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新冠疫情对医学研究生教育和培训的影响。

Impact of COVID-19 on post graduate medical education and training.

机构信息

Division of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, 410 West 10th Street. Suite 1001, Indianapolis, IN, 46202, USA.

Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.

出版信息

BMC Med Educ. 2021 Nov 16;21(1):580. doi: 10.1186/s12909-021-03019-6.

Abstract

PURPOSE

The novel Coronavirus Disease 19 (COVID-19) has had a significant impact worldwide that led to changes in healthcare. The purpose of this study was to evaluate the effect of the COVID-19 pandemic on trainee's mental health and educational preparedness.

METHODS

Trainees at the Indiana University School of Medicine were surveyed regarding the impact of the COVID-19 pandemic on their training. Using a Likert scale, participants were asked questions pertaining to educational preparedness, mental health, and clinical work during the pandemic. Data was analyzed using SPSS version 27. The study was approved as exempt by the Institutional review Board (IRB).

RESULTS

324 of the 1204 trainees responded to the survey. The respondents were 76% white with an equal distribution of males and females. A majority of the respondents were first year residents with an equal distribution of second, third, and fourth year residents. Twenty-three percent of respondents were in a procedural residency or fellowship program. Better perceived educational preparedness was associated with an improved home-work balance during COVID-19 (β = 0.506, p < 0.0001) and having a department that advocated/supported focus on mental health during COVID-19 (β = 0.177, p < 0.0001). Worse perceived educational preparedness was associated with being in procedural vs. non-procedural dominant training program (β = - 0.122, p = 0.01).

CONCLUSION

COVID-19 has had a significant impact on the training experience of residents and fellows. Departmental support increased mental well-being and perceived education preparedness in trainees. Trainees that felt they had a better home-work life balance had better educational preparedness compared to their peers. Also, trainees in procedural programs had less educational preparedness compared to their peers in non-procedural programs. This study highlights the importance for programs to find avenues to increase educational preparedness in their trainees while being attuned to the mental health of their trainees.

摘要

目的

新型冠状病毒病(COVID-19)在全球范围内造成了重大影响,导致医疗保健发生变化。本研究的目的是评估 COVID-19 大流行对学员心理健康和教育准备的影响。

方法

印第安纳大学医学院的学员接受了有关 COVID-19 大流行对其培训影响的调查。使用李克特量表,参与者被问及与教育准备、心理健康和大流行期间临床工作相关的问题。使用 SPSS 版本 27 分析数据。该研究已获得机构审查委员会(IRB)豁免批准。

结果

在 1204 名学员中,有 324 名学员对调查做出了回应。受访者中有 76%是白人,男女比例相等。大多数受访者是第一年住院医师,第二年、第三年和第四年住院医师的比例相等。23%的受访者在程序培训或研究金项目中。更好地感知教育准备与 COVID-19 期间更好的家庭工作平衡相关(β=0.506,p<0.0001),并且在 COVID-19 期间有一个部门提倡/支持关注心理健康(β=0.177,p<0.0001)。较差的教育准备感知与处于程序与非程序主导培训项目相关(β=-0.122,p=0.01)。

结论

COVID-19 对住院医师和研究员的培训经历产生了重大影响。部门支持增加了学员的心理健康和感知教育准备。与同龄人相比,那些认为自己有更好的家庭工作平衡的学员具有更好的教育准备。此外,与非程序项目的同龄人相比,程序项目的学员的教育准备不足。这项研究强调了计划在关注学员心理健康的同时,为增加学员的教育准备找到途径的重要性。

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