Evidence map›Paper›PMID 34432665›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2021

Impact of the COVID-19 Pandemic on the Clinical Learning Environment: Addressing Identified Gaps and Seizing Opportunities.

Justin D Triemstra, Mary R C Haas, Indira Bhavsar-Burke, Rachel Gottlieb-Smith, Margaret Wolff, Anita V Shelgikar, Renato V Samala, Allison L Ruff, Kevin Kuo, Marty Tam and 4 more

Open access · greenAbstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 52 citations in OpenAlex.

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  3. Virtual Learning in Emergency Medicine Residency Programs.Journal of the American College of Emergency Physicians open · 2025
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  10. Novel interactive text-messaging curriculum for endocrinology board review.Journal of clinical & translational endocrinology · 2023
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  14. Article
  15. The COVID-19 pandemic and sleep medicine: a look back and a look ahead.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Justin D TriemstraJ.D. Triemstra is assistant professor of pediatrics and human development and associate program director, Pediatric Residency Program, Department of Pediatrics and Human Development, Helen DeVos Children's Hospital, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, Michigan; ORCID: https://orcid.org/0000-0001-9860-8628 .
Mary R C HaasM.R.C. Haas is clinical instructor of emergency medicine and assistant program director, Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-9506-5928 .
Indira Bhavsar-BurkeI. Bhavsar-Burke is clinical reasoning director, Medical Student Education, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0002-9438-2067 .
Rachel Gottlieb-SmithR. Gottlieb-Smith is clinical assistant professor, Department of Pediatrics, Division of Pediatric Neurology, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-6066-5966 .
Margaret WolffM. Wolff is associate professor, Departments of Emergency Medicine, Pediatric Emergency Medicine, and Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Anita V ShelgikarA.V. Shelgikar is clinical associate professor of neurology and director, Sleep Medicine Fellowship, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-3629-0084 .
Renato V SamalaR.V. Samala is assistant professor of medicine, Cleveland Clinic Lerner College of Medicine, and staff physician, Department of Palliative and Supportive Care, Cleveland Clinic, Cleveland, Ohio; ORCID: https://orcid.org/0000-0002-2950-7708 .
Allison L RuffA.L. Ruff is clinical assistant professor, Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-1381-755X .
Kevin KuoK. Kuo is clinical assistant professor of pediatrics, program director, Pediatric Critical Care Medicine Fellowship, and associate program director, Pediatric Residency Program, Department of Pediatrics, Stanford University, Palo Alto, California; ORCID: https://orcid.org/0000-0002-9124-147X .
Marty TamM. Tam is assistant professor and associate program director, Advanced Heart Failure and Transplant Cardiology Fellowship Program, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-5826-1727 .
Amit GuptaA. Gupta is assistant professor of medicine, Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; ORCID: https://orcid.org/0000-0001-6468-1472 .
Jennifer StojanJ. Stojan is associate professor of internal medicine and pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Larry GruppenL. Gruppen is professor of learning health sciences and director, Master of Health Professions Education Program, University of Michigan Medical School, Ann Arbor, Michigan; ORCID: https://orcid.org/0000-0002-2107-0126 .
Herodotos EllinasH. Ellinas is associate professor, Department of Anesthesiology, Division of Pediatric Anesthesia, Medical College of Wisconsin, Milwaukee, Wisconsin; ORCID: https://orcid.org/0000-0003-0803-809X .
Burke Foundation · USDr. August Wolff (Germany) · DEKnowledge Unlatched (Germany) · DELouisiana Federation of Families for Children's Mental Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical learning environment (CLE) encompasses the learner's personal characteristics and experiences, social relationships, organizational culture, and the institution's physical and virtual infrastructure. During the COVID-19 pandemic, all 4 of these parts of the CLE have undergone a massive and rapid disruption. Personal and social communications have been limited to virtual interactions or shifted to unfamiliar clinical spaces because of redeployment. Rapid changes to the organizational culture required prompt adaptations from learners and educators in their complex organizational systems yet caused increased confusion and anxiety among them. A traditional reliance on a physical infrastructure for classical educational practices in the CLE was challenged when all institutions had to undergo a major transition to a virtual learning environment. However, disruptions spurred exciting innovations in the CLE. An entire cohort of physicians and learners underwent swift adjustments in their personal and professional development and identity as they rose to meet the clinical and educational challenges they faced due to COVID-19. Social networks and collaborations were expanded beyond traditional institutional walls and previously held international boundaries within multiple specialties. Specific aspects of the organizational and educational culture, including epidemiology, public health, and medical ethics, were brought to the forefront in health professions education, while the physical learning environment underwent a rapid transition to a virtual learning space. As health professions education continues in the era of COVID-19 and into a new era, educators must take advantage of these dynamic systems to identify additional gaps and implement meaningful change. In this article, health professions educators and learners from multiple institutions and specialties discuss the gaps and weaknesses exposed, opportunities revealed, and strategies developed for optimizing the CLE in the post-COVID-19 world.

Indexed as

LearningPhysical DistancingCooperative BehaviorCOVID-19Education, DistanceEducation, MedicalHumansInterdisciplinary PlacementOrganizational CultureSocial EnvironmentSocial NetworkingStudents, MedicalUnited States

Identifiers

PMID34432665
PMCPMC8378432
OpenAlexW3133699225

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.