Obradovic Aleksandar, Toubat Omar, Chen Nathan W, Siebert Aisha, Jansen Carey, Christophers Briana, Leveille Etienne, Noch Evan, Kwan Jennifer M
Columbia University.
O.T, Hospital of the University of Pennsylvania.
Res Sq. 2023 Nov 8:rs.3.rs-3478814. doi: 10.21203/rs.3.rs-3478814/v1.
Physician-scientists play a crucial role in advancing biomedical sciences. Proportionally fewer physicians are actively engaged in scientific pursuits, attributed to attrition in the training and retention pipeline. This national study evaluated the ongoing and longer-term impact of the COVID-19 pandemic on research productivity for physician-scientists at all levels of training.
A survey of medical students, graduate students, and residents/fellows/junior faculty (RFJF) was conducted from April to August 2021 to assess the impact of COVID-19 on individual stress, productivity, and optimism. Multivariate regression analyses were performed to identify associated variables and unsupervised variable clustering techniques were employed to identify highly correlated responses.
A total 677 respondents completed the survey, representing different stages of physician-scientist training. Respondents report high levels of stress (medical students: 85%, graduate students: 63%, RFJF: 85%) attributed to impaired productivity concerns, concern about health of family and friends, impact on personal health and impairment in training or career development. Many cited impaired productivity (medical students: 65% graduate students: 79%, RFJF: 78%) associated with pandemic impacts on training, labs closures and loss of facility/resource access, and social isolation. Optimism levels were low (medical students: 37%, graduate students: 38% and RFJF: 39%) with females less likely to be optimistic and more likely to report concerns of long-term effects of COVID-19. Optimism about the future was correlated with not worrying about the long-term effects of COVID-19. Since the COVID-19 pandemic, all respondents reported increased prioritization of time with family/friends (67%) and personal health (62%) over career (25%) and research (24%).
This national survey highlights the significant and protracted impact of the COVID-19 pandemic on stress levels, productivity, and optimism among physician-scientists and trainees. These findings underscore the urgent need for tailored support, including mental health, academic, and career development assistance for this biomedical workforce.
医师科学家在推动生物医学科学发展中发挥着关键作用。由于培训和留用过程中的人员流失,积极从事科学研究的医师比例相对较少。这项全国性研究评估了新冠疫情对各级培训阶段的医师科学家研究生产力的持续和长期影响。
2021年4月至8月对医学生、研究生以及住院医师/研究员/初级教员(RFJF)进行了一项调查,以评估新冠疫情对个人压力、生产力和乐观情绪的影响。进行了多变量回归分析以确定相关变量,并采用无监督变量聚类技术来识别高度相关的反应。
共有677名受访者完成了调查,代表了医师科学家培训的不同阶段。受访者报告称,由于对生产力受损的担忧、对家人和朋友健康的担忧、对个人健康的影响以及培训或职业发展的受损,压力水平较高(医学生:85%,研究生:63%,RFJF:85%)。许多人提到生产力受损(医学生:65%,研究生:79%,RFJF:78%)与疫情对培训的影响、实验室关闭以及设施/资源获取的丧失和社会隔离有关。乐观水平较低(医学生:37%,研究生:38%,RFJF:39%),女性不太可能乐观,更有可能报告对新冠疫情长期影响的担忧。对未来的乐观情绪与不担心新冠疫情的长期影响相关。自新冠疫情以来,所有受访者都报告称,与职业(25%)和研究(24%)相比,他们更加优先考虑与家人/朋友共度时光(67%)和个人健康(62%)。
这项全国性调查凸显了新冠疫情对医师科学家和受训人员的压力水平、生产力和乐观情绪产生的重大而持久的影响。这些发现强调了迫切需要提供量身定制的支持,包括为这支生物医学劳动力队伍提供心理健康、学术和职业发展援助。