Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, 10th floor, TX, 77030, Houston, USA.
J Assist Reprod Genet. 2021 May;38(5):1163-1169. doi: 10.1007/s10815-021-02163-8. Epub 2021 Apr 1.
To assess perceived deficiencies of reproductive endocrinology and infertility (REI) fellow education due to changes in care secondary to COVID-19.
This is a cross-sectional study performed in an academic setting. A survey was generated and administered to REI fellows and attendings practicing in programs across the United States. Descriptive statistics were used to quantify results regarding clinical volume, academic responsibilities, clinical safety, and fellowship education.
The survey response rate was 23%. Eighty-four percent of respondents self-identified as fellows, and 16% identified as program directors or other REI academic instructors. Overall, the survey responses confirmed that the COVID-19 pandemic tremendously affected clinical volume, with 91% of participants reporting their clinical volume decreased by at least half. Although 67% of attendings believed that the changes related to COVID-19 have or will have significantly affected the clinical skills of fellows, 66% of fellows did not believe that their clinical training had been significantly impacted. Sixty-seven percent of fellows and 78% of attendings do not believe that changes related to COVID-19 will affect the ability of fellows to practice independently.
Even though most attendings surveyed believed that the changes related to COVID-19 would affect the clinical skills of fellows, the cessation of clinical and research activities was short-lived, likely tempering the overall effect on clinical training. Overall, most respondents did not believe that the pandemic significantly affected fellow education.
评估因 COVID-19 导致的医疗护理变化而导致的生殖内分泌学和不孕症(REI)住院医师教育的感知缺陷。
这是一项在学术环境中进行的横断面研究。生成并向在美国各地开展项目的 REI 住院医师和主治医生发放了一份调查。使用描述性统计来量化有关临床量、学术责任、临床安全性和住院医师教育的结果。
调查的回复率为 23%。84%的受访者自我认同为住院医师,16%的受访者自我认同为项目主任或其他 REI 学术指导员。总体而言,调查结果证实 COVID-19 大流行极大地影响了临床量,91%的参与者报告其临床量减少了至少一半。尽管 67%的主治医生认为与 COVID-19 相关的变化已经或将会对住院医师的临床技能产生重大影响,但 66%的住院医师并不认为他们的临床培训受到了重大影响。67%的住院医师和 78%的主治医生不认为与 COVID-19 相关的变化会影响住院医师独立执业的能力。
尽管大多数接受调查的主治医生认为与 COVID-19 相关的变化会影响住院医师的临床技能,但临床和研究活动的停止是短暂的,这可能缓和了对临床培训的整体影响。总体而言,大多数受访者认为大流行并没有对住院医师教育产生重大影响。