Backen Timbre, Dziadkowiec Oliwier, Durbin Jeffery S, Guldner Gregory, Quan Glenda
Swedish Medical Center, Englewood, CO.
HCA Healthcare Graduate Medical Education, Brentwood, TN.
HCA Healthc J Med. 2024 Jun 1;5(3):297-301. doi: 10.36518/2689-0216.1646. eCollection 2024.
The COVID-19 pandemic has impacted the residency experience for physicians across all specialties. There have been studies examining resident perspectives on changes in curriculum and clinical experiences due to the pandemic; however, little research has been conducted on how residents in different specialties interpreted their educational experience and rates of burnout during the pandemic.
We extended surveys to 281 residents across 15 separate residency programs between November 17, 2020, and December 20, 2020. The questions pertained to burnout and the effects of the pandemic on their careers. Differences between general and specialty medicine resident responses were analyzed using descriptive statistics and the Mann-Whitney U test.
The final analysis included 105 responses (40% response rate). We received 62 surveys (59%) from general medicine residents and 43 surveys (41%) from specialty medicine residents, with a higher response rate from junior level trainees in both groups. We found no significant differences between general and specialty residents on the level of burnout, impact on clinical experience, or future career due to COVID-19, though there was a significant difference between resident groups on the perceived impact of COVID-19 on learning.
Specialty medicine residents reported a negative perception of the pandemic's impact on their learning during residency suggesting a greater impact on training than was perceived by the general medicine residents. Residents from general and specialty medicine programs reported similar levels of burnout and similar perceptions of the pandemic's impact on their clinical experience and future career prospects. Understanding the impacts of the COVID-19 pandemic on resident education and well-being should serve graduate medical education administrators well and prepare them for future interruptions in the traditional learning process.
新型冠状病毒肺炎疫情对所有专科医生的住院医师培训经历都产生了影响。已有研究探讨住院医师对疫情导致的课程和临床经验变化的看法;然而,关于不同专科的住院医师如何解读他们在疫情期间的教育经历和职业倦怠率的研究却很少。
在2020年11月17日至20日期间,我们向15个不同住院医师培训项目的281名住院医师发放了调查问卷。问题涉及职业倦怠以及疫情对他们职业生涯的影响。使用描述性统计和曼-惠特尼U检验分析了普通内科和专科住院医师回答之间的差异。
最终分析纳入了105份回复(回复率为40%)。我们收到了62份普通内科住院医师的调查问卷(59%)和43份专科住院医师的调查问卷(41%),两组中初级培训学员的回复率更高。我们发现,在职业倦怠水平、对临床经验的影响或因新型冠状病毒肺炎对未来职业的影响方面,普通内科和专科住院医师之间没有显著差异,尽管住院医师群体在新型冠状病毒肺炎对学习的感知影响方面存在显著差异。
专科住院医师报告称,疫情对他们住院医师培训期间的学习产生了负面影响,这表明疫情对培训的影响比对普通内科住院医师的影响更大。普通内科和专科住院医师培训项目的住院医师报告的职业倦怠水平相似,对疫情对他们临床经验和未来职业前景的影响的看法也相似。了解新型冠状病毒肺炎疫情对住院医师教育和幸福感的影响,应该有助于毕业后医学教育管理人员,并使他们为传统学习过程中的未来中断做好准备。