Abstract

Objective: The participation of general practice (GP) residents in COVID-19 prevention and control tasks touched workload participation in public health and disease prevention and control and was also a rare, valuable training experience for the residents and research material for medical education. This experience contributed to the understanding of three key points: First, was the content of the COVID-19 prevention task suited to them, or did it overload them in the present? Second, their competence in the COVID-19 prevention task reflected whether the early medical school training was sufficient or not. Third, what can be drawn from this study to promote public health training in the future? This study aimed to explore these issues by conducting a real epidemic situated training (REST) program.Methods: A situated cognition study was designed that included situational context design, legitimate peripheral participation, and the construction of a community of practice. The Task Cognitive Load Scale (NASA-TLX Scale) and self-developed questionnaires were adopted to conduct a questionnaire survey of resident doctors in a GP training program from West China Hospital of Sichuan University, and 183 questionnaires were collected. SPSS 23.0 statistical software was used for the statistical analysis of data.Results: The NASA scale showed that the intensity of field epidemic prevention and control (training) was tolerable. In particular, there was statistical difference in the cognitive load intensity of training before and after the epidemic occurred at different time points (P < 0.05). This shows that they were early trained and well-prepared before sudden outbreak of the COVID-19. Before the outbreak of the epidemic, the public health knowledge and training received came from undergraduate education (83.16%), early residents program training (69.47%), online self-study (49.16%), and continuing education (20.53%).Conclusion: Former medical school education and training at the regulatory training stage have a good effect and enable residents to master the skills required for epidemic prevention and control and to physically and mentally prepare for the task. After this stage, epidemic prevention and control training in real situations will make important contributions to the self-assessment and performance improvement of public health training.

Highlights

  • The sudden outbreak of the COVID-19 pandemic highlighted the importance of competent community prevention as the front line of epidemic prevention and control and obliged practitioner residents to become part of such teams

  • This study aimed to explore the research on the training content for residents as well as their cognitive load and abilities improvement at different time points in a real situation, to use in the study of the resident training process

  • In the real epidemic situated training (REST) program, more than 60% indicators of the general practice (GP) residents’ cognitive load on the NASA scale were at a “moderate” level, indicating that the physical and mental workload of the GP residents in the REST program during COVID 19 was at an acceptable level, and the training content, ability improvement, and cognitive load were fair

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Summary

Introduction

The sudden outbreak of the COVID-19 pandemic highlighted the importance of competent community prevention as the front line of epidemic prevention and control and obliged practitioner residents to become part of such teams. The involvement of residents touched workload participation in public health and disease prevention and control and was a rare and valuable training experience. The main aim in the study was to assess whether the GP residents had the ability to respond to public health emergencies and well-prepared mentally and physically. The REST program was a training program, on the other hand, the program was a mission in which a nature assessment was taken to evaluate whether the residents had the ability to respond to public health emergencies by evaluating their performance and workload item.

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