COVID-19 大流行对住院医师教育和职业倦怠的影响。

HCA healthcare journal of medicine Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1646
Timbre Backen, Oliwier Dziadkowiec, Jeffery S Durbin, Gregory Guldner, Glenda Quan
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摘要

背景:COVID-19 大流行影响了所有专科医师的住院医师培训经历。有研究探讨了住院医师对大流行病导致的课程和临床经验变化的看法;然而,关于不同专业的住院医师如何解释他们在大流行病期间的教育经历和倦怠率的研究却很少:我们在 2020 年 11 月 17 日至 2020 年 12 月 20 日期间对 15 个不同住院医师培训项目的 281 名住院医师进行了调查。问题涉及职业倦怠和大流行病对其职业生涯的影响。通过描述性统计和曼-惠特尼U检验分析了普通住院医师和专科住院医师回答的差异:最终分析包括 105 份回复(回复率为 40%)。我们收到了来自全科住院医师的 62 份调查问卷(59%)和来自专科住院医师的 43 份调查问卷(41%),两组中初级住院医师的回复率都较高。我们发现全科和专科住院医师在COVID-19导致的职业倦怠程度、对临床经验的影响或未来职业生涯方面没有明显差异,但在COVID-19对学习的影响方面,住院医师组之间存在明显差异:结论:专科住院医师对大流行病对其住院医师培训期间学习的影响持负面看法,这表明大流行病对培训的影响大于普通住院医师的看法。全科和专科住院医师的职业倦怠程度相似,对大流行病对其临床经验和未来职业前景影响的看法也相似。了解 COVID-19 大流行对住院医师教育和福利的影响,对研究生医学教育管理者来说应该很有帮助,并能让他们为将来传统学习过程的中断做好准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of the COVID-19 Pandemic on Resident Education and Burnout.

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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