严重急性呼吸综合征、甲型H1N1流感和2019冠状病毒病对医学实习生学术及个人经历的影响：系统检索与叙述性综述
Impact of SARS, H1N1, and COVID-19 on Medical Trainees' Academic and Personal Experience: A Systematic Search and Narrative Review.
作者信息
Cipro Megan, Pitre Lyne, Fotsing Salomon, Pomerleau Marjorie
机构信息
Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Division of Family Medicine, Montfort Hospital, Ottawa, Ontario, Canada.
出版信息
J Med Educ Curric Dev. 2023 Dec 6;10:23821205231217897. doi: 10.1177/23821205231217897. eCollection 2023 Jan-Dec.
OBJECTIVES
The SARS-CoV-2 pandemic is a destabilizing experience for medical students and resident doctors and troubles their training in the hospital setting. This narrative review aims to identify the effect of health crises on the academic and personal lives of medical trainees and to develop solutions to support them.
METHODS
EducationSource, MedLine and PsychInfo were consulted on June 30th and December 16th, 2020 to identify the articles explaining the effect of SARS-CoV-1 (2002), A/H1N1 (2009) or SARS-CoV-2 (ongoing) on medical learners. Exclusion criteria included policy papers, letters to the editor or articles detailing the impact on undergraduate medical curricula, on nonmedical trainees, on the residency application process, or the physical impact of the disease. The quality of the selected papers was appraised using CASP for qualitative studies and NHLBI-NIH for cross-sectional studies.
RESULTS
Ninety-four manuscripts were initially generated and 229, secondarily, of which respectively 14 and 16 were included in the final analysis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and reviewed qualitatively. It was found that the learners consider their education compromised by exam delays, the suspension of academic activities, and elective surgeries. Anxiety associated with this academic disruption developed. Burnout is exacerbated by the heightened workload. The main difference between the two searches was the long-term effect of COVID-19, including the opportunity for didactic innovation, the worry regarding professional identity formation and the development of mental health issues. The proposed solutions varied from continuous access to mental health resources to the follow-up of learners' well-being.
CONCLUSION
It would be interesting to assess the impact of medical trainees' specialty and country's development on their experience with COVID-19.
目的
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行给医学生和住院医生带来了不稳定的经历，并困扰着他们在医院环境中的培训。本叙述性综述旨在确定健康危机对医学实习生学术和个人生活的影响，并制定支持他们的解决方案。
方法
于2020年6月30日和12月16日查阅了EducationSource、MedLine和PsychInfo，以确定解释SARS-CoV-1（2002年）、甲型H1N1（2009年）或SARS-CoV-2（仍在流行）对医学学习者影响的文章。排除标准包括政策文件、给编辑的信或详细描述对本科医学课程、非医学实习生、住院医师申请过程或疾病身体影响的文章。使用CASP对定性研究进行评估，使用美国国立卫生研究院心肺血液研究所（NHLBI-NIH）对横断面研究进行评估。
结果
最初生成了94篇手稿，其次是229篇，根据系统评价和Meta分析的首选报告项目指南，最终分别有14篇和16篇纳入最终分析并进行定性审查。结果发现，学习者认为他们的教育因考试推迟、学术活动暂停和择期手术而受到影响。与此学术中断相关的焦虑情绪产生了。工作量的增加加剧了职业倦怠。两次检索的主要差异在于2019冠状病毒病的长期影响，包括教学创新的机会、对职业身份形成的担忧以及心理健康问题的发展。提出的解决方案各不相同，从持续获取心理健康资源到跟踪学习者的幸福感。
结论
评估医学实习生的专业和国家发展对他们感染2019冠状病毒病经历的影响将是一件有趣的事情。
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