时代周刊:新冠病毒如何影响下一代医生(3)

When third- and fourth-year students were yanked from hospitals last spring, many schools pivoted¹ to telemedicine appointments.

去年春天，当三、四年级的学生被迫离开医院时，许多学校转向了远程医疗预约。

(This wasn't unique to medical schools; remote visits surged across the health care system.)

(这并不是医学院独有的，远程访问在整个医疗体系中激增。)

After the new academic year started last summer, third-year students at Geisinger spent the first 10 weeks learning how to take patient assessments² and develop treatment plans over Zoom³.

去年夏天新学年开始后，盖辛格大学的三年级学生在前10周学习如何进行患者评估，并在Zoom上制定治疗计划。

"When clinical care changes, medical-student education follows," says Dr. Alison Whelan, chief medical education officer at the Association of American Medical Colleges (AAMC).

美国医学院协会(AAMC)的首席医学教育官艾莉森·惠兰博士说：“当临床护理发生变化时，医学生教育也在随之改变。”

That required teaching students "webside" (as opposed to bedside) manner, to prepare them for a clinical practice likely to be far more virtual than that of their predecessors⁴.

这就需要在“网站”(而不是床上)对学生进行教学，让他们为可能比前辈们实践的更加虚拟的临床实践做好准备。

"If you're not shaking hands, how do you make that initial connection (with a patient)?" Whelan asks.

“如果不握手，那么如何(和病人)建立起最初的联系呢？”惠兰问道。

Students have also been honing the skills needed to perform the behind-the-scenes work that goes into a telemedicine appointment—

惠兰说，学生们也一直在磨练完成远程医疗预约的幕后工作所需的技能，

like how to handle patient privacy when a spouse⁵ wanders into the room, or what to do when a patient can't work the web platform, Whelan says.

比如当配偶走进房间时如何处理病人的隐私，或者当病人不能使用网络平台时该怎么办。

Still, you can't take an EKG or draw blood virtually. To continue teaching skills like these when students were sent home,

而且，你不能做心电图或者虚拟抽血。当学生们被送回家后，为了继续教授这些技能，

Geisinger built an "e-ICU" that allows students to see what's going on in hospital rooms and remotely do the sort of trainee-doctor work they'd have done in person before the pandemic.

盖辛格建立了一个“e-ICU”，让学生们可以看到医院病房里发生了什么，并远程完成他们在新冠前亲自做的实习医生工作。

Through a webcam, they can ask resident doctors on duty to perform certain exams or tests, as if they were actually at the patient's bedside, and then get immediate⁶ feedback from the resident.

通过网络摄像头，他们可以要求值班的住院医生进行某些检查或测试，就好像他们就在病人的床边一样，然后立即得到住院医生的反馈。

The model worked so well that Geisinger plans to continue the e-ICU and the school's broader telemedicine training even as students return to regular clinical work, Jeffries says.

杰弗瑞斯说这种模式非常有效，盖辛格计划即使在学生们回到常规的临床工作岗位时也继续实施e-ICU和学校更广泛的远程医疗培训。

Doctors who are digitally literate⁷ and comfortable using telemedicine could help expand access to care in the future, he says.

他说，精通数字技术并能熟练使用远程医疗的医生可以在未来帮助扩大医疗服务的覆盖面。

Programs like the e-ICU could also help connect doctors in small community clinics with specialists who may not be available locally.

像e-ICU这样的项目也可以帮助连接小型社区诊所的医生和当地可能找不到的专家。

"I come from a small town in the middle of nowhere. We don't even have a post office," says Dr. Cass Lippold, a critical- care fellow at Geisinger who oversaw⁸ the e-ICU program.

“我来自一个偏僻的小镇，我们那里甚至连邮局都没有，”卡斯·利波德博士说，他是盖辛格的一位重症护理研究员，负责监督e-ICU项目。

"This will be great to help those people who don't have access to a hospital."

“这对帮助那些无法去医院的人来说是件好事。”

It could also make it easier for prospective⁹ doctors with physical or learning disabilities to participate, as they could tailor their environment to fit their needs.

它还可以让有身体或学习障碍的有潜力的医生更容易参与，因为他们可以调整环境以适应自己的需求。

1 pivoted   

adj.转动的，回转的，装在枢轴上的v.（似）在枢轴上转动( pivot的过去式和过去分词 )；把…放在枢轴上；以…为核心，围绕（主旨）展开

参考例句：

• His old legs and shoulders pivoted with the swinging of the pulling. 他一把把地拉着，两条老迈的腿儿和肩膀跟着转动。 来自英汉文学 - 老人与海
• When air is moving, the metal is pivoted on the hinge. 当空气流动时，金属板在铰链上转动。 来自辞典例句

2 assessments   

n.评估( assessment的名词复数 )；评价；（应偿付金额的）估定；（为征税对财产所作的）估价

参考例句：

• He was shrewd in his personal assessments. 他总能对人作出精明的评价。 来自《简明英汉词典》
• Surveys show about two-thirds use such assessments, while half employ personality tests. 调查表明，约有三分之二的公司采用了这种测评；而一半的公司则采用工作人员个人品质测试。 来自百科语句

3 zoom   

n.急速上升；v.突然扩大，急速上升

参考例句：

• The airplane's zoom carried it above the clouds.飞机的陡直上升使它飞到云层之上。
• I live near an airport and the zoom of passing planes can be heard night and day.我住在一个飞机场附近，昼夜都能听到飞机飞过的嗡嗡声。

4 predecessors   

n.前任( predecessor的名词复数 )；前辈；（被取代的）原有事物；前身

参考例句：

• The new government set about dismantling their predecessors' legislation. 新政府正着手废除其前任所制定的法律。 来自《简明英汉词典》
• Will new plan be any more acceptable than its predecessors? 新计划比原先的计划更能令人满意吗？ 来自《简明英汉词典》

5 spouse   

n.配偶(指夫或妻)

参考例句：

• Her spouse will come to see her on Sunday.她的丈夫星期天要来看她。
• What is the best way to keep your spouse happy in the marriage?在婚姻中保持配偶幸福的最好方法是什么？

6 immediate   

adj.立即的；直接的，最接近的；紧靠的

参考例句：

• His immediate neighbours felt it their duty to call.他的近邻认为他们有责任去拜访。
• We declared ourselves for the immediate convocation of the meeting.我们主张立即召开这个会议。

7 literate   

n.学者；adj.精通文学的，受过教育的

参考例句：

• Only a few of the nation's peasants are literate.这个国家的农民中只有少数人能识字。
• A literate person can get knowledge through reading many books.一个受过教育的人可以通过读书而获得知识。

8 oversaw   

v.监督，监视( oversee的过去式 )

参考例句：

• He will go down as the president who oversaw two historic transitions. 他将作为见证了巴西两次历史性转变的总统，安然引退。 来自互联网
• Dixon oversaw the project as creative director of Design Research Studio. 狄克逊监督项目的创意总监设计研究工作室。 来自互联网

9 prospective   

adj.预期的，未来的，前瞻性的

参考例句：

• The story should act as a warning to other prospective buyers.这篇报道应该对其他潜在的购买者起到警示作用。
• They have all these great activities for prospective freshmen.这会举办各种各样的活动来招待未来的新人。