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LETTER TO THE EDITOR
Year : 2022 | Volume
: 35
| Issue : 2 | Page : 73-74
Disruptive innovation in Japanese medical education: Positive transformation to blended online and on-site clinical clerkship after coronavirus disease 2019
Ayaka Takahara, Kiyoshi Shikino
Chiba University School of Medicine, Chiba, Japan, Kiyoshi Shikino, MD, PhD, MHPE, FACP, Department of General Medicine, Chiba University Hospital, Chiba, Japan
Correspondence Address:
MD Ayaka Takahara
Chiba University School of Medicine, Chiba, Japan, 1-8-1, Inohana, Chuo-ku, Chiba-city, Chiba Pref
Japan
Source of Support: None, Conflict of Interest: None
CheckDOI: 10.4103/efh.efh_482_20
Dear Editor,
The coronavirus disease 2019 (COVID-19) pandemic has caused significant changes in the system of medical education in Japan, particularly in clinical clerkship practice. Before the pandemic, there was no online clinical clerkship, and all activities were conducted on-site. Because the pandemic suddenly made on-site training difficult, there is a lack of adequate educational resources on the online, including time and material, to prepare content that can complement the conventional curriculum for clinical clerkship, with all clinical educators struggling to adapt. Considering this situation, this letter examines the benefits of online clinical clerkship in Japan.
In the field of medicine, dramatic innovation is difficult,[1] and education is often organized under the traditional apprenticeship system. Due to the lack of educational consideration for the tasks given to learners,[2] under the on-site practice, students often just observed the treatment performed by doctors and had few opportunities to think thoroughly about and actively participate in patient treatment and management. Moreover, discussion took place in the presence of the supervising physician, which affected student interaction. In this context, online clinical clerkship has suddenly advanced to an education based on legitimate peripheral participation,[1] where tasks are presented according to learners' requirements or development, with plentiful opportunities for discussion.
Online clinical clerkship has promoted collaborative learning and brought numerous improvements.[3] First, learners are able to suggest treatments and gain a sense of engaging in the practice. The online environment makes it easier for students to express their opinions, especially for those who are not good at speaking up on-site or who need more time to think. Therefore, it is expected that clinical learning will increase as every student will be able to study independently. Second, through discussion, students can observe their colleagues' progress. This can increase their motivation, helping them learn how to teach and obtain skills necessary for lifelong learning and teamwork.
In the post-COVID-19 era, clinical practice at the bedside is expected to resume, although it will never be the same. As some procedures can be learned only at the bedside, they must be learned on-site. However, students can retain a sense of engaging in the practice and learn more efficiently by engaging in discussions about patients and lectures online. We hope that the introduction of such “new-normal” blended online and on-site clinical clerkship will lead to disruptive innovation in medical education.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References
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