Résumés
Abstract
Background: Virtual care (VC) was rapidly adopted during the COVID-19 pandemic to ensure continuity of primary care. In this study, we explored Family Medicine (FM) residents’ evolving experiences with VC across early (2020), late (2022), and post-pandemic (2024) phases in Saskatchewan, focusing on satisfaction, preparedness, supervision, and perceived impact on training and well-being.
Methods: FM residents across eight distributed sites were surveyed at three time points using a standardized tool. Responses were analyzed using chi-square, Kruskal-Wallis, and post hoc Mann-Whitney U tests (p < 0.05).
Results: Seventy-eight residents participated (2020: n = 26; 2022: n = 19; 2024: n = 33). Satisfaction with VC tended to decline over time (p = 0.074), while requests for additional VC training did not change (p = 0.269). Confidence to use VC post-residency dropped significantly from 100% (2020) to 60.6% (2024; p < 0.001), despite a consistent and moderate amount of supervision. The negative impact of COVID-19 on training declined by 2024 (p = 0.008), while trust in the provincial response to the COVID-19 pandemic also decreased (p < 0.0001).
Conclusions: Although FM residents adapted to VC during the pandemic, long-term sustainability to use VC requires improved training, structured supervision, and curricular integration. Embedding VC competencies into postgraduate education is essential to support hybrid models of care in the evolving primary care landscape.
Résumé
Contexte : Les soins virtuels (SV) ont été rapidement adoptés pendant la pandémie de COVID-19 afin d'assurer la continuité des soins primaires. Dans cette étude, nous avons exploré l'évolution des expériences des résidents en médecine familiale (MF) avec les SV au cours des phases précoce (2020), tardive (2022) et post-pandémique (2024) en Saskatchewan, en nous concentrant sur la satisfaction, la préparation, la supervision et l'impact perçu sur la formation et le bien-être.
Méthodes : Les résidents en MF de huit sites répartis ont été interrogés à trois moments différents à l'aide d'un outil standardisé. Les réponses ont été analysées à l'aide des tests du chi carré, de Kruskal-Wallis et post hoc de Mann-Whitney U (p < 0,05).
Résultats : Soixante-dix-huit résidents ont participé (2020 : n = 26 ; 2022 : n = 19 ; 2024 : n = 33). La satisfaction à l'égard des SV a eu tendance à diminuer au fil du temps (p = 0,074), tandis que les demandes de formation supplémentaire en SV n'ont pas changé (p = 0,269). La confiance dans l'utilisation des SV après la résidence a considérablement diminué, passant de 100 % (2020) à 60,6 % (2024 ; p < 0,001), malgré un niveau de supervision constant et modéré. L'impact négatif de la COVID-19 sur la formation a diminué en 2024 (p = 0,008), tandis que la confiance dans la réponse provinciale à la pandémie de COVID-19 a également diminué (p < 0,0001).
Conclusions : Bien que les résidents en MF se soient adaptés aux SV pendant la pandémie, la viabilité à long terme de l'utilisation des SV nécessite une formation améliorée, une supervision structurée et une intégration dans les programmes d'études. L'intégration des compétences en matière de SV dans la formation postdoctorale est essentielle pour soutenir les modèles hybrides de soins dans le paysage en évolution des soins primaires.
Parties annexes
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