Yi-Chen Chiang, Tony Szu-Hsien Lee, Lee-Lan Yen, Chi-Chen Wu, Dai-Chan Lin, Baai-Shyun Hurng, Hsing-Yi Chang
Influence of stressors and possible pathways of onset of seventh graders' suicidal ideation in urban and rural areas in Taiwan
BMC public health
covid19 pandemic created need educational materials methods replace clinical clerkships ccs online simulated clinical practice onlinescp study evaluates impact using simulated electronic health records sehr inpatients electronic problembased learning epbl online virtual medical interviews onlinevmi outpatients onlinescp using learning management system lms online meeting system facilitated supervising physician sehr reviewed medical students subsequently discussed supervising physician using online meeting system epbl medical students reviewed simulated patients discussed lms onlinevmi faculty member acted outpatient student acted doctor small groups students discussed clinical reasoning process using online meeting system mixedmethod design implemented medical students selfassessed clinical competence onlinescp answered questionnaires participated semistructured focus group interviews fgis regarding advantages disadvantages practice fortythree students completed onlinescp may june 2020 students indicated significant improvement aspects selfevaluation clinical performance onlinescp students using sehr reported significant improvement writing daily medical records medical summaries students using epbl onlinevmi reported significant improvement medical interviews counseling students also indicated ccs useful learning associated medical interviews physical examinations humanistic qualities like professionalism onlinescp eight fgis conducted n 42 advantages onlinescp segregated five categories learning environment efficiency accessibility selfpaced learning interactivity meanwhile disadvantages onlinescp classified seven categories clinical practice experience learning environment interactivity motivation memory retention accessibility extraneous cognitive load onlinescp sehr epbl onlinevmi could useful learning clinical skills acquired cc methods implemented limited preparation resources