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

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Title: A phenomenological exploration of the impact of COVID‐19 on the medical education community.
Authors: Luong, Victoria, Burm, Sarah, Bogie, Bryce J. M., Cowley, Lindsay, Klasen, Jennifer M., MacLeod, Anna, LaDonna, Kori A.
Source: Medical Education. Aug2022, Vol. 56 Issue 8, p815-822. 8p. 1 Chart.
Subjects: Psychological burnout, Occupational roles, Professional ethics, Well-being, Grief, Research methodology, Medical students, Communities, Work-life balance, Interviewing, Phenomenology, Social boundaries, Interprofessional relations, Physicians, Data analysis, Data analysis software, COVID-19 pandemic, Medical education, Psychological stress, Reflection (Philosophy)
Geographic Terms: Switzerland, United States
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. This phenomenological study explored how members of the medical education community have experienced grief and relief through the COVID‐19 pandemic, leading to critical reflections on how they want to live in the future. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A phenomenological exploration of the impact of COVID‐19 on the medical education community.
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  Data: 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. This phenomenological study explored how members of the medical education community have experienced grief and relief through the COVID‐19 pandemic, leading to critical reflections on how they want to live in the future. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.14793
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        Text: English
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      – SubjectFull: Professional ethics
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      – SubjectFull: Medical students
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