Midcareer Medical School Research Faculty Perspectives on Vitality and Professionalism During the COVID-19 Pandemic.
Midcareer Medical School Research Faculty Perspectives on Vitality and Professionalism During the COVID-19 Pandemic.
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DOI：
10.1001/jamanetworkopen.2021.20642
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发表时间：
2021-08-02
影响因子：
13.8
通讯作者：
Bloom-Feshbach K
中科院分区：
文献类型：
--
作者：
Pololi LH;Vasiliou V;Bloom-Feshbach K
处于职业生涯中期的医学院教师如何看待 COVID-19 大流行对其生活和工作的影响？在这项针对 39 名职业生涯中期研究人员的定性研究中，主导主题包括发现工作的意义增加；职业精神和道德责任感；增进与同事的关系；重申职业选择；研究中断；对临床工作的影响；关注健康差异、社会正义和宣传；增加的家庭责任；心理压力；并注重领导力。在这项针对不同职业中期医学院教师群体的研究中，大流行期间的工作经历似乎对医师研究人员和博士科学家产生了重要的积极影响，有助于增强他们与内在激励因素相关的活力和专业奉献精神。这项定性研究探讨了 COVID-19 大流行如何影响学术医学领域的职业中期研究人员。由于医学院在 COVID-19 大流行期间发挥着核心作用，因此研究该流行病与医学院教师的活力和职业的关系非常重要。研究 COVID-19 大流行如何影响学术医学领域的职业中期研究人员。这项定性研究包括参加 C-Change 指导和领导力研究所的医学院教师。所有最近获得美国国立卫生研究院 (NIH) RO1、RO1 同等奖项和 K 奖的美国医学院教员均受邀申请该研究所。符合纳入标准的 99 名申请者按学位（医学博士或医学博士/博士与博士）、性别和种族/民族进行分层。招生对象是随机选择的 40 个名额，按性别人口统计平衡，在医学少数群体 (URMM) 状态和学位方面代表性不足。 2020 年 4 月，我们向该学院的教员发送了一份询问邮件，要求他们回答有关工作意义、职业选择和价值观的问题。使用扎根理论对叙事数据响应进行定性分析，以确定关键主题。这项研究是美国国立卫生研究院 (NIH) 资助的一项随机试验的一部分，旨在测试针对职业中期教师的团体同伴辅导课程的有效性，并研究该课程的作用机制。数据中的关键主题。在 40 名注册参与者中，有 39 人回复了询问，回复率为 97%。分析样本包括 39 名教职人员； 19 人 (47%) 是女性，20 人 (53%) 被确定为 URMM，20 人 (53%) 拥有医学博士学位或拥有博士学位的医学博士，而 19 人 (47%) 拥有博士学位。描述教师在大流行中的生活经历的数据中的关键主题包括工作意义的增加；专业精神和道德责任；增进与同事的关系；重申职业选择；研究中断；对临床工作的影响；关注健康差异、社会正义和宣传；增加的家庭责任；心理压力；并注重领导力。在大流行期间，不同的博士和医生研究人员报告说，工作和专业精神的意义有所增加，人际关系也得到了加强，所有这些内在动力都与活力相关。除了对心理健康产生不利影响之外，在大流行期间工作似乎还产生了与活力呈正相关的内在奖励。这些发现对于未来对抗倦怠和留住调查人员具有重要意义。
How do midcareer medical school faculty perceive the impact of the COVID-19 pandemic on their lives and their work? In this qualitative study of 39 midcareer research faculty, dominant themes included finding increased meaningfulness of work; a sense of professionalism and moral responsibility; enhanced relationships with colleagues; reassertion of career choice; disrupted research; impact on clinical work; attention to health disparities, social justice, and advocacy; increased family responsibilities; psychological stress; and focus on leadership. In this study of a diverse group of midcareer medical school faculty, the experience of working during the pandemic appeared to have had important positive impacts on physician investigators and PhD scientists, contributing to their vitality and professional dedication that were associated with intrinsic motivators. This qualitative study examines how the COVID-19 pandemic affected midcareer research faculty in academic medicine. As medical faculty have central roles during the COVID-19 pandemic, it is important to study the pandemic’s association with the vitality and careers of medical school faculty. To examine how the COVID-19 pandemic affected midcareer research faculty in academic medicine. This qualitative study included medical school faculty who participated in the C-Change Mentoring and Leadership Institute. All US medical school faculty recipients of recent National Institutes of Health (NIH) RO1, RO1-equivalent, and K awards were invited to apply to the institute. The 99 applicants who met inclusion criteria were stratified by degree (MD or MD/PhD vs PhD), gender, and race/ethnicity. Enrollment was offered to applicants randomly selected for 40 spots, demographically balanced by sex, underrepresented in medicine minority (URMM) status, and degree. In April 2020, an inquiry was emailed to faculty enrolled in the institute requesting responses to questions about meaning in work, career choice, and values. A qualitative analysis of narrative data responses, using grounded theory, was undertaken to determine key themes. This study is part of a NIH-funded randomized trial to test the efficacy of a group peer mentoring course for midcareer faculty and study the course’s mechanisms of action. Key themes in data. Of 40 enrolled participants, 39 responded to the inquiry, for a response rate of 97%. The analytic sample included 39 faculty members; 19 (47%) were women, 20 (53%) identified as URMM, and 20 (53%) had an MD or MD with PhD vs 19 (47%) with PhD degrees. Key themes in the data that emerged describing faculty lived experience of the pandemic included increased meaningfulness of work; professionalism and moral responsibility; enhanced relationships with colleagues; reassertion of career choice; disrupted research; impact on clinical work; attention to health disparities, social justice and advocacy; increased family responsibilities; psychological stress; and focus on leadership. During the pandemic, diverse PhD and physician investigators reported increased meaningfulness in work and professionalism and enhanced relationships, all intrinsic motivators associated with vitality. Working during the pandemic appears to have produced intrinsic rewards positively associated with vitality, in addition to adverse mental health effects. These findings have implications for combatting burnout and retaining investigators in the future.
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DOI：
10.1016/0030-5073(76)90016-7
发表时间：
1976-01-01
期刊：
ORGANIZATIONAL BEHAVIOR AND HUMAN PERFORMANCE
影响因子：
--
作者：
HACKMAN, JR;OLDHAM, GR
通讯作者：
OLDHAM, GR
影响因子：
3.9
作者：
Fischer, Constance T.
通讯作者：
Fischer, Constance T.
影响因子：
5.7
作者：
Beach, MC;Inui, T
通讯作者：
Inui, T
影响因子：
7.4
作者：
O'Brien, Bridget C.;Harris, Ilene B.;Cook, David A.
通讯作者：
Cook, David A.
DOI：
10.3390/ijerph18042051
发表时间：
2021-02-19
影响因子：
--
作者：
Creese J;Byrne JP;Conway E;Barrett E;Prihodova L;Humphries N
通讯作者：
Humphries N