Adjusting to Disrupted Assessments, Placements and Teaching (ADAPT): a snapshot of the early response by UK medical schools to COVID-19
Authors: Arora Anmol , Solomou Georgios , Bandyopadhyay Soham , Simons Julia , Osborne Alex , Georgiou Ioannis , Dominic Catherine , Mahmood Shumail , Badhrinarayanan Shreya , Ahmed Syed Rayyan , Wellington Jack , Kouli Omar , Borchert Robin Jacob , Feyi-Waboso Joshua , Dickson Scott , Kalsi Savraj , Karponis Dimitrios , Boardman Timothy , Daler Harmani Kaur , Boyle Abbey , Speller Jessica , Gillespie Conor S , Low Jie Man , Vaidya Ratnaraj , Ta Ngan Hong , Aldridge Steven , Martin Jonathan Coll , Douglas Natasha , Goble Mary , Goolamallee Tayyib Abdel-Hafiz , Norton Emma Jane , Chu Andre , Imtiaz Inshal , Devine Oliver P 
Published: August 2020

Background

Medical school assessments, clinical placements and teaching have been disrupted by the COVID-19 pandemic. The ADAPT consortium was formed to document and analyse the effects of the pandemic on medical education in the United Kingdom (UK), with the aim of capturing current and future snapshots of disruption to inform trends in the future performance of cohorts graduating during COVID-19.

Methods

Members of the consortium were recruited from various national medical student groups to ensure representation from medical schools across the UK. The groups involved were: Faculty of Medical Leadership and Management Medical Students Group (FMLM MSG); Neurology and Neurosurgery Interest Group (NANSIG); Doctors Association UK (DAUK); Royal Society of Medicine (RSM) Student Members Group and Medical Student Investigators Collaborative (MSICo.org). In total, 29 medical schools are represented by the consortium. Our members reported teaching postponement, examination status, alternative teaching provision, elective status and UK Foundation Programme Office (UKFPO) educational performance measure (EPM) ranking criteria relevant to their medical school during a data collection window (1st April 14:00 to 2nd April 23:59).

Results

All 29 medical schools began postponement of teaching between the 11th and 17th of March 2020. Changes to assessments were highly variable. Final year examinations had largely been completed before the onset of COVID-19. Of 226 exam sittings between Year 1 and Year 4 across 29 schools: 93 (41%) were cancelled completely; 14 (6%) had elements cancelled; 57 (25%) moved their exam sitting online. 23 exam sittings (10%) were postponed to a future date. 36% of cohorts with cancelled exams and 74% of cohorts with online exams were granted automatic progression to the next academic year. There exist 19 cohorts at 9 medical schools where all examinations (written and practical) were initially cancelled and automatic progression was granted.

Conclusions

The approaches taken by medical schools have differed substantially, though there has been universal disruption to teaching and assessments. The data presented in this study represent initial responses, which are likely to evolve over time. In particular, the status of future elective cancellations and UK Foundation Programme Office (UKFPO) educational performance measure (EPM) decile calculations remains unclear. The long-term implications of the heterogeneous disruption to medical education remains an area of active research. Differences in specialty recruitment and performance on future postgraduate examinations may be affected and will be a focus of future phases of the ADAPT Study.