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Internship commencement during COVID-19: the impact of an extended induction model

BACKGROUND: The COVID-19 pandemic necessitated an enforced 8-week induction period (18 May to 12 July 2020) for all new interns in Ireland. These unprecedented circumstances presented a unique opportunity to assess this induction period. AIM: To assess the impact of a prolonged induction period on t...

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Autores principales: Foley, Alexandra, Donaghy, Feargal, Sheridan, Gerard A., Stanley, Ciarán, Byrne, Ann-Maria, Hill, Arnold D. K., Mullett, Hannan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870124/
https://www.ncbi.nlm.nih.gov/pubmed/33559048
http://dx.doi.org/10.1007/s11845-021-02543-0
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author Foley, Alexandra
Donaghy, Feargal
Sheridan, Gerard A.
Stanley, Ciarán
Byrne, Ann-Maria
Hill, Arnold D. K.
Mullett, Hannan
author_facet Foley, Alexandra
Donaghy, Feargal
Sheridan, Gerard A.
Stanley, Ciarán
Byrne, Ann-Maria
Hill, Arnold D. K.
Mullett, Hannan
author_sort Foley, Alexandra
collection PubMed
description BACKGROUND: The COVID-19 pandemic necessitated an enforced 8-week induction period (18 May to 12 July 2020) for all new interns in Ireland. These unprecedented circumstances presented a unique opportunity to assess this induction period. AIM: To assess the impact of a prolonged induction period on the technical abilities of interns embarking on their clinical careers. METHOD: We distributed a 12-item questionnaire to new interns at our institution during the COVID-19 pandemic. Section 1 of the questionnaire was designed to assess the rate of self-reported improvement in the successful and independent execution of practical ‘intern’ tasks. Section 2 of the questionnaire captured the subjective experience of interns during this time in relation to the effectiveness of an 8-week induction period with senior intern support available. Statistical analysis of categorical predictor and ordinal outcome variables was performed using the two-sample Wilcoxon rank-sum (Mann-Whitney) test. RESULTS: Our results demonstrated a statistically significant improvement in the proficiency at first attempt phlebotomy in week 8 compared with week 1 (p < 0.0001). There was a significant improvement in placing first-attempt peripheral IV lines in week 8 compared with week 1 (p < 0.001). Regarding the need for senior assistance, we demonstrated a statistically significant reduction in week 8 compared with week 1 (p = 0.046). There were 95.56% (n = 43) of interns that said they would recommend the induction period for future incoming interns. CONCLUSION: The COVID-19 pandemic has inadvertently identified a model of internship induction that benefits interns, their colleagues and their patients through the production of more technically capable interns.
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spelling pubmed-78701242021-02-09 Internship commencement during COVID-19: the impact of an extended induction model Foley, Alexandra Donaghy, Feargal Sheridan, Gerard A. Stanley, Ciarán Byrne, Ann-Maria Hill, Arnold D. K. Mullett, Hannan Ir J Med Sci Original Article BACKGROUND: The COVID-19 pandemic necessitated an enforced 8-week induction period (18 May to 12 July 2020) for all new interns in Ireland. These unprecedented circumstances presented a unique opportunity to assess this induction period. AIM: To assess the impact of a prolonged induction period on the technical abilities of interns embarking on their clinical careers. METHOD: We distributed a 12-item questionnaire to new interns at our institution during the COVID-19 pandemic. Section 1 of the questionnaire was designed to assess the rate of self-reported improvement in the successful and independent execution of practical ‘intern’ tasks. Section 2 of the questionnaire captured the subjective experience of interns during this time in relation to the effectiveness of an 8-week induction period with senior intern support available. Statistical analysis of categorical predictor and ordinal outcome variables was performed using the two-sample Wilcoxon rank-sum (Mann-Whitney) test. RESULTS: Our results demonstrated a statistically significant improvement in the proficiency at first attempt phlebotomy in week 8 compared with week 1 (p < 0.0001). There was a significant improvement in placing first-attempt peripheral IV lines in week 8 compared with week 1 (p < 0.001). Regarding the need for senior assistance, we demonstrated a statistically significant reduction in week 8 compared with week 1 (p = 0.046). There were 95.56% (n = 43) of interns that said they would recommend the induction period for future incoming interns. CONCLUSION: The COVID-19 pandemic has inadvertently identified a model of internship induction that benefits interns, their colleagues and their patients through the production of more technically capable interns. Springer International Publishing 2021-02-08 2022 /pmc/articles/PMC7870124/ /pubmed/33559048 http://dx.doi.org/10.1007/s11845-021-02543-0 Text en © Royal Academy of Medicine in Ireland 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Foley, Alexandra
Donaghy, Feargal
Sheridan, Gerard A.
Stanley, Ciarán
Byrne, Ann-Maria
Hill, Arnold D. K.
Mullett, Hannan
Internship commencement during COVID-19: the impact of an extended induction model
title Internship commencement during COVID-19: the impact of an extended induction model
title_full Internship commencement during COVID-19: the impact of an extended induction model
title_fullStr Internship commencement during COVID-19: the impact of an extended induction model
title_full_unstemmed Internship commencement during COVID-19: the impact of an extended induction model
title_short Internship commencement during COVID-19: the impact of an extended induction model
title_sort internship commencement during covid-19: the impact of an extended induction model
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7870124/
https://www.ncbi.nlm.nih.gov/pubmed/33559048
http://dx.doi.org/10.1007/s11845-021-02543-0
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