An Innovative Hospital Internship Approach During COVID-19

An Innovative Hospital Internship Approach During COVID-19

The COVID-19 crisis emerged just as CHOC leaders and physicians were gearing up for the 2020 internship program.

A year ago, Jenae Vancura joined an elite group of college and high school students for an innovative summer internship program at CHOC Children's in Orange, California. The interns shadowed physicians, joined doctors on rounds and attended meetings with a wide range of professionals in the medical field.

The days were long. The work was challenging.

And Jenae, a biology major from UC Santa Barbara, is back again this year, serving as a lead intern for the Sharon Disney Lund Medical Intelligence and Innovation Institute (MI3) summer internship program. She helps guide a new group of students through the rigorous program.

"But this year is a little different," Vancura says.

In its eighth year, the internship has been reimagined as a virtual program, a pivot quickly executed at the onset of the coronavirus pandemic.

The COVID-19 crisis emerged just as CHOC leaders and physicians were gearing up for this year's internship program. That meant that the 63 participating students would not be able to work directly with hospital staff or go on rounds to interact with patients as in years past.

Cancelling not an option

While many internship programs have been halted worldwide due to COVID-19, canceling the MI3 internship was simply not an option, organizers say. The experience was much too valuable and too many students had worked too hard to get this far.

"Many of our interns look to our program to affirm and motivate their decision to apply to medical school," says Debra Beauregard, director of MI3. "Nearly all of the interns aspire to become physicians."

So, with just weeks to go, the decision was made to recalibrate the program and put the curriculum online.

"The easy thing would have been to postpone or cancel," says Anthony Chang, M.D., CHOC chief intelligence and innovation officer who launched the program eight years ago. "We wanted to give the students the same level of opportunity. To their credit, the team stepped up and made the internship rotation on par with previous years."

Chang started the internship because he wanted to give young people an in-depth experience of the medical field.

"I felt like no one was really doing something like this," he says. "The students were staying with one mentor doing one assignment. That sounds like a research assignment, not an internship. I wanted to give them access to a hundred mentors."

A rigorous pace remains

Even though the pandemic has restricted access to the hospital, it hasn't slowed the interns' pace. Their work schedule starts early and, with a few breaks, doesn't end until the evening.

"We set up a lot of Zoom meetings," Beauregard says. "Our interns have a full schedule. They participated in rounds and shadowed our physicians virtually. They were even able to remotely view multiple surgeries. This was a challenge, but everyone pulled together to provide what turned out to be a great summer program."

Chang says that while the interns are receiving the same level of instruction, what's missing are some of the personal interactions that come with face-to-face contact.

"Not having one-on-one time in person and not having more intimate moments in small groups is difficult for us," he says. "For instance, in past years they've had one-day retreats where they come to my house for breakfast and lunch. I wasn't able to do that this year."

But that doesn't mean there isn't room for a little fun.

"Our directors and lead interns made sure that all interns felt connected," Beauregard says. "We included team-building exercises, interactive small group sessions and a virtual graduation ceremony. The leads organized a virtual talent show and Zoomie Awards, in addition to a competitive team competition. Our leads have gone above and beyond to ensure that our interns had a meaningful and memorable experience."

Sharief Taraman, M.D., CHOC internship co-director and pediatric neurologist, has been part of the program almost since it started. He says this year's group is better off than students anywhere else.

"They're ahead of their peers in terms of experience and what they can get out of the summer," he says. "We have a lot of moving parts, so we had to pivot very quickly."

To ensure the interns get all the experience they can, they are invited back next year with hope they can experience hands-on work.

"We have offered guaranteed spots for our interns next year, so they can have an in-person experience," Beauregard says. "We are confident that most will be coming back."

Student gratitude abounds

The interns are grateful for the chance to continue their internships.

For Jessica Octavio, a San Diego State student majoring in microbiology, going online was positive experience.

"'We're lucky," she says. "They've been more than flexible. The biggest thing was learning this online interface, but as far as programming goes, it's almost advantageous for us."

While working on site would have been ideal, Luke Arnold says he appreciates all the work the health system staff have put into making this year's program a success.

"It's not ideal and obviously we'd like to have this in person," says the biology major from Chapman University. "But being in quarantine has given us opportunities to work in group settings. We're all in this together."

Chang calls the internship a circular experience. The health system staff, he says, learn as much from the students as the students do from the physicians.

"We're grateful that the interns are even more inspired to go into medicine despite the pandemic," he says. "The future of medicine is in good hands. I see the interns push back against the temptation to give up. They have the idealism and no fear of failure."

Learn more about the Medical Innovation and Intelligence Institute summer internship program.

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