Exams May Be Cancelled but Humanity Is Not 
A Medical Student Perspective on the COVID-19 Pandemic
June 22, 2020
                  
                   
                  
                  
                  by Elizabeth Avakoff (DO ‘21) and Omneya Ayoub (DO ‘21)
                  
                   “Stay at home!” Public health pleas to help “flatten the curve” amidst the COVID-19
                     pandemic have led to a wave of societal disruptions. Social distancing, defined as
                     keeping yourself at least six feet away from others and avoiding gatherings of ten
                     or more people, has become the new norm for Americans over the past three weeks. These
                     (among other) dramatic societal changes and growing pressure on our nation’s hospital
                     systems have had a distinct impact on medical education, particularly when it comes
                     to clinical training.
“Stay at home!” Public health pleas to help “flatten the curve” amidst the COVID-19
                     pandemic have led to a wave of societal disruptions. Social distancing, defined as
                     keeping yourself at least six feet away from others and avoiding gatherings of ten
                     or more people, has become the new norm for Americans over the past three weeks. These
                     (among other) dramatic societal changes and growing pressure on our nation’s hospital
                     systems have had a distinct impact on medical education, particularly when it comes
                     to clinical training.
                  
                  As third year medical students, our professional development has heavily relied on in-person clinical experiences,
                     directly interacting with patients and healthcare providers. However, with the national
                     push for a 14-day quarantine, students across the country were pulled from their clinical
                     settings until further notice.1,2 In a vast departure from our normally structured path to residency, licensing examinations
                     were also temporarily suspended and our professional lives were placed on hold.3 Medical education institutions across the country have faced the challenge of inventing
                     new ways of supporting student learning in these critical years of clinical training.
                     In many medical schools, this has led to the roll-out of new virtual clinical experiences
                     and greater utilization of dynamic, online training modalities. Students at the University
                     of Illinois, for example, are observing procedures through video conferencing and
                     utilizing mock scenarios to prepare for future patient encounters.4 Likewise, on the East Coast at the Philadelphia College of Osteopathic Medicine, students log-in to live virtual journal clubs, lectures and morning reports. These
                     “online clerkships” support students’ continued professional development and progression
                     through educational requirements.
                  
                  In an informal survey of medical students across the country, there was a resounding
                     concern for what the sweeping societal changes would mean for our residency preparations
                     and our clinical training overall. Simultaneous with online learning, medical students
                     have taken ownership over their residency preparedness, utilizing their additional
                     time to work on personal statements, curriculum vitaes, and study for licensing examinations.
                     Students also expressed concern for their mental health in these uncertain times,
                     finding relief in connecting with family and friends and catching up on much needed
                     self-care. Whether revisiting lost culinary skills, reading a new book, or even going
                     for a run, many have found this time at home to be grounding and introspective. As
                     medical students, we are constantly engrossed in our education and learning the details
                     needed for each progressive step in our training. This new time out of the hospital
                     has allowed us to take a step back and in light of our nation’s COVID-19 response,
                     see the system as a whole from a new perspective. At the same time, we have not lost
                     sight of our colleagues and mentors on the frontlines in this pandemic. In fact, students
                     across all healthcare professions have voiced an earnest desire to do our part in
                     the COVID-19 pandemic.5
                  
                  Through the power of social media, communities across the Mid-Atlantic have seen an
                     outpouring of volunteerism, donations and camaraderie amongst students across the
                     healthcare spectrum. Through Facebook groups such as the “Philadelphia Organization
                     of Health Professions Students - COVID Response,”6 nearly 2,000 students in nursing, medicine, dental medicine, podiatry, veterinary
                     medicine and physician assistant programs have come together for a united goal of
                     stepping off the sidelines. This group has allowed students to collaborate, allocate
                     resources, spread awareness and collect much needed personal protective equipment
                     from the community. From blood drives, to child and pet care for healthcare workers,
                     to meals for our region’s most vulnerable populations, this group continues to develop
                     innovative ways of supporting our mentors, colleagues and patients from our new positions
                     at home. Through this enthusiasm for public service, our Mid-Atlantic medical and
                     allied health professions students have found a way to continue making a difference,
                     while forging new inter-professional cross-collaborations.
                  
                  As our nation learns some hard and invaluable lessons in the spread and management
                     of infectious diseases, emergency preparedness, and population health, we too have
                     found this period to be transformative. The COVID-19 pandemic has shed new light on
                     our individual roles as future physicians in the greater community at large. Students
                     have expressed a greater appreciation for the physician’s role in population health,
                     citing the importance of elevating public awareness, preventing the spread of infectious
                     diseases and having resources on hand to effectively treat large numbers of critically
                     ill patients. As future physicians, we are witnessing humanity at one of its most
                     vulnerable times, not only for our nation, but across the world. In this transformative
                     period, “stay at home” has thus become more than a blanket directive to self-isolate.
                     To us, it represents a civic responsibility to protect one another from unnecessary
                     exposures and a movement to individually and collectively do our part in this COVID-19
                     pandemic.
                  
                  References
                  
                  1 Madhani, A. (2020, March 15). Top US infectious disease expert open to a 14-day ‘national
                     shutdown’ to combat virus spread. Chicago Tribune.
                  
                  2 Ostrov, B. F. (2020, March 17). In Face Of Coronavirus, Many Hospitals Cancel On-Site
                     Training For Nursing And Med Students. Kaiser Health News.
                  
                  3 American Medical Association. (2020, March 19). Resident and medical student COVID-19
                     resource guide. Retrieved March 26, 2020.
                  
                  4 Cheung, A. (2020, March 25). Just as the need soars for health care workers to fight
                     coronavirus, Chicago-area medical students are sidelined from seeing patients. Chicago
                     Tribune.
                  
                  5 Lee, Y. J. (2020, March 24). The coronavirus is preventing medical students from
                     getting hands-on training in hospitals. Frustrated future doctors are looking for
                     new ways to help. Business Insider.
                  
                  6 Philadelphia Organization of Health Professions Students - COVID Response. (2020,
                     March 20). Facebook.
                  
                  
                   
                  
                  About Digest Magazine
                  
                  Digest, the magazine for alumni and friends of Philadelphia College of Osteopathic Medicine,
                     is published by the Office of Marketing and Communications. The magazine reports on
                     osteopathic and other professional trends of interest to alumni of the College’s Doctor of Osteopathic Medicine (DO) and graduate programs at PCOM, PCOM Georgia and PCOM South Georgia.