Evidence map›Paper›PMID 33602188›Full record

Observational studyBMC medical education2021

Experiences of early graduate medical students working in New York hospitals during the COVID-19 pandemic: a mixed methods study.

Harrison D Pravder, Liana Langdon-Embry, Rafael J Hernandez, Nicholas Berbari, Steven P Shelov, Wendy L Kinzler

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Harrison D PravderRenaissance School of Medicine, Stony Brook University, HSC T4-147, Stony Brook, NY, 11794, USA.
Liana Langdon-EmbryRenaissance School of Medicine, Stony Brook University, HSC T4-147, Stony Brook, NY, 11794, USA.
Rafael J HernandezRenaissance School of Medicine, Stony Brook University, HSC T4-147, Stony Brook, NY, 11794, USA.
Nicholas BerbariNYU Long Island School of Medicine, NYU Langone Hospital - Long Island, 222 Station Plaza, Fifth Floor, Suite 510, Mineola, NY, 11501, USA.
Steven P ShelovNYU Long Island School of Medicine, NYU Langone Hospital - Long Island, 222 Station Plaza, Fifth Floor, Suite 510, Mineola, NY, 11501, USA.
Wendy L KinzlerNYU Long Island School of Medicine, NYU Langone Hospital - Long Island, 222 Station Plaza, Fifth Floor, Suite 510, Mineola, NY, 11501, USA. wendy.kinzler@nyulangone.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic presented the world with a sudden need for additional medical professionals. Senior medical students were identified as potential workers and many worldwide graduated early to serve as Junior Physicians in hospitals. The authors sought to identify factors that informed the decision to work, describe experiences in this capacity, and elucidate benefits for trainees.

methodsThe investigators conducted a mixed-methods observational cohort study of early medical graduates eligible to work as Junior Physicians at two New York medical centers in April/May 2020 during an initial surge in COVID-19 hospitalizations. Graduates were surveyed, and a sample of Junior Physicians participated in a focus group. Survey responses of those who worked were compared to those who did not. Focus group responses were transcribed, coded, and thematically analyzed.

resultsFifty-nine graduates completed the study methods and 39 worked as Junior Physicians. Primary reasons for working included duty to help (39 [100%]), financial incentive (32 [82%]), desire to learn about pandemic response (25 [64%]), and educational incentive (24 [62%]). All had direct contact with COVID-19 patients, believed working was beneficial to their medical training, and were glad they worked. None contracted a symptomatic infection while working. Compared with non-Junior Physicians, Junior Physicians reported increased comfort levels in completing medical intern-level actions like transitions of care functions, such as writing transfer notes (P < 0.01), writing discharge orders (P = 0.01), and providing verbal sign out (P = 0.05), and they reported more comfort in managing COVID-19 patients. Sixteen themes emerged from the focus group and were placed into four categories: development of skills, patient care, safety, and wellness.

conclusionsSenior medical students chose to work as Junior Physicians for both personal and educational reasons. Experiences were beneficial to trainees and can inform future innovations in medical education.

Indexed as

COVID-19Education, Medical, GraduateMedical Staff, HospitalAdultCohort StudiesDelivery of Health CareFemaleFocus GroupsHumansMaleNew YorkSARS-CoV-2Surveys and QuestionnairesCOVID-19Early graduationMedical studentsNew YorkUndergraduate medical education

Identifiers

PMID33602188
PMCPMC7891489

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.