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Virtual platforms as a means for graduate medical education have existed for many years prior to the forced use during the COVID-19 pandemic. Many programs allowed for live two-way audio-visual software for academic conferences, particularly in those programs were trainees rotate in multiple clinical settings. In fact, a number of primary care and specialty affiliate organizations at a national and international level provided some guidance on use of virtual means for conducting clinical care, albeit brief and sparsely in use. Some specialties that heavily rely on such platforms for clinical care, teaching, and research, such as vascular neurology, dermatology, and pathology were well prepared for a rapid transition to fully virtual environments in the face of the recent pandemic. Although virtual care has its limitations, its utility has been highlighted during one of the most economically burdensome pandemics to allow for continued education at all levels, and particularly in the training of residents, fellows, and medical students.
At the start of the COVID-19 pandemic, residency programs had to adapt quickly to ensure safety of both trainees and patients, while maintaining the academic integrity of their programs. Fortunately, many academic institutions already have the infrastructure in place for telestroke programs, making a transition in trainee clinical, academic, and research practice to virtual platforms relatively smooth. Some programs had already begun to incorporate exposure to telemedicine into their training prior to the pandemic, as this is an ever-growing method of delivering timely and effective stroke care. The expansion to other areas of neurology, outside of stroke, has been an exciting, albeit challenging, byproduct of the COVID-19 pandemic, and formal incorporation into neurology residency training appears to be the natural progression in neurology and across all fields of medicine.
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