Stein Cynthia J, Buller Ryan I, Kivlehan Emily J, Williams David N, Dubon Mary E, Moschelli Jill S
Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, Boston, USA.
Department of Orthopedics, Harvard Medical School, Boston, USA.
Cureus. 2022 Jun 22;14(6):e26199. doi: 10.7759/cureus.26199. eCollection 2022 Jun.
Background As a result of the coronavirus disease 2019 (COVID-19) pandemic, graduate medical education, along with most of daily life, was disrupted. The goal of this study was to explore the experiences of fellows in primary care/medical sports medicine (MSM) and view the changes made to training programs through their eyes. Methodology A questionnaire was developed to collect qualitative and quantitative data regarding the fellow's experiences in training from March to June 2020. Fellows on the American Medical Society for Sports Medicine list of current Sports Medicine Fellows in the United States and Canada were invited to participate. Of the 329 invited, 90 (27.4%) fellows returned questionnaires. Results MSM fellows highlighted positive adaptations as well as losses to their educational programs related to the pandemic. The biggest gain reported was additional learning time, and the greatest loss was to sports and event coverage. Most fellows reported attending collaborative sessions, and they noted an increase in didactics compared to pre-pandemic levels. The largest losses were noted in event coverage and training room exposures, with smaller declines in ultrasounds, procedures, and research experiences. They also described challenges, including changing clinical roles, managing social isolation and boredom, and balancing work and family responsibilities. Conclusions Fellows identified gains, losses, and challenges due to pandemic-related changes to their fellowship programs. Fellowship directors and educators in different fields can use this understanding of the fellows' experiences to build on current resources, further develop collaborative efforts, create new educational opportunities, and provide additional support for fellow learning.
背景 由于2019年冠状病毒病（COVID-19）大流行，毕业后医学教育以及大部分日常生活都受到了干扰。本研究的目的是探索初级保健/运动医学（MSM）研究员的经历，并通过他们的视角观察培训计划所发生的变化。方法 设计了一份问卷，以收集有关2020年3月至6月研究员培训经历的定性和定量数据。邀请了美国运动医学学会列出的美国和加拿大当前运动医学研究员参与。在329名被邀请者中，90名（27.4%）研究员返回了问卷。结果 MSM研究员强调了与大流行相关的教育计划的积极调整以及损失。报告的最大收获是额外的学习时间，最大的损失是体育赛事报道。大多数研究员报告参加了协作会议，他们指出与大流行前相比，教学活动有所增加。在赛事报道和训练室接触方面损失最大，超声检查、操作和研究经历的下降幅度较小。他们还描述了一些挑战，包括临床角色的变化、应对社交隔离和无聊以及平衡工作和家庭责任。结论 研究员们指出了由于其 fellowship 计划中与大流行相关的变化而带来的收获、损失和挑战。不同领域的 fellowship 主任和教育工作者可以利用对研究员经历的这种理解，在现有资源的基础上再接再厉，进一步开展合作，创造新的教育机会，并为研究员的学习提供额外支持。
