Design and Impact of a Novel Otolaryngology Virtual Sub-Internship in the Time of COVID-19

Objective: To discuss the design and impact of a novel otolaryngology virtual sub-internship created as a substitute for the visiting electives that were suspended due to the COVID-19 pandemic. Methods: A two-week virtual elective was designed and registered with the Visiting Student Learning Opportunities (VSLO) program. The virtual elective consisted of two blocks held during the first two weeks of August and again during the first two weeks of September. A total of 12 medical students enrolled, 5 in August and 7 in September. Surveys were distributed at the beginning and end of the rotation to obtain feedback and assess impact. Results: Over the course of the rotation students participated in a total of approximately 60–70 hours of virtual interactive sessions including clinical and surgical lectures, resident Q&A panels, hospital and home virtual tours, alumni information sessions, faculty “Meet & Greets” and structural/organizational program overviews. Each visiting student delivered an end-of-rotation presentation to the department on a clinical topic or research interest of their choice. Post-rotation survey data suggests the virtual rotation was an important and meaningful opportunity for visiting students to better understand the program structure and culture. Students reported that the rotation was influential in the creation of their rank lists and should continue to be offered even after in-person sub-internships resume. Conclusion: Although there is no substitute for an in-person visiting sub-internship, a well-designed virtual elective can be an interactive, worthwhile and impactful alternative during these challenging times.