Ben Ammer Abdualla, Bryan Jennifer L, Asghar-Ali Ali Abbas
Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, USA.
South Central Mental Illness Research, Education and Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, USA.
Cureus. 2024 Mar 23;16(3):e56790. doi: 10.7759/cureus.56790. eCollection 2024 Mar.
Introduction At the start of the COVID-19 pandemic, many graduate medical education (GME) programs switched from in-person to virtual training to ensure a safe learning environment. However, the preferences of US residents in the wake of the COVID-19 pandemic are largely unknown. Objective The authors surveyed PGY-2 psychiatry residents about their perception of the pandemic's impact on their clinical skills, didactics experience, training preferences, and future career perceptions. Methods The cross-sectional study was conducted from October 31, 2021, to December 31, 2021. The authors emailed a survey to directors of US general psychiatry residency programs to disseminate to PGY-2 residents. The survey had Likert-scale and open-ended questions about the pandemic's perceived impact on PGY-1 training and future training preferences. The authors used descriptive statistics for Likert-scale questions and reflexive thematic analysis for open-ended questions. Results Out of an estimated 1800 residents, only 116 (6.4%) participated; post-pandemic preferences emerged. A strong preference was expressed for hybrid didactics, combining in-person and virtual learning. Virtual patient evaluations, especially in emergency and inpatient settings, were highly valued. Conversely, entirely virtual didactics and clinical rounds were deemed least preferred, emphasizing the importance of interactive, hands-on learning experiences. Conclusions Respondents emphasized the significance of incorporating hybrid models for both in-patient care and didactic sessions in GME. These preferences signify the need for adaptable and flexible approaches to education in psychiatry residency programs as we emerge from the pandemic.
引言 在新冠疫情开始时,许多毕业后医学教育(GME)项目从面对面培训转向虚拟培训,以确保学习环境安全。然而,新冠疫情之后美国住院医师的偏好情况 largely unknown。目的 作者对二年级精神科住院医师进行了调查,了解他们对疫情对其临床技能、教学经验、培训偏好和未来职业认知的影响的看法。方法 横断面研究于2021年10月31日至2021年12月31日进行。作者向美国普通精神科住院医师培训项目的主任发送电子邮件进行调查,以便分发给二年级住院医师。该调查有关于疫情对一年级培训的感知影响和未来培训偏好的李克特量表式问题和开放式问题。作者对李克特量表式问题使用描述性统计,对开放式问题使用反思性主题分析。结果 在估计的1800名住院医师中,只有116名(6.4%)参与;出现了疫情后的偏好。强烈倾向于混合教学,将面对面学习和虚拟学习结合起来。虚拟患者评估,尤其是在急诊和住院环境中,受到高度重视。相反,完全虚拟的教学和临床查房被认为是最不受欢迎的,强调了互动式实践学习体验的重要性。结论 受访者强调在GME的住院护理和教学课程中纳入混合模式的重要性。这些偏好表明,在我们从疫情中走出来之际,精神科住院医师培训项目需要采用适应性强且灵活的教育方法。