Titus Stephen J, Badar Parivash, Coston Zachary, Khan Fatima, Ogola Gerald O, Ahmed Kashif Waqiee
Department of Family Medicine, Baylor University Medical Center, Dallas, Texas.
Biostatistics Core, Baylor Scott & White Research Institute, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2023 Apr 27;36(4):490-495. doi: 10.1080/08998280.2023.2204795. eCollection 2023.
The COVID-19 global pandemic has raised many challenges in training family medicine residents. Family medicine is at the frontline for treating and managing patients with COVID-19. Attention is needed on the critical issue of the effect of the pandemic on resident training, the safety of those performing needed medical services, and the psychological well-being of trainees.
We performed a cross-sectional, 25-question survey-based study to evaluate the perceived effect of the COVID-19 pandemic on family medicine residents' training and residents' well-being in the state of Texas.
A total of 250 Texas-based family medicine residents were surveyed with a response rate of 12.8% (n = 32). After the pandemic began, all residents worried about exposing their loved ones to COVID-19, and 65% felt like the COVID-19 pandemic negatively impacted their training overall. Respondents indicated that changes occurred in their respective residency curricula that altered training such as canceling of scheduled lectures (84.3%) and more telemedicine visits (56.25%). There was a significant difference for postgraduate year level and the effect on rotation assignments, with more disruption to the first- and third-year residents ( = 0.03).
The COVID-19 pandemic has had a notable impact on the perception of quality of training and mental health within family medicine. Our findings may guide programs in how to proactively target pandemic-related training challenges.
新型冠状病毒肺炎(COVID-19)全球大流行给家庭医学住院医师培训带来了诸多挑战。家庭医学处于治疗和管理COVID-19患者的前线。需要关注这一关键问题,即大流行对住院医师培训的影响、提供必要医疗服务人员的安全以及受训人员的心理健康。
我们开展了一项基于25个问题的横断面调查研究,以评估COVID-19大流行对德克萨斯州家庭医学住院医师培训以及住院医师健康状况的感知影响。
共对250名德克萨斯州的家庭医学住院医师进行了调查,回复率为12.8%(n = 32)。大流行开始后,所有住院医师都担心将亲人暴露于COVID-19,65%的人认为COVID-19大流行总体上对他们的培训产生了负面影响。受访者表示,他们各自的住院医师课程发生了变化,从而改变了培训,如取消了预定讲座(84.3%)以及增加了远程医疗问诊(56.25%)。研究生年级水平以及对轮转安排的影响存在显著差异,对一年级和三年级住院医师的干扰更大(P = 0.03)。
COVID-19大流行对家庭医学培训质量的认知和心理健康产生了显著影响。我们的研究结果可能会指导相关项目如何积极应对与大流行相关的培训挑战。