Evidence map›Paper›PMID 34434512›Full record

ArticleJournal of graduate medical education2021

Dark Clouds With Silver Linings: Resident Anxieties About COVID-19 Coupled With Program Innovations and Increased Resident Well-Being.

Larissa E Wietlisbach, David A Asch, Whitney Eriksen, Frances K Barg, Lisa M Bellini, Sanjay V Desai, Abdul-Rakeem Yakubu, Judy A Shea

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Article
  4. To the Editor: Are We All in the COVID-19 Fight Together?Journal of graduate medical education · 2022
    Article
  5. Article
  6. Resident Well-Being Before and During the COVID-19 Pandemic.Journal of graduate medical education · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Larissa E Wietlisbachis a Medical Student and Research Assistant, Perelman School of Medicine, University of Pennsylvania.
David A Aschis Professor, Perelman School of Medicine and The Wharton School, and an Internal Medicine Physician, Department of Medicine, University of Pennsylvania.
Whitney Eriksenis a Senior Researcher, University of Pennsylvania Mixed Methods Research Lab.
Frances K Bargis Director, University of Pennsylvania Mixed Methods Research Lab, and Professor, Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania.
Lisa M Belliniis Senior Vice Dean for Academic Affairs, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, and University of Pennsylvania.
Sanjay V Desaiis Director, Osler Medical Residency, and Vice-Chair for Education, Department of Medicine, Johns Hopkins University.
Abdul-Rakeem Yakubuis a Research Assistant, University of Pennsylvania Mixed Methods Research Lab.
Judy A Sheais Associate Dean of Medical Education Research, Perelman School of Medicine, and Professor, Department of Medicine, University of Pennsylvania.

Funding

ICOMPARE-CCCU01HL125388 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ASCH, DAVID A · 2015 to 2018
$5.7M
NHLBI NIH HHS U01 HL125388
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic forced numerous unprecedented systemic changes within residency programs and hospital systems.

objectiveWe explored how the COVID-19 pandemic, and associated changes in clinical and educational experiences, were related to internal medicine residents' well-being in the early months of the pandemic.

methodsAcross 4 internal medicine residency programs in the Northeast United States that have previously participated in the iCOMPARE study, all 394 residents were invited to participate in a study with open-ended survey prompts about well-being approximately every 2 weeks in academic year 2019-2020. In March and April 2020, survey prompts were refocused to COVID-19. Content analysis revealed themes in residents' open-ended responses to 4 prompts.

resultsOne hundred and eighty-six residents expressed interest, and 88 were randomly selected (47%). There were 4 main themes: (1) in early days of the pandemic, internal medicine residents reported fear and anxiety about uncertainty and lack of personal protective equipment; (2) residents adapted and soon were able to reflect, rest, and pursue personal wellness; (3) communication from programs and health systems was inconsistent early in the pandemic but improved in clarity and frequency; (4) residents appreciated the changes programs had made, including shorter shifts, removal of pre-rounding, and telemedicine.

conclusionsCOVID-19 introduced many challenges to internal medicine residency programs and to resident well-being. Programs made structural changes to clinical schedules, educational/conference options, and communication that boosted resident well-being. Many residents hoped these changes would continue regardless of the pandemic's course.

Indexed as

COVID-19Internship and ResidencyAnxietyHumansPandemicsSARS-CoV-2

Identifiers

PMID34434512
PMCPMC8370362

What OpenQuestion holds

Textmetadata
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.