Department of Family Medicine, University of Rochester, Rochester, NY.
University of Rochester School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY.
Fam Med. 2022 May;54(5):343-349. doi: 10.22454/FamMed.2022.501410.
Public health training became particularly important for family medicine (FM) residency training programs amid the COVID-19 pandemic; the Accreditation Council for Graduate Medical Education (ACGME IV.C.19) requires a structured curriculum in which residents address population health. Our primary goal was to understand if, and to what extent, public health interventions trainings were incorporated into FM residency training programs amid the COVID-19 pandemic. We hypothesized programs with more resources (eg, university affiliates) would be better able to incorporate the training compared to those without such resources (ie, nonuniversity affiliates).
In 2021, we incorporated items addressing COVID-19 public health training competencies into the 2021 Council of Academic Family Medicine Educational Research Alliance national survey of FM residency program directors. The items addressed the type of training provided, mode of delivery, barriers to providing training, perceived importance of training, and support in delivering training.
The overall survey response rate was 46.4% (n=287/619). All programs offered at least some training to residents. There were no statistically significant differences in training intensity between university and nonuniversity affiliates. The length of time an FM residency director spent in their position was positively associated with training intensity (r=0.1430, P=.0252). The biggest barrier to providing the trainings was the need to devote time to other curriculum requirements.
FM residency programs were able to provide some public health interventions training during the pandemic. With increased support and resources, FM resident training curricula may better prepare FM residents now in anticipation of a future pandemic.
在 COVID-19 大流行期间,公共卫生培训对家庭医学(FM)住院医师培训计划变得尤为重要;研究生医学教育认证委员会(ACGME IV.C.19)要求制定一个结构化课程,让住院医师关注人群健康。我们的主要目标是了解在 COVID-19 大流行期间,公共卫生干预培训是否以及在何种程度上纳入 FM 住院医师培训计划。我们假设资源较多的项目(例如,大学附属机构)与资源较少的项目(即非大学附属机构)相比,更有能力纳入培训。
2021 年,我们将与 COVID-19 公共卫生培训能力相关的项目纳入 2021 年学术家庭医学教育研究联盟理事会对 FM 住院医师培训项目主任的全国调查。这些项目涉及提供的培训类型、交付模式、提供培训的障碍、培训的重要性感知以及提供培训的支持。
总体调查回复率为 46.4%(n=287/619)。所有项目都向住院医师提供了至少一些培训。大学附属机构和非大学附属机构之间的培训强度没有统计学上的显著差异。FM 住院医师主任在其职位上的任职时间与培训强度呈正相关(r=0.1430,P=.0252)。提供培训的最大障碍是需要投入时间满足其他课程要求。
FM 住院医师培训计划能够在大流行期间提供一些公共卫生干预培训。随着支持和资源的增加,FM 住院医师培训课程可能会更好地为 FM 住院医师现在的培训做好准备,以应对未来的大流行。