Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Department of Graduate Medical Education, University of Colorado School of Medicine, Aurora, CO, USA.
Fam Pract. 2021 Aug 27;38(Suppl 1):i9-i15. doi: 10.1093/fampra/cmab012.
Family physicians have played a unique clinical role during the COVID-19 pandemic. We hypothesized that the pandemic would be associated with significant deleterious effects on clinical activity, educational training, personal safety and well-being.
We conducted a national survey to obtain preliminary data that would assist in future targeted data collection and subsequent evaluation of the impact of the pandemic on family medicine residents and teaching faculty.
An anonymous online survey of residents and faculty was distributed via the Association of Family Medicine Residency Directors list serve between 5/21/2020 and 6/18/2020. Survey questions focused on clinical and educational activities, safety and well-being.
One hundred and fifty-three residents and 151 teaching faculty participated in the survey. Decreased clinical activity was noted by 81.5% of residents and 80.9% of faculty and the majority began conducting telehealth visits (97.9% of residents, 91.0% of faculty). Distance learning platforms were used by all residents (100%) and 39.6% noted an overall positive impact on their education. Higher levels of burnout did not significantly correlate with reassignment of clinical duties (residents P = 0.164; faculty P = 0.064). Residents who showed significantly higher burnout scores (P = 0.035) and a decline in levels of well-being (P = 0.031) were more likely to participate in institutional well-being support activities.
Our preliminary data indicate that family medicine residents and teaching faculty were profoundly affected by the COVID-19 pandemic. Future studies can be directed by current findings with focus on mitigation factors in addressing globally disruptive events such as COVID-19.
家庭医生在 COVID-19 大流行期间发挥了独特的临床作用。我们假设大流行将对临床活动、教育培训、个人安全和健康产生重大不利影响。
我们进行了一项全国性调查，以获得初步数据，这将有助于未来有针对性地收集数据，并随后评估大流行对家庭医学住院医师和教学教员的影响。
通过家庭医学住院医师主任协会名单服务，于 2020 年 5 月 21 日至 6 月 18 日期间向居民和教师分发了一份匿名在线调查。调查问题侧重于临床和教育活动、安全和健康。
153 名居民和 151 名教学教员参加了调查。81.5%的居民和 80.9%的教员注意到临床活动减少，大多数人开始进行远程医疗访问（97.9%的居民，91.0%的教员）。所有居民都使用了远程学习平台（100%），39.6%的人注意到对他们的教育产生了整体积极影响。更高水平的倦怠与临床职责的重新分配没有显著相关性（居民 P=0.164；教师 P=0.064）。表现出明显更高倦怠得分（P=0.035）和幸福感水平下降（P=0.031）的居民更有可能参加机构福利支持活动。
我们的初步数据表明，家庭医学住院医师和教学教员受到 COVID-19 大流行的严重影响。未来的研究可以根据当前的发现进行指导，重点关注缓解因素，以应对 COVID-19 等全球性破坏性事件。
