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2019年冠状病毒病大流行对美国和加拿大外科及初级保健专业住院医师健康状况的影响。

The Impact of the COVID-19 Pandemic on Resident Physicians Well-Being in the Surgical and Primary Care Specialties in the United States and Canada.

作者信息

Farr Saman, Berry James A, Berry Daniel K, Marotta Dario A, Buckley Sara E, Javaid Rida, Jacqueline Danisi M, Magargee Caitlyn E, Ferrouge Lisa M, Rogalska Anna M, Farr Sepehr, Ahmad Maria, Savla Paras, Miulli Dan E

机构信息

Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.

Flight Surgery, Federal Aviation Administration, Kansas City, USA.

出版信息

Cureus. 2021 Nov 17;13(11):e19677. doi: 10.7759/cureus.19677. eCollection 2021 Nov.

DOI:10.7759/cureus.19677
PMID:34976465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8681886/
Abstract

PURPOSE

The COVID-19 pandemic disrupted the professional, social, and spiritual activities of resident physicians around the world, impacting wellness and personal relationships. Moreover, social distancing caused significant limitations or shutdown of places of worship, including churches, synagogues, mosques, etc. Our goal was to survey resident physicians in primary care and surgical subspecialties in the United States (U.S.) and Canada and to examine the effect of the COVID-19 pandemic on their well-being.

METHODS

An international cross-sectional study was performed in November 2020, using an anonymous survey of programs in the U.S. and Canada, containing 20 questions to assess the impact of the pandemic on resident participation in social and spiritual activities and the effects on their wellness, and personal relationships. The emails with survey links attached were sent to individual program coordinators from accredited residency training programs in the United States and Canada. This consisted of programs accredited by the American Osteopathic Association (AOA), The Royal College of Physicians and Surgeons of Canada (RCPSC), and the Accreditation Council of Graduate Medical Education (ACGME). The survey was evenly divided among surgical programs (General Surgery, Neurological Surgery, Orthopedic Surgery, Urological Surgery, and Integrated Surgical Residency Programs such as Plastic Surgery, Cardiothoracic Surgery, Pediatric Surgery, and Vascular Surgery) as well as primary care programs (Internal Medicine and Family Medicine).

RESULTS

A total of 196 residents, 60 primary care residents, and 136 surgery residents participated in the study. Ninety-six participants (49%) were female, and 98 of the participants (50%) were male, with the remainder two residents identifying as "Other." Of the primary care residents, the majority (39, 65%) were female. Conversely, the majority (77, 57%) of surgery residents were male.

CONCLUSION

The COVID-19 pandemic has affected the social lives, relationships, and spiritual well-being of both surgical and primary care resident physicians. However, primary care residents reported significantly greater engagement in personal relationships and were more likely to express feelings of mental and physical exhaustion, prohibiting social attendance.

摘要

目的

新冠疫情扰乱了世界各地住院医师的专业、社交和精神活动,影响了他们的健康和人际关系。此外,社交距离措施导致包括教堂、犹太教堂、清真寺等在内的宗教场所受到重大限制或关闭。我们的目标是对美国和加拿大的初级保健及外科亚专科住院医师进行调查,并研究新冠疫情对他们幸福感的影响。

方法

2020年11月开展了一项国际横断面研究,对美国和加拿大的项目进行匿名调查,包含20个问题,以评估疫情对住院医师参与社交和精神活动的影响以及对他们健康和人际关系的影响。附有调查链接的电子邮件被发送给美国和加拿大经认可的住院医师培训项目的个别项目协调员。这包括由美国骨科协会(AOA)、加拿大皇家内科医师和外科医师学院(RCPSC)以及研究生医学教育认证委员会(ACGME)认证的项目。调查在外科项目(普通外科、神经外科、整形外科、泌尿外科以及综合外科住院医师项目如整形外科、心胸外科、小儿外科和血管外科)和初级保健项目(内科和家庭医学)之间平均分配。

结果

共有196名住院医师参与了研究,其中60名初级保健住院医师和136名外科住院医师。96名参与者(49%)为女性,98名参与者(50%)为男性,其余两名住院医师身份为“其他”。在初级保健住院医师中,大多数(39名,65%)为女性。相反,外科住院医师中的大多数(77名,57%)为男性。

结论

新冠疫情影响了外科和初级保健住院医师的社交生活、人际关系和精神健康。然而,初级保健住院医师报告称在人际关系方面的参与度明显更高,并且更有可能表达身心疲惫的感觉,从而无法参加社交活动。

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