The Impact of COVID-19 on Physician-Scientist Trainees and Faculty in the United States: A National Survey.
The Impact of COVID-19 on Physician-Scientist Trainees and Faculty in the United States: A National Survey.
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DOI：
10.1097/acm.0000000000004802
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发表时间：
2022-10-01
影响因子：
7.4
通讯作者：
Daye, Dania
中科院分区：
文献类型：
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作者：
Kwan, Jennifer M.;Noch, Evan;Qiu, Yuqing;Toubat, Omar;Christophers, Briana;Azzopardi, Stephanie;Gilmer, Gabrielle;Wiedmeier, Julia Erin;Daye, Dania
长期以来，医生科学家一直被认为是濒危物种，他们的长期培训途径很容易受到干扰。这项研究调查了与COVID-19相关的挑战对医生兼科学家实习生和教职员工的个人生活、职业活动、压力水平和研究生产力的影响。作者调查了医学生（MS），研究生（GS），居民/研究员（R/F）和教师（F），使用分发给120个美国机构的工具在2020年4月至6月的MD-PhD课程。卡方检验和Fisher精确检验用于比较组间差异。采用机器学习来选择变量进行多变量逻辑回归分析，旨在确定与压力和生产力受损相关的因素。分析包括1，929名受访者（MS：n = 679，35%; GS：n = 676，35%; R/F：n = 274，14%; F：n = 300，16%）。所有群组都报告了高度的社会孤立、大流行病的压力以及对生产力的负面影响。R/F和F受访者比MS和GS受访者更有可能报告因COVID-19造成的财务困难。与没有双学位的人相比，具有双学位的R/F和F受访者表示生产力受损更严重。多变量回归分析确定了受影响的研究/学术活动，经济困难，社会孤立作为MS和GS队列的压力和生产力受损的预测因素。对于R/F和F队列，受影响的个人生活和研究生产力与压力相关，而双学位状态，受影响的研究/学术活动和受影响的个人生活是生产力受损的预测因素。与男性相比，更多的女性受访者报告家庭需求增加。这项针对医生-科学家实习生和教职员工的全国性调查发现，与COVID-19大流行相关的压力和生产力受损的发生率很高。了解所面临的挑战及其后果可能会改善在大流行后时期支持医生-科学家队伍的努力。
Physician-scientists have long been considered an endangered species, and their extended training pathway is vulnerable to disruptions. This study investigated the effects of COVID-19-related challenges on the personal lives, career activities, stress levels, and research productivity of physician-scientist trainees and faculty. The authors surveyed medical students (MS), graduate students (GS), residents/fellows (R/F), and faculty (F) using a tool distributed to 120 U.S. institutions with MD-PhD programs in April–June 2020. Chi-squared and Fisher’s exact tests were used to compare differences between groups. Machine learning was employed to select variables for multivariate logistic regression analyses aimed at identifying factors associated with stress and impaired productivity. The analyses included 1,929 respondents (MS: n = 679, 35%; GS: n = 676, 35%; R/F: n = 274, 14%; F: n = 300, 16%). All cohorts reported high levels of social isolation, stress from effects of the pandemic, and negative impacts on productivity. R/F and F respondents were more likely than MS and GS respondents to report financial difficulties due to COVID-19. R/F and F respondents with a dual degree expressed more impaired productivity compared to those without a dual degree. Multivariate regression analyses identified impacted research/scholarly activities, financial difficulties, and social isolation as predictors of stress and impaired productivity for both MS and GS cohorts. For both R/F and F cohorts, impacted personal life and research productivity were associated with stress, while dual-degree status, impacted research/scholarly activities, and impacted personal life were predictors of impaired productivity. More female than male respondents reported increased demands at home. This national survey of physician-scientist trainees and faculty found a high incidence of stress and impaired productivity related to the COVID-19 pandemic. Understanding the challenges faced and their consequences may improve efforts to support the physician-scientist workforce in the post-pandemic period.