Impact of COVID-19 on residency choice: A survey of New York City medical students.
Impact of COVID-19 on residency choice: A survey of New York City medical students.
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COVID-19 对住院医师选择的影响：对纽约市医学院学生的调查。
DOI：
10.1371/journal.pone.0258088
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Hur C
中科院分区：
文献类型：
--
作者：
Lee KE;Lim F;Silver ER;Faye AS;Hur C
2019年冠状病毒病(新冠肺炎)大流行扰乱了医科学生的教育，特别是在纽约市(纽约市)。我们的目的是评估新冠肺炎大流行对医学生住院医师选择的影响。作者对纽约市四所医学院(哥伦比亚大学、康奈尔大学、纽约大学和纽约州州立大学)的医学生进行了横断面调查。这项调查从2020年8月19日到2020年9月21日进行。调查问题包括评估新冠肺炎对居住地选择的影响、新冠肺炎的个人影响、居住地/专业选择以及影响这些选择的因素。共有2310名学生接受了调查，其中547人(23.7%)提供了部分回答，212人(9.2%)为初步分析提供了有效回答。59.0%的受访者认为新冠肺炎对他们的居住地/专业的选择有影响，0.9%的人认为影响很大，22.2%的人认为某种程度上的影响，35.8%的人认为影响很小。多变量分析显示，与无负债和其他人种/民族(ADJOR 0.26，95%CI 0.10~0.63)相比，与白人相比，影响居住地选择的新冠肺炎独立相关因素包括低负债(1美元至99,999美元：ADJOR 2.23，95%CI 1.02~5.03)。在对所有回答调查项目的参与者进行二次分析时，无论调查完成与否，新冠肺炎的直接个人影响与新冠肺炎影响专业选择显著相关(ADJOR 1.90，95%CI 1.04-3.52)。此外，24名学生(11.6%)报告称，他们的首选居住地从新冠肺炎之前改变为新冠肺炎期间/之后，理由是担心一线工作、工作与生活的平衡以及伤害风险。我们的研究发现，五分之三(59.0%)的受访者认为新冠肺炎影响了他们的居住地选择，11.6%的受访者明确改变了他们的首选专业选择。调查大流行对医学生实习考虑的影响对于了解未来医学职业前景可能发生的变化至关重要。
The Coronavirus disease 2019 (COVID-19) pandemic disrupted medical student education, particularly in New York City (NYC). We aimed to assess the impact of the COVID-19 pandemic on medical students’ residency choices. The authors conducted a cross-sectional survey of medical students in all years of study at four NYC medical schools (Columbia, Cornell, NYU, and SUNY Downstate). The survey was fielded from 19 Aug 2020 to 21 Sep 2020. Survey questions included items assessing COVID-19 impact on residency choices, personal impact of COVID-19, residency/specialty choices, and factors influencing these choices. A total of 2310 students received the survey, with 547 (23.7%) providing partial responses and 212 (9.2%) providing valid responses for our primary analysis. 59.0% of participants thought that COVID-19 influenced their choice of residency/specialty, with 0.9% saying the influence was to a great extent, 22.2% to some extent, and 35.8% very little. On multivariable analysis, factors that were independently associated with COVID-19 impacting residency choice included low debt ($1 to $99,999: adjOR 2.23, 95%CI 1.02–5.03) compared with no debt and Other race/ethnicity (adjOR 0.26, 95%CI 0.10–0.63) compared with White race/ethnicity. On secondary analysis of all participants answering survey items for logistic regression regardless of survey completion, direct personal impact of COVID-19 was significantly associated with COVID-19 impacting specialty choice (adjOR 1.90, 95%CI 1.04–3.52). Moreover, 24 students (11.6%) reported a change in their top residency choice from before to during/after COVID-19, citing concerns about frontline work, work-life balance, and risk of harm. Our study found that 3 in 5 (59.0%) participants felt that COVID-19 impacted their residency choice, with 11.6% of respondents explicitly changing their top specialty choice. Investigating the impact of the pandemic on medical student residency considerations is crucial to understand how medical career outlooks may change in the future.
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5.1
作者：
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通讯作者：
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