Perspectives

When Students Become Doctors: The Blurring of the Lines in Medical Education

Authors: Sherine Salib, MD, MRCP, FACP

Abstract

Medical education, particularly at the undergraduate medical education level, is shrouded in what seems to be irreducible uncertainty at present. With the explosion of the coronavirus disease 2019 (COVID-19) pandemic in our midst, striking our hospitals and our communities, the status of medical education and what it really means to be a medical trainee, be it a medical student or medical resident, becomes a more important than ever question.

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References

1. Dornan T. Osler, Flexner, apprenticeship and “the new medical education”. J R Soc Med 2005;98:91–95.   2. Mason MV. Are residents considered students or employees? JAMA 1998;279:1668.   3. Accreditation Council for Graduate Medical Education. Employees under the National Labor Relations Act. https://www.acgme.org/About-Us/Publications-and-Resources/Archived-Papers/Position-Papers/EmployeesUnder-the-National-Labor-Relations-Act. Published March 1, 2000. Accessed April 3, 2020.   4. Association of American Medical Colleges. Guidance on medical students’ participation in direct in-person patient contact activities. https://www.aamc.org/system/files/2020-03/meded-March-30-Interim-Guidance-on-MedicalStudents-Clinical-Participation_0.pdf. Published 2020. Accessed April 5, 2020.   5. Bauchner H, Sharfstein J. A bold response to the COVID-19 pandemic: medical students, national service, and public health. JAMA 2020;323:1790–1791.   6. Association of American Medical Colleges. The Core entrustable professional activities (EPAs) for entering residency: core EPA publications and presentations. https://www.aamc.org/what-we-do/mission-areas/medical-education/cbme/core-epas. Accessed April 5, 2020.   7. Emanuel EJ. The inevitable reimagining of medical education. JAMA 2020;323:1127–1128.