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项目主任关于新冠疫情对心脏病学住院医师培训影响的调查

Program Directors Survey on the Impact of the COVID-19 Pandemic on Cardiology Fellowship Training.

作者信息

Cullen Michael W, Damp Julie B, Soukoulis Victor, Keating Friederike K, Abudayyeh Islam, Yang Eric H, Kondapaneni Meera, Polk Donna M, Rose-Jones Lisa J, Theriot Paul, Weissman Gaby

机构信息

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

JACC Adv. 2024 May 24;3(7):101008. doi: 10.1016/j.jacadv.2024.101008. eCollection 2024 Jul.

Abstract

BACKGROUND

The COVID-19 pandemic catalyzed unprecedented changes to medical education, including CV fellowship programs. CV fellowship PDs offer a unique perspective regarding the impact of the pandemic on CV medical education.

OBJECTIVES

The 4th annual Cardiovascular Diseases (CV) Fellowship Program Directors (PDs) Survey sought to understand the impact of the COVID-19 pandemic on CV fellows and fellowship programs.

METHODS

The survey contained 31 items examining the clinical, educational, and academic impact of the COVID-19 pandemic on CV fellowship programs.

RESULTS

Survey response rate was 54%. Most respondents (58%) represented university-based programs. Most PDs felt that changes to clinical practice during the COVID-19 negatively impacted fellow education in cardiac catheterization (66%), outpatient cardiology (52%), nuclear imaging (51%), and echocardiography (50%). Despite improving attendance, 75% of PDs felt that virtual educational conferences adversely impacted interaction between participants. Only 22% felt they improved fellow education. Most PDs (85%) reported a negative impact of the pandemic on fellow well-being and burnout, and 57% reported a decrease in research productivity among fellows. Even though virtual recruitment allowed programs to interview more competitive candidates, most PDs felt that virtual interviews adversely impacted interactions between their fellows and candidates (71%) and their ability to convey the culture of their program (60%).

CONCLUSIONS

Most CV fellowship PDs felt the COVID-19 pandemic brought changes that negatively impacted the clinical training, didactic learning, academic productivity, and well-being among cardiology fellows. The implications of these changes on the competency of cardiologists that trained during the COVID-19 pandemic deserve future study.

摘要

背景

新冠疫情催化了医学教育前所未有的变革,包括心血管病 fellowship 项目。心血管病 fellowship 项目主任对疫情对心血管病医学教育的影响提供了独特视角。

目的

第四届年度心血管疾病(CV)fellowship 项目主任(PDs)调查旨在了解新冠疫情对 CV 学员和 fellowship 项目的影响。

方法

该调查包含 31 个项目,考查新冠疫情对 CV fellowship 项目的临床、教育和学术影响。

结果

调查回复率为 54%。大多数受访者(58%)代表基于大学的项目。大多数项目主任认为,新冠疫情期间临床实践的变化对心脏导管插入术(66%)、门诊心脏病学(52%)、核医学成像(51%)和超声心动图(50%)方面的学员教育产生了负面影响。尽管出席率有所提高,但 75%的项目主任认为虚拟教育会议对参与者之间的互动产生了不利影响。只有 22%的人认为它们改善了学员教育。大多数项目主任(85%)报告称疫情对学员的幸福感和职业倦怠产生了负面影响,57%的人报告学员的研究生产力有所下降。尽管虚拟招聘使项目能够面试更具竞争力的候选人,但大多数项目主任认为虚拟面试对学员与候选人之间的互动(71%)以及他们传达项目文化的能力(60%)产生了不利影响。

结论

大多数心血管病 fellowship 项目主任认为,新冠疫情带来的变化对心脏病学学员的临床培训、理论学习、学术生产力和幸福感产生了负面影响。这些变化对在新冠疫情期间接受培训的心脏病专家能力的影响值得未来研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6908/11312764/f1138d906ce4/ga1.jpg

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