COVID-19对即将入院的精神科住院医师医学教育的干扰感。

HCA healthcare journal of medicine Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1567
Steven Sprenger, Ashley Mahajan, Jeffrey Anderson, Napatkamon Ayutyanont, Jessica C Wells, Gregory Guldner
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摘要

背景:2020 年,全球 COVID-19 大流行导致全国许多医科学生的教育中断。社会和医院的指导方针,包括社会隔离协议,导致许多选择性手术被取消或推迟。个人防护设备的短缺也导致受训者的临床经验受到限制。本研究的目的是确定住院医师对核心临床能力的准备情况,并评估核心实习受到的干扰:方法:我们编制了一份调查问卷,以评估住院医师对临床能力的自我认知以及对核心实习经历的干扰。结果:调查问卷的回复率为 97%:调查回复率为 97%。大多数受访者都达到了临床技能熟练程度的自我预期水平。盆腔/直肠检查和护理过渡方面的缺陷最大。大多数学生的实习没有受到影响。内科、产科和妇科实习报告的虚拟完成率最高。所报告的准备程度最低的程序分别是动脉穿刺、气道管理和静脉置管:我们的调查结果表明,大多数学员认为他们的医学教育没有受到干扰,新入职的精神病学住院医师认为他们在开始住院医师培训前已经做好了充分准备。一些特定的程序技能似乎受到了影响。努力减轻这些特定的不足之处可能有助于减轻未来事件造成的干扰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceived Disruption of COVID-19 on Medical Education in Incoming Psychiatric Residents.

Background: In 2020, the global COVID-19 pandemic caused educational disruptions to many medical students nationally. Societal and hospital guidelines, including social distancing protocols, resulted in the cancellation or postponement of many elective procedures. A shortage in personal protective equipment also contributed to restrictions in clinical experiences for trainees. The purpose of this study was to determine resident-perceived preparedness in core clinical competencies and evaluate the disruptions to core clerkships.

Methods: A survey was developed to assess self-perceptions of clinical competencies and disruptions to core clerkship experiences. It was distributed to 63 incoming psychiatric residents who matched to training programs in the United States.

Results: The survey response rate was 97%. The majority of respondents achieved self-expected levels of proficiency in clinical skills. Deficits were greatest for pelvic/rectal exams and transitions of care. Most students did not experience disruptions to clerkships. Internal medicine, obstetrics, and gynecology clerkships reported the highest rates of virtual completion. Procedures with the lowest reported perceived preparation were arterial puncture, airway management, and IV placement, respectively.

Conclusion: Our survey results indicated that most learners did not perceive disruptions to their medical education and incoming psychiatry residents felt well-prepared to start residency. Some specific procedural skills appear to have been affected. Attempts to mitigate these specific inadequacies may help mitigate disruptions due to future events.

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