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COVID-19对肺重症监护研究员在培训中的考试表现的影响:一项国家研究
Mahmoud Alwakeel1, Paru Patrawalla2, Brian Carlin3
1Department of Medicine, Duke University Health System, Durham, North Carolina, USA.
Chest
|April 23, 2025
概括
COVID-19大流行对肺部和重症监护医学研究员的认知表现的影响很小,一些学员表现得更好,可能是由于增加了自我学习时间.
科学领域:
- 医学教育 医学教育
- 肺部和重症监护医学 肺部和重症监护医学
- 认知表现评估认知表现评估
背景情况:
- 随着COVID-19的流行,医疗培训发生了重大变化,减少了门诊患者的接触,增加了受训者住院/ICU的时间.
- 了解大流行对医疗学员认知表现的影响,对于在健康危机期间制定支持性策略至关重要.
研究的目的:
- 评估COVID-19大流行对肺部和关键护理医学 (PCCM) 奖学员在培训中的检查 (ITE) 的表现的影响.
主要方法:
- 对美国8,391名研究员的12,774个PCCM-ITE分数进行了回顾性分析 (2015年4月至2022年7月).
- 奖学员被分为流行前 (PP),第一波COVID-19 (CW1) 和第二波COVID-19 (CW2) 队列.
- 使用线性混合效应模型来评估大流行波和ITE分数之间的关系.
主要成果:
- 在CW1期间,与PP相比,早期研究员 (FY0,FY1) 的整体ITE分数在CW1期间保持相似.
- 后期阶段的研究员 (FY2,FY3) 在CW1期间显示出更高的总分 (2.0%-2.9%的增加).
- 在CW1中,FY3研究员的肺部子部分得分较高 (增加5.3%),而在CW1 (-2.2%) 和CW2 (-2.9%) 中,FY0研究员的重症监护得分较低.
结论:
- COVID-19大流行对PCCM研究员在ITE上的认知表现的影响很小.
- 疫情期间增强的自我学习机会可能缓冲了对一些学员的表现的负面影响.
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