the medical students responding to the pandemic
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Kinder and Harvey have explained very well the impact of COVID 19 pandemic on medical students in the UK (1). These experiences are similar across the world and students have found different ways to replica louis vuitton handbags cope with it. In this response, we offer some perspectives of an Intern from the Indian landscape. A medical degree in India is awarded after completion of four and a half years of medical education followed by one year of compulsory rotatory internship, similar replica louis vuitton handbags to the UK. The intern is usually the first contact for the patient or family in a teaching institution.
It was at the end of March 2020, only 3 months into my internship, that India announced its first lockdown and the pandemic began to feel real to me. Shortly thereafter, in our medical college which is attached to a 1254 bedded government hospital (2), the outpatient clinics were shut and the inpatient wards were cleared to receive COVID 19 patients. The number of cases in India crossed the 6 million mark in September (3). This has affected the lives of all healthcare workers (HCWs), including the interns who just embarked on this journey and work on the front lines, alongside the residents.
Since March, the HCWs have focused their attention towards the pandemic. The duty rosters have been modified to reduce disruption in case a team member was quarantined. Interns were redirected to clerical work and writing of discharge summaries to relieve the overburdened residents. Elective admissions and procedures were postponed, similar to the experience in the UK, resulting in some missed opportunities in training.
The apprehensions faced by interns are the fear of contracting the disease and the risk of transmitting it. It was difficult to cope emotionally when some of my co interns tested positive. There is a feeling of vulnerability among trainees high quality designer replica handbags that competes replica louis vuitton internally with a desire to serve the sick.
Additionally, in India we face the problem of violence against doctors. It is disheartening to read reports about assaults on front line HCWs. This is compounded by the attitude of the society and eviction of HCWs from their homes by landlords in the wake of the pandemic(4).
An adaptation to enhance clinical learning to avoid exposure is a switch towards tele simulation and telehealth based learning. Tele simulation is a concept that uses the internet to link an instructor and a trainee in different locations (5). Some of these resources are widely available and are open access like Tele Sim Box (6).
Telehealth, which is a delivery of health related services via tele communications, can improve interns’ learning experience (7). Early into the lockdown, telehealth services were used to replace most of the outpatient visits at the hospital where I work.
We were encouraged to attend online courses, such as the one on Prescribing Skills created by the Indian Council of Medical research to help enhance our prescription writing for common medical conditions. Virtual conferences provide a platform to develop skills required for career growth. I have presented a poster virtually and replica louis vuitton bags found the experience of interacting with the judges very fulfilling.
The lacunae in training and its implications on the post graduate entrance examination remain unanswered. It is stressful to hear about our fellow HCWs who get infected. However, it is gratifying to see how healthcare professionals are sharing their concerns and expertise with each other. Interacting virtually with colleagues, friends and family is a stress buster. A recent article writes about how the ancient text of the Bhagavad Gita is still relevant in the lives of 1:1 replica handbags HCWs fighting the pandemic. It teaches us not to let fear hold us back and to perform our duties to the best of our abilities (8).
The pandemic has brought much needed national attention to the shortcomings in our health care system. We have learnt infectious disease control measures, personal protective equipment, importance of contact tracing and other principles of epidemiology. HCWs are incorporating tele health practices and medical educators are utilizing best practices for remote learning. It has been a time to witness collaboration across industries. Fashion companies like Louis Vuitton and Chanel responded to the shortage of facemasks by using their supply chain expertise and production lines to manufacture masks and gowns (9). Engineers and doctors from top institutes in India have collaborated to develop ventilators (10). Recently, when an engineering institute in Delhi faced shortage of hand sanitisers dolabuy.su , their Chemistry department lab stepped in to produce cheap louis vuitton bags from china uk low cost sanitisers (11).
In this pandemic, all trainees are adopting newer learning opportunities, such as telemedicine and tele simulation. Strategies to promote mental and physical health must be incorporated. As young doctors, interns can provide fresh and useful insights into problem solving.
1. Kinder F, Harvey A. Covid 19: . BMJ. 2020 Jun 15;369:m2160.
2. Lady Hardinge Medical College Perfect Quality Louis Vuitton Replica Associated Hospitals. “Index1: Lady Hardinge Medical College Associated SSK KSC Hospitals COVID 19″3. Pal A, Khanna S. Virus sows dread in India’s festival season as infections cross six million. Reuters, September 28, 20204. Withnall A. Coronavirus: Why India has had to pass new law against attacks on healthcare workers. The Independent, April 23, 20205. Mikrogianakis A, Kam A, Silver S, et al. Telesimulation: an innovative and effective tool for teaching novel intraosseous insertion techniques in developing countries. Acad Emerg Med. 2011;18(4):420 7.
6. Tuckson RV, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med 2017;377:1585 92.
While these efforts are certainly admirable, we would like to point out that access to get involved in such initiatives depended on a plethora of factors which are most often out of the students’ control. These include the financial status Perfect Quality Louis Vuitton Replica , family circumstances, own physical and mental health, home location, clinical and academic contacts among many others.
Many of these factors were, in fact cheap louis vuitton bags from china uk , worsened by the pandemic. To illustrate this, students who struggle financially would be extra vulnerable to a financial crisis now, those suffering from chronic health problems would find their care disrupted to varying extents , and those suffering from mental health issues would be more susceptible to the negative consequences of reduced human contact .