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Suggested Citation:"Appendix B: Unanswered Questions for Further Exploration." National Academies of Sciences, Engineering, and Medicine. 2022. Exploring the Role of Health Professional Students and Trainees as Members of the Health Workforce During Crises: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26695.
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Appendix B

Unanswered Questions for Further Exploration
1

Jasmine L. Garland McKinney, University of North Carolina Greensboro, and liaison to the student consultants, asked:

  • How can health professions include and honor student voices and the intersection of identities; for example, how can previous leadership or life experiences outside of the academic setting be acknowledged?
  • Prior to this, how can health professions leaders effectively explain the why behind decision-making processes to their learners?

Mark Merrick, Commission on Accreditation of Athletic Training Education, posed three questions to the panelists:

  • How do we identify and remediate the gaps in competencies that were created by pulling students out of clinical experiences during the pandemic?
  • Does this crisis create a case for competency-based education that gives more flexibility in determining learner competence, rather than the more structured and rigid current models?
  • What role did pulling students from clinicals play in exacerbating disparity in outcomes of the pandemic? Doing so reduced our student’s exposure to patients, and it potentially meant fewer “boots on the ground” in the communities that were hit the hardest.

___________________

1 This Appendix contains questions asked by participants that the panel did not have time to address during the workshop on September 30, 2021.

Suggested Citation:"Appendix B: Unanswered Questions for Further Exploration." National Academies of Sciences, Engineering, and Medicine. 2022. Exploring the Role of Health Professional Students and Trainees as Members of the Health Workforce During Crises: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26695.
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Reena Karani, Icahn School of Medicine at Mount Sinai; Kenya Beard, Chamberlain University; and Casey Shillam, University of Portland School of Nursing, each asked one question, respectively:

  • What are organizations and health professions education schools doing now to address the gaps in hands-on practical clinical skills that were compromised in students as a result of being pulled from the clinical learning environment?
  • When disciplines fail to collaborate, the ripple effect outside of our discipline creates damaging silos. When the pandemic fades, what can we do collaboratively to be better prepared for the next crisis, and how do you envision this collaborative?
  • There is an emerging mental health crisis in the health professions, with new entrants and students burdened and lacking personal connections and support systems. How can we support their transition into the workforce and ensure their success?

Pam Jeffries, Vanderbilt School of Nursing, laid the foundation for her questions by saying, “Having lived through COVID and lockdowns, educators had to be flexible and creative in providing instructional continuity.” She then asked:

  • With the transition of our health professional students to practice, what changes are occurring in health care organizations to accommodate this diversified, virtual, and atypical learning and clinical education?
  • What role did technologies play, and what role will the use of technologies continue in a world post-COVID-19? What did we learn and want to continue forward? What do we need to do better (i.e., refine and develop competencies around) to provide quality, relevant health professions education?
Suggested Citation:"Appendix B: Unanswered Questions for Further Exploration." National Academies of Sciences, Engineering, and Medicine. 2022. Exploring the Role of Health Professional Students and Trainees as Members of the Health Workforce During Crises: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26695.
×
Page 75
Suggested Citation:"Appendix B: Unanswered Questions for Further Exploration." National Academies of Sciences, Engineering, and Medicine. 2022. Exploring the Role of Health Professional Students and Trainees as Members of the Health Workforce During Crises: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26695.
×
Page 76
Next: Appendix C: Members of the Global Forum on Innovation in Health Professional Education »
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The onset of COVID-19 pandemic and inundation of the U.S. health care system emphasized infrastructural and health professional education vulnerabilities. A planning committee of the National Academies of Sciences, Engineering, and Medicine Global Forum on Innovation in Health Professional Education conducted a series of public workshops in the fall of 2021 to explore whether students and trainees should be viewed as members of the health workforce, particular in times of emergency as was experienced during the COVID-19 public health crisis. The planning committee gathered educators, students, administrators, and health professionals to share ideas, experiences, and data to strategize expansion of learning opportunities for medical trainees and enhancement of medical preparedness to unforeseen crises without compromising the quality of patient care. The workshops explored issues such as identifying evidence on value-added roles for students to serve in the delivery of care and in a public health capacity, and balancing the role of learners as consumers (tuition payers) and not licensed providers versus members of the health workforce. This Proceedings highlights presentations and discussions from the workshop.

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