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一项关于新冠疫情对贝勒·斯科特与怀特医疗保健系统中多个外科专业住院医师培训、教育及生活方式影响的横断面调查研究。

A cross-sectional survey study of the impact of COVID-19 on resident training, education, and lifestyle across multiple surgical specialties in the Baylor Scott and White Health Care System.

作者信息

Fair Lucas, Borries Trevor, Wall Anji

机构信息

Department of Surgery, Baylor University Medical Center, Dallas, Texas.

Department of Surgical Research, Baylor Scott and White Research Institute, Dallas, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2023 Feb 3;36(3):363-369. doi: 10.1080/08998280.2023.2171222. eCollection 2023.


DOI:10.1080/08998280.2023.2171222
PMID:37091763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10120466/
Abstract

Due to high-risk exposure to COVID-19 that surgical residents encounter in their training, residency programs have modified their training methods drastically. In this study, we administered a voluntary online survey analyzing the impact of COVID-19 among residents in multiple surgical specialties. A total of 26 surgical trainees completed the survey. The specialties of residents who completed the survey included general surgery (65.4%), orthopedic surgery (15.4%), oral and maxillofacial surgery (11.5%), and ophthalmology (7.7%). Most survey participants agreed or strongly agreed that the cancellation of elective operations (81%), delay of scheduled operations (81%), and decreased surgical volume (73%) affected their clinical training. However, the majority did not report that the pandemic affected their clinical preparedness for their chosen career or changed their plans for surgical subspecialty. Although many participants agreed or strongly agreed that they felt fatigued when facing another day at work (58%) or feeling emotionally drained at work (58%), the majority reported that they positively impact patients' lives (88%). In conclusion, the pandemic had a significant impact on surgical trainees, but has not changed their perceived readiness for surgical practice or career decisions. Participants reported signs of burnout; however, most found satisfaction with their clinical work.

摘要

由于外科住院医师在培训期间面临感染新冠病毒的高风险,住院医师培训项目已大幅修改其培训方法。在本研究中,我们进行了一项自愿在线调查,分析新冠病毒对多个外科专业住院医师的影响。共有26名外科实习生完成了调查。完成调查的住院医师专业包括普通外科(65.4%)、整形外科(15.4%)、口腔颌面外科(11.5%)和眼科(7.7%)。大多数调查参与者同意或强烈同意,择期手术取消(81%)、预定手术延迟(81%)和手术量减少(73%)影响了他们的临床培训。然而,大多数人并未报告疫情影响了他们对所选职业的临床准备或改变了他们对外科亚专业的计划。尽管许多参与者同意或强烈同意,当面对新的一天工作时他们感到疲惫(58%)或在工作中感到情绪枯竭(58%),但大多数人报告他们对患者的生活产生了积极影响(88%)。总之,疫情对外科实习生产生了重大影响,但并未改变他们对手术实践或职业决策的预期准备情况。参与者报告了职业倦怠的迹象;然而,大多数人对他们的临床工作感到满意。

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[1]
A cross-sectional survey study of the impact of COVID-19 on resident training, education, and lifestyle across multiple surgical specialties in the Baylor Scott and White Health Care System.

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引用本文的文献

[1]
Factor Structure, Psychometric Properties, and Measurement Invariance of the Pandemic Experiences and Perceptions Scale Among Italian Hospital Workers.

Med Lav. 2024-10-24

本文引用的文献

[1]
Impact of exposure to patients with COVID-19 on residents and fellows: an international survey of 1420 trainees.

Postgrad Med J. 2021-11

[2]
COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons.

J Am Coll Surg. 2021-2

[3]
Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents.

J Surg Educ. 2021

[4]
Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe.

Int Orthop. 2020-9

[5]
Impact of COVID-19 on surgical residency programs in Pakistan; A residents' perspective. Do programs need formal restructuring to adjust with the "new normal"? A cross-sectional survey study.

Int J Surg. 2020-6-9

[6]
The reliability and validity of three-item screening measures for burnout: Evidence from group-employed health care practitioners in upstate New York.

Stress Health. 2017-5-19

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