Evidence map›Paper›PMID 35614415›Full record

ArticleBMC primary care2022

An unexpected transition to virtual care: family medicine residents' experience during the COVID-19 pandemic.

Neale Smith, Christie Newton, Demetra Barbacuta, Olivia Ling-I Tseng

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Neale SmithCentre for Clinical Epidemiology & Evaluation (C2E2), Vancouver Coastal Health Research Institute (VCHRI), 7th floor Research Pavilion, 828 West 10th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada.
Christie NewtonDepartment of Family Practice, Faculty of Medicine, University of British Columbia (UBC), 3rd floor David Strangway Building, 5950 University Boulevard Building, Vancouver, British Columbia, V6T 1Z3, Canada.
Demetra BarbacutaCentre for Clinical Epidemiology & Evaluation (C2E2), Vancouver Coastal Health Research Institute (VCHRI), 7th floor Research Pavilion, 828 West 10th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada.
Olivia Ling-I TsengCentre for Clinical Epidemiology & Evaluation (C2E2), Vancouver Coastal Health Research Institute (VCHRI), 7th floor Research Pavilion, 828 West 10th Avenue, Vancouver, British Columbia, V5Z 1M9, Canada. otseng@alumni.ubc.ca.ORCID 0000-0002-7987-4338
Vancouver Coastal Health Research Institute · CAUniversity of British Columbia · CAUniversity of British Columbia Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global COVID-19 pandemic led to rapid changes in both medical care and medical education, particularly involving the rapid substitution of virtual solutions for traditional face-to-face appointments. There is a need for research into the effects and impacts of such changes. The objective of this article investigates the perspectives of Family Medicine Residents in one university program in order to understand the impact of this transition to virtual care and learning.

methodsThis is a qualitative focus group study. Four focus groups, stratified by site type (Rural = 1; Semi-Urban = 1; Urban = 2) were conducted, with a total of 25 participants. Participants were either first or second-year Residents in Family Medicine. Focus group recordings were analyzed thematically, based upon a five-level socio-ecological model (individual, family, organization, community, environment and policy context).

resultsTwo main themes were identified: (1) Residents' experiences of Virtual Learning and Virtual Care, and (2) Living and Learning in Pandemic Times. In the first theme, Residents reported challenges both individually, in their family context, and in their training organizations. Of particular concern was the loss of hands-on experience with clinical skills such as conducting physical examinations. In the second theme, Residents reported disruption of self-care routines and family life. These Residents were unable to engage in the relationships outside of the workplace with their preceptors and peers which they had expected, and which play key roles in social support as well as in future decisions about practice location.

conclusionsWhile many patients appreciated virtual care, in the eyes of these Residents it is not the ideal modality for learning the practice of Family Medicine, and they awaited a return to normal times. Despite this, the pandemic has pointed out important ways in which residency training needs to adapt to an evolving world.

Indexed as

COVID-19Internship and ResidencyClinical CompetenceFamily PracticeHumansPandemicsBritish ColumbiaCanadaFamily medicinePandemicPrimary careResidencyVirtual careVirtual learning

Identifiers

PMID35614415
PMCPMC9130052
OpenAlexW4281484980

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.