to the restrictions recommended by the Centers for Disease Control and Prevention and other organizations, the educational landscape for surgical residents is rapidly changing. In addition, the time course of these changes is undefined.

          Methods

          We attempt to define the scope of the problem of maintaining surgical resident education while maintaining the safety of residents, educators, and patients. Within the basic framework of limiting in-person gatherings, postponing or canceling elective operations in hospitals, and limiting rotations between sites, we propose innovative solutions to maintain rigorous education.

          Results

          We propose several innovative solutions including the flipped classroom model, online practice questions, teleconferencing in place of in-person lectures, involving residents in telemedicine clinics, procedural simulation, and the facilitated use of surgical videos. Although there is no substitute for hands-on learning through operative experience and direct patient care, these may be ways to mitigate the loss of learning exposure during this time.

          Conclusions

          These innovative solutions utilizing technology may help to bridge the educational gap for surgical residents during this unprecedented circumstance. The support of national organizations may be beneficial in maintaining rigorous surgical education.

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          Most cited references7

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          e-Learning in Surgical Education: A Systematic Review.

          e-Learning involves the delivery of educational content through web-based methods. Owing to work-hour restrictions and changing practice patterns in surgery, e-learning can offer an effective alternative to traditional teaching. Our aims were to (1) identify current modalities of e-learning, (2) assess the efficacy of e-learning as an intervention in surgical education through a systematic review of the literature, and (3) discuss the relevance of e-learning as an educational tool in surgical education. This is the first such systematic review in this field.
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            Video-based coaching in surgical education: a systematic review and meta-analysis.

            In the era of competency-based surgical education, VBC has gained increased attention and may enhance the efficacy of surgical education. The objective of this systematic review was to summarize the existing evidence of video-based coaching (VBC) and compare VBC to traditional master-apprentice-based surgical education.
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              • Article: not found

              Concerns of Quality and Safety in Public Domain Surgical Education Videos: An Assessment of the Critical View of Safety in Frequently Used Laparoscopic Cholecystectomy Videos

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                Author and article information

                Contributors
                Journal
                J Surg Educ
                J Surg Educ
                Journal of Surgical Education
                Elsevier
                1931-7204
                1878-7452
                3 April 2020
                3 April 2020
                Affiliations
                [* ]Brooke Army Medical Center, San Antonio, Texas
                []University of California at San Francisco, San Francisco, California
                Author notes
                [** ] Correspondence: Inquiries to Timothy J. Vreeland, Brooke Army Medical Center, 3551 Roger Brooke Dr, San Antonio, TX, 78234. vreelant@ 123456gmail.com
                Article
                S1931-7204(20)30084-2
                10.1016/j.jsurg.2020.03.018
                7270491
                32253133
                1a4efcc4-4e52-45d9-9aa1-2234bce1a87e

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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                covid-19,distance learning,flipped classroom,surgical videos,medical knowledge,practice-based learning and improvement

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