Pediatric Resident Perspectives on the Impact of COVID-19 on Training.

Autor:	Winn AS; Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts., Myers R; Division of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics, University Hospitals Rainbow Babies & Children's Hospital and School of Medicine, Case Western Reserve University, Cleveland, Ohio., Grow HM; Division of General Pediatrics, Department of Pediatrics, Seattle Children's Hospital and University of Washington, Seattle, Washington., Hilgenberg S; Division of Hospital Medicine, Department of Pediatrics, Lucile Packard Children's Hospital and School of Medicine, Stanford University, Stanford, California., Lieberman R; Division of Pediatric Emergency Medicine, University of Pittsburgh Medical Center Children's Hospital of Pittsburgh, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania., Naifeh MM; Section of Pediatric Hospital Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma., Unaka NI; Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio., Schwartz A; Departments of Medical Education and Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.; Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network, McLean, Virginia.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2021 Dec 01. Date of Electronic Publication: 2021 Dec 01.
DOI:	10.1542/hpeds.2021-005994
Abstrakt:	Objectives: At the onset of the coronavirus disease 2019 pandemic, disruptions to pediatric care and training were immediate and significant. We sought to understand the impact of the pandemic on residency training from the perspective of pediatric residents. Methods: We conducted a cross-sectional survey of categorical pediatric residents at US training programs at the end of the 2019-2020 academic year. This voluntary survey included questions that explored the impact of the coronavirus disease 2019 pandemic on resident training experiences, postresidency employment plans, and attitudes and perceptions. Data were analyzed by using descriptive statistics and mixed-effects regression models. We performed a sensitivity analysis using respondents from programs with a >40% response rate for questions regarding resident attitudes and perceptions. Results: Residents from 127 of 201 training programs (63.2%) completed the survey, with a response rate of 18.9% (1141 of 6032). Respondents reported multiple changes to their training experience including rotation schedule adjustments, clinic cancellations, and an increase in the use of telemedicine. Respondents also reported inconsistent access to personal protective equipment and increased involvement in the care of adult patients. Graduating resident respondents reported concerns related to employment. Respondents also noted a negative impact on their personal wellness. Conclusions: Responding residents reported that nearly every aspect of their training was impacted by the pandemic. Describing their experiences may help residency program and hospital leaders supplement missed educational experiences, better support residents through the remaining months of the pandemic, and better prepare for extraordinary circumstances in the future. Competing Interests: POTENTIAL CONFLICT OF INTEREST: Dr Schwartz serves as Director of the Association of Pediatric Program Directors’ Longitudinal Education Assessment Research Network through a contract from the Association of Pediatric Program Directors to the Department of Medical Education at the University of Illinois at Chicago. The other authors have no conflicts of interest relevant to this article to disclose. (Copyright © 2021 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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