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The Early Effects of the Coronavirus Disease-19 Pandemic on Pediatric Resident Education: A National Assessment.
- Source :
- Academic Pediatrics; Jul2023, Vol. 23 Issue 5, p993-1000, 8p
- Publication Year :
- 2023
-
Abstract
- PURPOSE: Residency programs must ensure resident competence for independent practice. The coronavirus disease-19 (COVID-19) pandemic disrupted health care delivery, impacting pediatric residencies. This study examines the impact on pediatric resident education. METHODS: The authors conducted a mixed methods national survey of pediatric residency program directors (PDs) from May 2020 to July 2020. Data analysis included descriptive statistics, chi-square, and Wilcoxon rank sum tests. Multivariable modeling identified factors associated with resident preparation for more senior roles. Thematic analysis was performed on open-ended questions about PD COVID-19 pandemic recommendations to peers, Accreditation Council for Graduate Medical Education and American Board of Pediatrics. RESULTS: Response rate was 55% (110/199). PDs reported the COVID-19 pandemic negatively affected inpatient (n = 86, 78.2%), and outpatient education (n = 104, 94.5%), procedural competence (n = 64; 58.2%), and resident preparation for more senior roles (n = 50, 45.5%). In bivariate analyses, increasingly negative impacts on inpatient and outpatient education were associated with an increasingly negative impact on resident preparation for more senior roles (P = .03, P = .008), these relationships held true in multivariable analysis. Qualitative analysis identified 4 themes from PD recommendations: 1) Clear communication from governing bodies and other leaders; 2) Flexibility within programs and from governing bodies; 3) Clinical exposure is key for competency development; 4) Online platforms are important for education, communication, and support. CONCLUSIONS: The COVID-19 pandemic negatively impacted inpatient and outpatient education. When these were more negatively impacted, resident preparation for more senior roles was worse, highlighting the importance of competency based medical education to tailor experiences ensuring each resident is competent for independent practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- DATA analysis
QUALITATIVE research
MEDICAL education
INTERNSHIP programs
EDUCATIONAL outcomes
MEDICAL care
CHI-squared test
MANN Whitney U Test
MULTIVARIATE analysis
PATIENT care
DESCRIPTIVE statistics
PEDIATRICS
SURVEYS
THEMATIC analysis
RESEARCH methodology
OUTPATIENTS
STATISTICS
OUTCOME-based education
NATIONAL competency-based educational tests
COVID-19 pandemic
EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 18762859
- Volume :
- 23
- Issue :
- 5
- Database :
- Supplemental Index
- Journal :
- Academic Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 174989743
- Full Text :
- https://doi.org/10.1016/j.acap.2022.11.003