Department of Internal Medicine, Division of Hematology/Oncology, Northwestern University, 676 N St Clair St (Suite 850), Chicago, IL, 60611, USA.
Combined Brigham and Women's Hospital and Massachusetts General Hospital Department of Medicine, Division of Nephrology, Harvard University, Boston, MA, USA.
BMC Health Serv Res. 2023 Nov 22;23(1):1285. doi: 10.1186/s12913-023-10237-9.
Internal medicine (IM) residency is a notoriously challenging time generally characterized by long work hours and adjustment to new roles and responsibilities. The COVID-19 pandemic has led to multiple emergent adjustments in training schedules to accommodate increasing needs in patient care. The physician training period, in itself, has been consistently shown to be associated with vulnerability with respect to mental well-being. The impact of the COVID-19 pandemic on the experience of IM trainees is not well established.
Characterize the impact of the COVID-19 pandemic on trainee clinical education, finances, and well-being.
We developed a survey composed of 25 multiple choice questions, 6 of which had an optional short-answer component. The survey was distributed by the American College of Physicians (ACP) to 23,289 IM residents and subspecialty fellows. We received 1,128 complete surveys and an additional 269 partially completed surveys.
The majority of respondents reported a disruption in their clinical schedule (76%) and a decrease in both didactic conferences (71%) and protected time for education (56%). A majority of respondents (81%) reported an impact on their well-being with an increase in their level of burnout and 41% of respondents reported a decrease in level of direct supervision. Despite these changes, the majority of trainee respondents (78%) felt well prepared for clinical practice after graduation.
These results outline the vulnerable position of internal medicine physicians in training. Preserving educational experiences, adequate supervision, and humane work hours are essential in protecting trainees from mental illness and burnout during global emergencies.
内科住院医师培训通常是一个极具挑战性的时期，其特点是工作时间长，需要适应新的角色和责任。COVID-19 大流行导致培训计划进行了多次紧急调整，以适应患者护理需求的增加。培训期本身就一直与心理健康脆弱性有关。COVID-19 大流行对内科住院医师培训生经历的影响尚未得到充分证实。
描述 COVID-19 大流行对住院医师临床教育、财务和健康的影响。
我们开发了一份包含 25 个多项选择题的调查，其中 6 个题有可选的简短回答部分。该调查由美国医师学院（ACP）分发给 23289 名内科住院医师和专科住院医师。我们收到了 1128 份完整的调查回复，以及另外 269 份部分完成的调查回复。
大多数受访者报告说他们的临床日程被打乱（76%），课堂教学（71%）和受保护的教育时间（56%）都减少了。大多数受访者（81%）报告说他们的健康受到了影响，倦怠程度增加，41%的受访者报告说直接监督减少。尽管发生了这些变化，大多数住院医师受访者（78%）表示毕业后已经为临床实践做好了充分准备。
这些结果概述了内科住院医师培训中的脆弱地位。在全球紧急情况下，保护住院医师免受精神疾病和倦怠的影响，必须保留教育经验、充足的监督和人道的工作时间。
