Brigham and Women's Hospital, Department of Radiology, 75 Francis St, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA.
Clin Imaging. 2021 Jan;69:349-353. doi: 10.1016/j.clinimag.2020.10.010. Epub 2020 Oct 10.
The COVID-19 pandemic has disrupted standard hospital operations and diagnostic radiology resident education at academic medical centers across the country. Deferment of elective surgeries and procedures coupled with a shift of resources toward increased inpatient clinical needs for the care of COVID-19 patients has resulted in substantially decreased imaging examinations at many institutions. Additionally, both infection control and risk mitigation measures have resulted in minimal on-site staffing of both trainees and staff radiologists at many institutions. As a result, residents have been placed in nonstandard learning environments, including working from home, engaging in a virtual curriculum, and participating in training sessions in preparation for potential reassignment to other patient care settings. Typically, for residents to gain the necessary knowledge, skills, and experience to practice independently upon graduation, radiology training programs must provide an optimal balance between resident education and clinical obligations. We describe our experience adapting to the challenges in educational interruptions and clinical work reassignments of 41 interventional and diagnostic radiology residents at a large academic center. We highlight opportunities for collaboration and teamwork in creatively adjusting and planning for the short and long-term impact of the pandemic on resident education. This experience shows how the residency educational paradigm was shifted during a pandemic and can serve as a template to address future disruptions.
COVID-19 大流行扰乱了全国学术医学中心的标准医院运营和诊断放射学住院医师教育。择期手术和程序的推迟,加上资源向 COVID-19 患者增加住院临床需求的转移,导致许多机构的影像学检查大大减少。此外,感染控制和降低风险的措施导致许多机构的住院医师和工作人员放射科医生的现场人员配置都很少。因此,住院医师被安置在非标准的学习环境中,包括在家工作、参与虚拟课程以及参加培训课程,为潜在的重新分配到其他患者护理环境做准备。通常,为了使住院医师在毕业后获得独立执业所需的知识、技能和经验,放射科培训计划必须在住院医师教育和临床义务之间取得最佳平衡。我们描述了在一个大型学术中心,41 名介入和诊断放射学住院医师适应教育中断和临床工作重新分配挑战的经验。我们强调了在大流行对住院医师教育的短期和长期影响方面进行创造性调整和计划的合作和团队合作机会。这一经验表明了在大流行期间住院医师教育模式是如何转变的,并可以作为应对未来干扰的模板。