Upadhyay Smita, Flora Rebecca, Rajaee Arezoo, Ugiliweneza Beatrice, Iles Ashley M
Department of Family and Geriatric Medicine, University of Louisville, Louisville, KY, USA.
Department of Neurosurgery, University of Louisville, Louisville, KY, USA.
J Family Med Prim Care. 2023 May;12(5):996-1002. doi: 10.4103/jfmpc.jfmpc_1777_22. Epub 2023 May 31.
The immediate impact of the pandemic on resident training has been well documented. As the pandemic and its effects persisted beyond what was initially predicted, this study aimed to assess the impact of the pandemic on the training of family medicine (FM) residents a year after it began and to assess the burnout residents experienced during this period.
The survey was conducted between January 18 and February 18, 2021. Participation was solicited via an email sent to the program directors throughout the US, who were asked to circulate the survey among their residents. The questionnaire was divided into sections to assess the impact of the pandemic on clinical training, didactics, and preparedness for the next phase in the career. In addition, the burnout experienced was assessed using the Copenhagen Burnout Inventory.
227 responses were analyzed. 83% ( = 186) of respondents felt that the pandemic had a negative impact on their training and 63% ( = 141) felt that the pandemic had a negative impact on didactics. 50% ( = 44) of the third-year residents thought that they would be able to meet the graduation requirement for outpatient encounters. 41% ( = 36) of the third-year residents felt less prepared for the next step in their careers. 119 respondents met the cutoff threshold for personal burnout, 134 for work-related burnout, and 65 for client-related burnout.
Residency training is difficult with high reported rates of burnout before the COVID-19 pandemic. This study reinforces the evidence that the pandemic made both mental well-being and adequate training more difficult for FM residents across the country.
疫情对住院医师培训的直接影响已有充分记录。随着疫情及其影响持续的时间超过最初预期，本研究旨在评估疫情开始一年后对家庭医学（FM）住院医师培训的影响，并评估在此期间住院医师所经历的职业倦怠情况。
调查于2021年1月18日至2月18日进行。通过向美国各地的项目主任发送电子邮件来征集参与，这些主任被要求在其住院医师中分发该调查问卷。问卷分为几个部分，以评估疫情对临床培训、教学以及职业下一阶段准备情况的影响。此外，使用哥本哈根职业倦怠量表评估所经历的职业倦怠情况。
对227份回复进行了分析。83%（n = 186）的受访者认为疫情对他们的培训有负面影响，63%（n = 141）认为疫情对教学有负面影响。50%（n = 44）的三年级住院医师认为他们能够满足门诊诊疗的毕业要求。41%（n = 36）的三年级住院医师觉得对职业生涯的下一步准备不足。119名受访者达到了个人倦怠的临界阈值，134名达到了工作相关倦怠的临界阈值，65名达到了与客户相关倦怠的临界阈值。
在COVID-19疫情之前，住院医师培训就很困难，且职业倦怠报告率很高。本研究进一步证明，疫情使全国范围内的家庭医学住院医师在心理健康和获得充分培训方面更加困难。
