• Ir J Med Sci · Feb 2022

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

    • Alexandra Foley, Feargal Donaghy, Gerard A Sheridan, Ciarán Stanley, Ann-Maria Byrne, HillArnold D KADKBeaumont University Hospital, Dublin, Ireland.Royal College of Surgeons in Ireland, Dublin, Ireland., and Hannan Mullett.
    • Beaumont University Hospital, Dublin, Ireland.
    • Ir J Med Sci. 2022 Feb 1; 191 (1): 13-19.

    BackgroundThe 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.AimTo assess the impact of a prolonged induction period on the technical abilities of interns embarking on their clinical careers.MethodWe 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.ResultsOur 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.ConclusionThe 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.© 2021. Royal Academy of Medicine in Ireland.

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