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During my first two years as a medical student, I almost never went to lectures. Neither did my peers. In fact, I estimate that not even a quarter of medical students in my class consistently attended classes in person. One of my professors, Dr. Philip Gruppuso, says in his 40 years of teaching, in-person lecture attendance is the lowest he’s seen. Even before the COVID-19 pandemic, first- and second-year medical students regularly skipped lectures. Instead, they opted to watch the recordings at home on their own time. The pandemic accelerated the shift. This absence from the classroom has a lot of people in the medical education system wondering how this will affect future doctors and has precipitated wide discussion among medical institutions. Medical education is changing rapidly, and the change is being driven by students — so how do schools incorporate the reality of virtual learning while training them adequately for the huge responsibility of patient care?
“Flip” the classroom for the first two years
The first half of medical education (traditionally the first one to two years, which are also sometimes called the pre-clerkship years) prepares students to succeed during the second half of medical school, clerkships, where students work directly with patient care teams. Preclerkship medical education is where students learn the technical elements of being a doctor before seeing patients. It includes lectures in medical science — anatomy, embryology, physiology, pathology, and pharmacology — and health system science – ethics, professionalism, and public health. And it goes beyond lectures. It includes dissecting a human body in anatomy lab, practicing how to interview a patient and conduct a physical exam (typically using patient actors), and numerous small group discussion sessions connected to specific lectures.
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Many medical students do not attend lectures in the first two years, instead opting to watch recorded classes on their own time. Tom Fowlks/Getty Images
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James' World 2 
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