A phenomenological exploration of the impact of COVID-19 on the medical education community.

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  • Additional Information
    • Source:
      Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 7605655 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2923 (Electronic) Linking ISSN: 03080110 NLM ISO Abbreviation: Med Educ Subsets: MEDLINE
    • Publication Information:
      Publication: Oxford : Wiley-Blackwell
      Original Publication: Oxford, Blackwell Scientific Publications.
    • Subject Terms:
      COVID-19*/epidemiology ; Education, Medical* ; Physicians*; Humans ; Pandemics ; Workplace
    • Abstract:
      Introduction: The COVID-19 pandemic has caused unprecedented stress to the medical education community, potentially worsening problems like burnout and work-life imbalance that its members have long been grappling with. However, the collective struggle sparked by the pandemic could generate the critical reflection necessary for transforming professional values and practices for the better. In this hermeneutic phenomenological study, we explore how the community is adapting-and even reconceptualising-their personal and professional roles amidst the COVID-19 crisis.
      Method: Between April and October 2020, we conducted 27 (17F, 10M) semi-structured interviews with medical trainees (8), physicians (8), graduate students (3) and PhD scientists (8) working in medical education in Canada, the United States and Switzerland. Data analysis involved a variety of strategies, including coding for van Manen's four lifeworld existentials, reflexive writing and multiple team meetings.
      Results: Participants experienced grief related to the loss of long-established personal and professional structures and boundaries, relationships and plans for the future. However, experiences of grief were often conflicting. Some participants also experienced moments of relief, perceiving some losses as metaphorical permissions slips to slow down and focus on their well-being. In turn, many reflected on the opportunity they were being offered to re-imagine the nature of their work.
      Discussion: Participants' experiences with grief, relief and opportunity resonate with Ratcliffe's account of grief as a process of relearning the world after a significant loss. The dismantling of prior life structures and possibilities incited in participants critical reflection on the nature of the medical education community's professional practices. Participants demonstrated their desire for more flexibility and autonomy in the workplace and a re-adjustment of the values and expectations inherent to their profession. On both individual and systems levels, the community must ensure that long-standing calls for wellness and work-life integration are realised-and persist-after the pandemic is over.
      (© 2022 Association for the Study of Medical Education and John Wiley & Sons Ltd.)
    • Comments:
      Comment in: Med Educ. 2022 Aug;56(8):782-784. (PMID: 35608165)
    • References:
      Acad Med. 2018 Nov;93(11):1713-1718. (PMID: 29794519)
      JAMA. 2020 Jun 2;323(21):2131-2132. (PMID: 32232420)
      Med Educ. 2021 Jan;55(1):16-22. (PMID: 32564391)
      Mayo Clin Proc. 2015 Dec;90(12):1600-13. (PMID: 26653297)
      BJPsych Open. 2021 Aug 19;7(5):e151. (PMID: 34457351)
      Perspect Med Educ. 2022 Mar;11(2):115-120. (PMID: 35286689)
      Perspect Med Educ. 2020 Jun;9(3):181-185. (PMID: 32458382)
      Acad Med. 2019 Aug;94(8):1157-1163. (PMID: 30973366)
      J Med Ethics. 2021 Mar 3;:. (PMID: 33658333)
      JAMA Netw Open. 2021 Jun 1;4(6):e2113539. (PMID: 34129021)
      Med Educ. 2021 Jan;55(1):108-111. (PMID: 33034090)
      Med Educ. 2021 Feb;55(2):185-197. (PMID: 32790934)
      Acad Med. 2016 Sep;91(9):1197-9. (PMID: 27438155)
      Am J Surg. 2021 Feb;221(2):277-284. (PMID: 32994041)
      Acad Med. 2018 May;93(5):763-768. (PMID: 29116983)
      Acad Med. 2006 Apr;81(4):354-73. (PMID: 16565188)
      Acad Med. 2021 Dec 1;96(12):1650-1654. (PMID: 33983137)
      Med Teach. 2020 Jul;42(7):738-740. (PMID: 32608302)
      J Med Educ Curric Dev. 2021 May 20;8:23821205211006392. (PMID: 34095501)
      Med Teach. 2021 Mar;43(3):253-271. (PMID: 33496628)
      J Hosp Med. 2021 Feb;16(2):120-123. (PMID: 33496656)
      J Community Hosp Intern Med Perspect. 2021 May 10;11(3):296-298. (PMID: 34234896)
      Perspect Med Educ. 2021 Aug;10(4):238-244. (PMID: 33738767)
      Can Med Educ J. 2021 Jun 30;12(3):54-69. (PMID: 34249191)
      Perspect Med Educ. 2019 Apr;8(2):90-97. (PMID: 30953335)
      Can Med Educ J. 2021 Jun 30;12(3):28-43. (PMID: 34249189)
      Acad Med. 2022 Apr 1;97(4):492-496. (PMID: 34292189)
      Med Educ. 2022 Aug;56(8):815-822. (PMID: 35253255)
      Nature. 2021 Mar;591(7850):489-491. (PMID: 33723408)
      Acad Med. 2022 Mar 1;97(3):436-443. (PMID: 34380930)
      BJPsych Bull. 2021 Apr;45(2):93-97. (PMID: 32340645)
    • Publication Date:
      Date Created: 20220307 Date Completed: 20220708 Latest Revision: 20220727
    • Publication Date:
      20240628
    • Accession Number:
      PMC9115140
    • Accession Number:
      10.1111/medu.14793
    • Accession Number:
      35253255