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北美兽医麻醉与镇痛学院计划中 COVID-19 大流行对住院医师培训的感知影响:一项定量调查。

Perceived impact of the COVID-19 pandemic on residency training in American College of Veterinary Anesthesia and Analgesia programs in North America: a quantitative survey.

机构信息

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive, Madison, WI 53706, USA.

出版信息

Vet Anaesth Analg. 2024 Sep-Oct;51(5):458-464. doi: 10.1016/j.vaa.2024.06.007. Epub 2024 Jun 18.

DOI:10.1016/j.vaa.2024.06.007
PMID:38960765
Abstract

OBJECTIVE

To characterize the extent of the impact of the COVID-19 pandemic on aspects of the anesthesia residency experience from the perspective of American College of Veterinary Anesthesia and Analgesia (ACVAA) mentors and trainees. This includes the residency interview process, didactic training and availability and variety of clinical cases for resident learning.

STUDY DESIGN

Cross-sectional, online, anonymous voluntary survey.

SAMPLE POPULATION

A total of 58 respondents, representing 30 residency program mentors and 28 residents.

METHODS

Surveys were distributed by email to 94 residency program mentors and 70 residents, representing programs and residents registered with the ACVAA during the years of 2019-2021. Anonymous links to an online survey were provided via a link embedded in the email. Questions included perceived impacts (-5 to +5 scale) on didactic and clinical training, case distribution, workload, residency application and selection process, and mental health. Responses were summarized with descriptive statistics [median (IQR) or mean ± SD].

RESULTS

The overall survey response rate was 31.9% (30/94) and 40.0% (28/70) for resident program mentors and residents, respectively. There was a negative perceived impact on overall residency training reported: -1.0 (IQR -2.0 to 0) for program mentors and -1.5 ± 1.5 for residents. The reported perceived impact of travel limitations on case log completion was -2.0 (IQR -4.0 to -1.0) for program mentors and -2.4 ± 2.0 for residents. Program mentors and residents had incongruent feelings on the impact of the pandemic on work hours, with residents reporting a perceived increase in work hours [+2.1 ± 2.1 versus 0 (IQR -1.0 to 0)].

CONCLUSIONS

Residency program mentors and residents generally agreed that the COVID-19 pandemic had negatively impacted multiple aspects of residency interview and training process. A broader, objective analysis of veterinary anesthesia training programs is required to fully elucidate the scale of the impact on veterinary anesthesia training.

摘要

目的

从美国兽医麻醉与镇痛学会(ACVAA)导师和学员的角度,描述 COVID-19 大流行对麻醉住院医师经历的各个方面的影响程度。这包括住院医师面试过程、理论培训以及住院医师学习的临床病例的可及性和多样性。

研究设计

横断面、在线、匿名自愿调查。

样本人群

共有 58 名受访者,包括 30 名住院医师培训项目导师和 28 名住院医师。

方法

通过电子邮件向在 2019-2021 年期间注册的 94 个住院医师培训项目导师和 70 名住院医师发送调查。通过电子邮件中嵌入的链接提供了匿名在线调查链接。问题包括对理论和临床培训、病例分配、工作量、住院医师申请和选拔过程以及心理健康的感知影响(-5 到+5 分)。使用描述性统计数据(中位数(IQR)或均值±标准差)对回答进行总结。

结果

住院医师培训项目导师和住院医师的总体调查回复率分别为 31.9%(30/94)和 40.0%(28/70)。报告称整体住院医师培训受到负面影响:-1.0(IQR -2.0 至 0)的项目导师和-1.5±1.5 的住院医师。报告称旅行限制对病例记录完成的感知影响为-2.0(IQR -4.0 至-1.0)的项目导师和-2.4±2.0 的住院医师。项目导师和住院医师对大流行对工作时间的影响感受不一致,住院医师报告工作时间增加[+2.1±2.1 与 0(IQR -1.0 至 0)]。

结论

住院医师培训项目导师和住院医师普遍认为,COVID-19 大流行对住院医师面试和培训过程的多个方面产生了负面影响。需要对兽医麻醉培训计划进行更广泛、客观的分析,以充分阐明对兽医麻醉培训的影响规模。

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