After Hours Training in ER

概要

Shimane J. Med. Sci., Vol.40 pp.61, 2023

After Hours Training in ER
Naho YOSHIOKA1）, Yoshiaki IWASHITA2）, Rie SATO2）, Noriaki YAMADA2）
1)
6th Grade, School of Medicine, Faculty of Medicine, Shimane University, Izumo, Shimane 693-8501, Japan
2)
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Shimane University, Izumo,
Shimane 693-8501, Japan
（Received August 22, 2023; Accepted September 15, 2023; Published online February 20, 2024）
Background: The coronavirus disease（COVID-19）
pandemic has reduced medical students actual experience in clinical practice［1–3］. For COVID-19
infection control between both patients in the wards
and medical students, students are restricted from
clinical practice in the wards. To overcome this
obstacle, the emergency room （ER） of Shimane
University Hospital, which admits 15,000 patients
annually, provide medical students with opportunities to participate in the treatment of actual patients.
Because the ER is independent of hospital wards,
COVID-19 infection control measures are always in
place. This environment allows students to take the
same infection control measures as the medical staff,
and thus, there is little need to limit their practical
training. Explanation: Students participated in the
after-hours practice, which is set between 6 PM
and 11 PM, after their regular training in the curriculum. In 2022, approximately 30 students participated in the after-hours practice regularly. Description:
Medical students had many opportunities to play the
role of medical staff during initial consultations in
the ER. Through actual clinical experiences, students
gained not only a better understanding of diseases
but also ideal manners for medical professionals.
Furthermore, students were also able to work with
both patients admitted to the ER as well as with

those admitted to various departments. This allowed
the students to be involved not only in the emergency care of patients with diseases in other departments. Moreover, students had great opportunities
to understand the importance of collaborations and
teamwork with other professionals, such as nurses,
paramedics, and medical engineers. None of the
students contracted COVID-19 through this training.
Despite decreasing clinical training opportunities for
medical students owing to the COVID-19 pandemic,
the after-hours training in the ER allowed students
to enrich their knowledge and improve their manners as medical professionals in the actual clinical
settings.

REFERENCES
1）TMS Collaborative. The perceived impact of the
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2） Harries AJ, Lee C, Jones L, et al. Effects of
the COVID-19 pandemic on medical students: a
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2021;21:14. doi: 10.1186/s12909-020-02462-1.
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doi: 10.36834/cmej.71261.

Corresponding author: Yoshiaki IWASHITA, M.D., Ph.D.
Department of Emergency and Critical Care Medicine, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo,
Shimane 693-8501, Japan
Tel: +81-853-20-2401
Email: iwaci1ta@med.shimane-u.ac.jp

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