The Impact of COVID-19 on Medical Training: An Observational Study from a University-Affiliated Health Network's Experience

Abstract

Objective: An anonymous online survey was conducted at a university-affiliated health network to witness the impact of COVID-19 on Internal medicine residents and subspecialty fellows. Methods: This study involved a 28-question online survey for internal medicine residents and subspecialty fellows. Descriptive outcomes were provided for all respondents. We compared the impact of COVID-19 on training using a chi-square test for fellows versus residents, with a significance level of p < 0.05. Subgroup analyses and an open-ended question were also included. Results: The survey had a 67% response rate (52/78). Three-fourths of the respondents were residents (39/52), and the rest were fellows. Among all trainees, 33% (17/52) had <1 year of training left, with 59% (10/17) being residents. Overall, 82.7% (43/52) reported a "neutral or negative" impact on training, and 17.3% (9/52) reported a "positive or very positive" effect. 56% reported a decrease in procedures. In open-ended responses, 6 were positive, and 9 were negative. Conclusions: Our survey, consistent with current international literature, shows a negative impact on training due to changes in healthcare delivery during the pandemic. This led to a reduction in procedural opportunities and limited educational sessions. A follow-up study may help identify longer-lasting effects and areas for improvement.