Evidence map›Paper›PMID 37072215›Full record

ArticleCanadian family physician Medecin de famille canadien2023

Impact of early waves of the COVID-19 pandemic on family medicine residency training: Analysis of survey data.

Laura Diamond, Kulamakan Kulasegaram, Stuart Murdoch, David W Tannenbaum, Risa Freeman, Milena Forte

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The remains of a pandemic.Canadian family physician Medecin de famille canadien · 2023
    Article
  5. 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

6 authors.

Laura DiamondMD candidate in the Temerty Faculty of Medicine at the University of Toronto (U of T) in Ontario.
Kulamakan KulasegaramDirector of the Department of Family and Community Medicine (DFCM) Office of Education Scholarship, Associate Professor in the DFCM, Assessment Scientist in the MD Program, and Temerty Chair in Learner Assessment & Evaluation, all at U of T.
Stuart MurdochPostgraduate Education Director and Associate Professor in the DFCM at U of T.
David W TannenbaumVice-Chair of Operations in the DFCM and Associate Professor in the Temerty Faculty of Medicine at U of T.
Risa FreemanProfessor and Vice-Chair of Education and Scholarship in the DFCM at U of T, Clinician Educator Researcher at the Wilson Centre in Toronto, and a staff physician at North York General Hospital in Toronto.
Milena ForteClinician Educator and Associate Professor in the DFCM at U of T, where she serves as Maternity Care Lead and Postgraduate Lead for the Office of Education Scholarship.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify how graduating and incoming family medicine residents (FMR) experienced changes to their education during the early waves of the COVID-19 pandemic.

designThe Family Medicine Longitudinal Survey was modified with questions related to the impact of COVID-19 on FMR and their training. Short-answer responses underwent thematic analysis. Responses to Likert scale and multiple-choice questions were reported as summary statistics.

settingDepartment of Family and Community Medicine at the University of Toronto in Ontario.

participantsGraduating FMR in spring 2020 and incoming FMR in fall 2020.

main outcome measuresResidents' perceptions of the impact of COVID-19 on clinical skills acquisition and preparedness for practice.

resultsSurveys response rates were 124 of 167 (74%) and 142 of 162 (88%) for graduating and incoming residents, respectively. Important themes for both cohorts included reduced access to clinical environments, reduced patient volumes, and lack of exposure to procedural skills. While the graduating cohort indicated they felt confident to begin practising family medicine, they described being impacted by the loss of a tailored learning environment, including canceled or altered electives. In contrast, incoming residents reported the loss of core skills, such as physical examination competency, as well as the loss of face-to-face communication, rapport, and relationship-building opportunities. However, both cohorts endorsed gaining new skills during the pandemic, including conducting telemedicine appointments, pandemic planning, and interfacing with public health.

conclusionBased on these results, residency programs can specifically tailor solutions and modifications to address common themes across cohorts to facilitate optimal learning environments in pandemic times.

Indexed as

COVID-19Internship and ResidencyFamily PracticeHumansPandemicsSurveys and Questionnaires

Identifiers

PMID37072215
PMCPMC10112711

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.