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COVID-19 大流行对药剂学住院医师和研究员培训的影响:一项针对研究生药学受训人员的全国性调查结果。

Impact of COVID-19 pandemic on training of pharmacy residents and fellows: Results from a national survey of postgraduate pharmacy trainees.

机构信息

Department of Pharmacy, Northwestern Medicine, Chicago, IL, USA.

Department of Pharmacy, Oregon Health & Science University, Portland OR, USA.

出版信息

Am J Health Syst Pharm. 2021 Jun 7;78(12):1104-1111. doi: 10.1093/ajhp/zxab114.

Abstract

PURPOSE

The coronavirus disease 2019 (COVID-19) pandemic has impacted the activities of healthcare workers, including postgraduate pharmacy trainees. Quality training experiences must be maintained to produce competent pharmacy practitioners and maintain program standards.

METHODS

A cross-sectional survey of postgraduate pharmacy trainees in the United States was conducted to evaluate training experience changes and assess perceived impacts on residents and fellows following the COVID-19 pandemic's onset.

RESULTS

From June 4 through June 22, 2020, 511 pharmacy trainees in 46 states completed the survey. Participants' median age was 26 (interquartile range [IQR], 25-28) years, with included responses from postgraduate year 1 residents (54% of sample), postgraduate year 2 residents (40%), and postgraduate fellows (6%). Compared to experiences prior to the onset of the COVID-19 pandemic, fewer trainees conducted direct patient care (38.5% vs 91.4%, P < 0.001), more worked from home (31.7% vs 1.6%, P < 0.001), and less time was spent with preceptors per day (2 [IQR, 2-6] hours vs 4 [IQR, 1-4] hours, P < 0.001). Sixty-five percent of respondents reported experiencing changes in their training program, 39% reported being asked to work in areas outside of their routine training experience, and 89% stated their training shifted to focus on COVID-19 to some degree. Most respondents perceived either major (9.6%) or minor (52.0%) worsening in quality of experience, with major and minor improvement in quality of experience reported by 5.5% and 8.4% of respondents, respectively.

CONCLUSION

Pharmacy resident/fellow experiences were perceived to have been extensively impacted by the COVID-19 pandemic in varying ways. Our findings describe shifts in postgraduate training and may aid in the development of best practices for optimizing trainee experiences in future crises.

摘要

目的

2019 年冠状病毒病(COVID-19)大流行影响了医护人员的活动,包括研究生药学实习生。必须保持高质量的培训经验,以培养有能力的药学从业人员并维持项目标准。

方法

对美国的研究生药学实习生进行了横断面调查,以评估 COVID-19 大流行爆发后培训经验的变化,并评估对住院医师和研究员的影响。

结果

2020 年 6 月 4 日至 6 月 22 日,来自 46 个州的 511 名药学实习生完成了调查。参与者的中位年龄为 26 岁(四分位距[IQR],25-28 岁),包括研究生第 1 年住院医师(样本的 54%)、研究生第 2 年住院医师(40%)和研究生研究员(6%)的回复。与 COVID-19 大流行前的经验相比,进行直接患者护理的实习生人数减少(38.5%比 91.4%,P<0.001),更多的人在家工作(31.7%比 1.6%,P<0.001),并且每天与导师相处的时间减少(2[IQR,2-6]小时比 4[IQR,1-4]小时,P<0.001)。65%的受访者报告说培训计划发生了变化,39%的受访者报告说被要求从事常规培训经验以外的工作,89%的受访者表示培训在一定程度上转向了 COVID-19。大多数受访者认为经验质量要么有很大(9.6%),要么有较小(52.0%)的恶化,5.5%和 8.4%的受访者分别报告经验质量有较大和较小的改善。

结论

住院医师/研究员的经验被认为受到 COVID-19 大流行的广泛影响,方式各不相同。我们的研究结果描述了研究生培训的转变,并可能有助于为未来危机中优化实习生经验制定最佳实践。

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