Winn Ariel S, Myers Ross, Grow H Mollie, Hilgenberg Sarah, Lieberman Rhett, Naifeh Monique M, Unaka Ndidi I, Schwartz Alan
Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Division of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics, University Hospitals Rainbow Babies & Children's Hospital and School of Medicine, Case Western Reserve University, Cleveland, Ohio.
Hosp Pediatr. 2021 Dec 1. doi: 10.1542/hpeds.2021-005994.
At the onset of the coronavirus disease 2019 pandemic, disruptions to pediatric care and training were immediate and significant. We sought to understand the impact of the pandemic on residency training from the perspective of pediatric residents.
We conducted a cross-sectional survey of categorical pediatric residents at US training programs at the end of the 2019-2020 academic year. This voluntary survey included questions that explored the impact of the coronavirus disease 2019 pandemic on resident training experiences, postresidency employment plans, and attitudes and perceptions. Data were analyzed by using descriptive statistics and mixed-effects regression models. We performed a sensitivity analysis using respondents from programs with a >40% response rate for questions regarding resident attitudes and perceptions.
Residents from 127 of 201 training programs (63.2%) completed the survey, with a response rate of 18.9% (1141 of 6032). Respondents reported multiple changes to their training experience including rotation schedule adjustments, clinic cancellations, and an increase in the use of telemedicine. Respondents also reported inconsistent access to personal protective equipment and increased involvement in the care of adult patients. Graduating resident respondents reported concerns related to employment. Respondents also noted a negative impact on their personal wellness.
Responding residents reported that nearly every aspect of their training was impacted by the pandemic. Describing their experiences may help residency program and hospital leaders supplement missed educational experiences, better support residents through the remaining months of the pandemic, and better prepare for extraordinary circumstances in the future.
在2019年冠状病毒病大流行开始时，儿科护理和培训立即受到重大干扰。我们试图从儿科住院医师的角度了解大流行对住院医师培训的影响。
在2019 - 2020学年末，我们对美国培训项目中的分类儿科住院医师进行了横断面调查。这项自愿调查包括一些问题，探讨了2019年冠状病毒病大流行对住院医师培训经历、毕业后就业计划以及态度和看法的影响。使用描述性统计和混合效应回归模型对数据进行分析。我们对关于住院医师态度和看法问题的回复率超过40%的项目的受访者进行了敏感性分析。
201个培训项目中有127个项目（63.2%）的住院医师完成了调查，回复率为18.9%（6032人中的1141人）。受访者报告称他们的培训经历有多项变化，包括轮转时间表调整、诊所取消以及远程医疗使用增加。受访者还报告称个人防护装备获取不一致，以及参与成人患者护理的情况增加。即将毕业的住院医师受访者报告了与就业相关的担忧。受访者还指出这对他们的个人健康有负面影响。
做出回应的住院医师报告称，他们培训的几乎每个方面都受到了大流行的影响。描述他们的经历可能有助于住院医师培训项目和医院领导补充错过的教育经历，在大流行的剩余月份更好地支持住院医师，并为未来的特殊情况做好更好的准备。
