ArticleBMC medical education2024
Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Effect of training content and environmental factors on resident retention rates in postgraduate year programs.Journal of the Chinese Medical Association : JCMA · 2025Article
- Strengthening the Pediatric Radiation Oncology Workforce Through Digital Learning: A Capacity-Building Pilot from Pakistan.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Declining Performance on American Board of Emergency Medicine Written Examinations.AEM education and training · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe COVID-19 pandemic had a significant impact on both the clinical practice and the psychological states of frontline physicians in the emergency department. Trainees, at the beginning of their careers and thus still developing their practice styles and identities as physicians, were uniquely affected.
objectiveIn this qualitative study, we sought to explore how the pandemic environment shaped the experiences of emergency medicine resident physicians.
methodsThis was a qualitative study. We conducted in-depth interviews with emergency medicine faculty, resident physicians, and staff at a single emergency department based at an urban academic institution in the northeastern United States. Interviews were audio recorded and transcribed, and transcripts were then analyzed in an iterative process by our coding team for recurring themes related to the resident experience.
resultsWe reached data saturation with 27 individuals. Of those who were interviewed, 10 were resident physicians [6 senior residents (PGY-3 or PGY-4) and 4 junior residents (PGY-1 or PGY-2)]. Three major recurring themes regarding resident physician experience emerged during our analysis of the interviews: (1) novel educational experiences dampened by negative structural forces from the pandemic, (2) fracturing of social interactions and mitigation through ad-hoc support systems and community of practice, and (3) development of negative emotions and psychological trauma including fear, resentment, and moral injury causing lasting harm.
conclusionsOur results suggest that emergency medicine resident physicians training during the COVID-19 pandemic faced unique experiences concerning their education, social support systems, and emotional states. While the educational and social experiences were described as having both negative and positive impacts, the emotional experiences were largely negative. Residency program leadership may use these insights to improve resident preparation, wellness, and resilience in the face of future adverse events.
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