PDF(Pubmed)
Abstract：
We sought to evaluate changes in In-Training Examination (ITE) scores and associations with clinical work during the COVID-19 pandemic. We hypothesized that residents saw a decrease in clinical encounters during the pandemic and that this would be associated with smaller gains in ITE scores.
We compared ITE score changes with data on patient notes for three classes of pediatric residents at four residency programs: one not exposed to the pandemic during their intern year who entered residency in 2018, one partially exposed to COVID-19 in March of their intern year (2019-2020), and one that was fully exposed to the pandemic, starting residency in June of 2020.
ITE scores on average improved from the PGY1 to PGY2 year in the \"no covid\" and \"partial COVID\" cohorts. The \"full COVID\" cohort had little to no improvement, on average. The total number of patient encounters was not associated with a change in ITE scores from PGY1 to PGY2. There was a small but statistically significant association between change in ITE score and number of inpatient H+P notes.
A drop in ITE scores occurred in pediatric residents who entered residency during the COVID-19 pandemic. This change was largely unrelated to clinical encounter number changes.
We compared ITE score changes with data on patient notes for three classes of pediatric residents at four residency programs: one not exposed to the pandemic during their intern year who entered residency in 2018, one partially exposed to COVID-19 in March of their intern year (2019-2020), and one that was fully exposed to the pandemic, starting residency in June of 2020.
ITE scores on average improved from the PGY1 to PGY2 year in the \"no covid\" and \"partial COVID\" cohorts. The \"full COVID\" cohort had little to no improvement, on average. The total number of patient encounters was not associated with a change in ITE scores from PGY1 to PGY2. There was a small but statistically significant association between change in ITE score and number of inpatient H+P notes.
A drop in ITE scores occurred in pediatric residents who entered residency during the COVID-19 pandemic. This change was largely unrelated to clinical encounter number changes.
摘要：
背景：我们试图评估COVID-19大流行期间ITE评分的变化及其与临床工作的关联。我们假设居民在大流行期间的临床接触减少，这与ITE评分的增加较小有关。
方法：我们在四个住院医师项目中比较了三类儿科住院医师的ITE评分变化与患者笔记数据：一类是在2018年进入住院医师实习期间未暴露于大流行，另一类是在实习期间(2019-2020年)的3月部分暴露于新冠肺炎。一个完全暴露在大流行中的人，2020年6月开始居住。
结果：在“无covid”和“部分covid”队列中，从PGY1到PGY2的平均得分提高了。“完整的covid”队列几乎没有改善，平均而言。患者总数与ITE评分从PGY1到PGY2的变化无关。ITE评分的变化与住院患者HP注释的数量之间存在很小但具有统计学意义的关联。
结论：在COVID-19大流行期间进入住院医师的儿科居民中，ITE评分下降。这种变化与临床接触次数的变化在很大程度上无关。
方法：我们在四个住院医师项目中比较了三类儿科住院医师的ITE评分变化与患者笔记数据：一类是在2018年进入住院医师实习期间未暴露于大流行，另一类是在实习期间(2019-2020年)的3月部分暴露于新冠肺炎。一个完全暴露在大流行中的人，2020年6月开始居住。
结果：在“无covid”和“部分covid”队列中，从PGY1到PGY2的平均得分提高了。“完整的covid”队列几乎没有改善，平均而言。患者总数与ITE评分从PGY1到PGY2的变化无关。ITE评分的变化与住院患者HP注释的数量之间存在很小但具有统计学意义的关联。
结论：在COVID-19大流行期间进入住院医师的儿科居民中，ITE评分下降。这种变化与临床接触次数的变化在很大程度上无关。
