Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Anesthesiology, Children's Hospital Colorado, Aurora, CO, USA.
Paediatr Anaesth. 2021 Mar;31(3):268-274. doi: 10.1111/pan.14112. Epub 2021 Jan 18.
The global coronavirus disease 2019 (COVID-19) pandemic caused state-wide shutdowns of elective surgical activities in March and April of 2020 forcing graduate medical education program directors and their trainees in the United States to quickly adapt to new rules and circumstances.
The aim of this study was to determine the effect of the current pandemic on pediatric anesthesiology fellow education and wellness nationally in order to guide creation of optimal support systems for fellows during the ongoing pandemic.
In July 2020, an electronically distributed survey was sent to all United States-based pediatric anesthesiology fellowship program directors who were asked to distribute the survey to all current/graduating fellows.
A total of 75 out of 184 pediatric anesthesiology fellows (41%) responded to the survey. Major domains identified include reduction of clinical time, financial impact, mental health/wellness effects, and concerns about the overall quality of the fellowship educational experience. Respondents indicated that the pandemic has led to personal quarantine (and/or illness) leave time (21.3%), changes in finances (42.7%) and career opportunities (37.3%), decreased clinical education/experience (28%), and a dissatisfaction with the modified didactic experience (22.7%). In addition, a majority of respondents (97.3%) experienced increased stressors during this pandemic, including worry for family members (80%), stress due to changes in certifying examinations (76%), and fear of contracting COVID-19 from a patient (72%).
While the results of this survey are only one snapshot in time during an evolving pandemic, these results highlight important domains where program directors and other departmental leaders might focus limited resources to maximize the educational experiences and overall wellness for pediatric anesthesiology fellows.
2020 年 3 月和 4 月，全球 2019 年冠状病毒病（COVID-19）大流行导致全美选择性外科活动全面停摆，迫使美国的住院医师医学教育项目主任及其学员迅速适应新规则和新环境。
本研究旨在确定当前大流行对全美儿科麻醉住院医师教育和健康的影响，以便在当前大流行期间为住院医师制定最佳支持系统。
2020 年 7 月，向所有美国儿科麻醉学住院医师培训计划主任发送了一份电子分布调查，要求他们将调查分发给所有现任/即将毕业的住院医师。
共有 75 名（41%）来自美国的儿科麻醉学住院医师对调查做出了回应。确定的主要领域包括临床时间减少、财务影响、心理健康/健康影响以及对整体住院医师教育体验质量的担忧。受访者表示，大流行导致个人（和/或患病）休假时间（21.3%）、财务状况变化（42.7%）和职业机会变化（37.3%）、临床教育/经验减少（28%）以及对修改后的理论经验不满意（22.7%）。此外，大多数受访者（97.3%）在大流行期间经历了更多的压力源，包括对家庭成员的担忧（80%）、因认证考试变化而产生的压力（76%）以及害怕从患者身上感染 COVID-19（72%）。
尽管这项调查的结果只是在不断演变的大流行期间的一个时间点，但这些结果突出了项目主任和其他部门领导可能集中有限资源的重要领域，以最大限度地提高儿科麻醉住院医师的教育体验和整体健康水平。
