R. Blankenburg is president, Association of Pediatric Program Directors, and associate chair of education and clinical professor, Stanford University School of Medicine, Palo Alto, California.
J. Gonzalez del Rey is past president, Association of Pediatric Program Directors, and associate chair for education and professor, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Acad Med. 2022 Mar 1;97(3S):S35-S39. doi: 10.1097/ACM.0000000000004532.
In this article, the authors describe the impact of the COVID-19 pandemic on pediatric graduate medical education (GME), including the impact on clinical experiences for trainees, teaching methods used, trainee wellness, GME leader wellness and support, and the traditional interview process. A thorough literature review was done to identify impacts of the COVID-19 pandemic on pediatric GME. In addition, information was collected through Association of Pediatric Program Directors virtual cafes and conferences. Positive changes for GME from the COVID-19 pandemic included: the rapid transition to telehealth; asynchronous learning allowing for increased cross-program collaboration; innovative online teaching modalities; increased flexibility and decreased cost of online recruitment; and shared innovations across pediatric GME. Challenging aspects of the COVID-19 pandemic included: decreased learning about common childhood illnesses, such as bronchiolitis, acute otitis media, and influenza; decreased patient volumes and patient complexity in clinics and inpatient wards, leading to less practice developing efficiency, time management, and triaging skills; and an increased burden on trainees, including moral distress and decreased support from one another and other social supports. The COVID-19 pandemic has highlighted important opportunities in U.S. educational systems. As medical educators move forward, it will be important to learn from these while mitigating the negative impacts.
本文作者描述了 COVID-19 大流行对儿科住院医师规范化培训（GME）的影响，包括对住院医师临床经验、教学方法、住院医师健康和支持、GME 领导者健康和支持以及传统面试过程的影响。作者进行了全面的文献回顾，以确定 COVID-19 大流行对儿科 GME 的影响。此外，作者还通过儿科项目主任协会的虚拟咖啡馆和会议收集了相关信息。COVID-19 大流行对 GME 的积极影响包括：快速过渡到远程医疗；异步学习增加了跨项目合作；创新的在线教学模式；增加了在线招聘的灵活性和降低了成本；以及儿科 GME 之间的共享创新。COVID-19 大流行带来的挑战包括：对常见儿童疾病（如毛细支气管炎、急性中耳炎和流感）的学习减少；诊所和住院病房的患者数量和患者复杂性减少，导致效率、时间管理和分诊技能的实践减少；以及住院医师的负担增加，包括道德困境和相互支持以及其他社会支持的减少。COVID-19 大流行凸显了美国教育系统的重要机遇。随着医学教育者的前进，在减轻负面影响的同时，从这些机遇中学习将非常重要。
