Table 3.
Relationship between COVID-19 care and General Medicine In-Training examination score (univariable and multivariable-adjusted linear generalized estimating equations analysis)
| Univariable | Multivariable adjusted | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| COVID-19 care | Mean score | Score difference | 95%CI | p-value | Score difference | 95%CI | p-value | |||
| Total (score, 0–60) | no experience | 28.85 | reference | reference | ||||||
| experience | 29.28 | 0.436 | 0.052 | 0.820 | 0.026* | 0.242 | -0.128 | 0.611 | 0.200 | |
| Medical Interview and Professionalism (score, 0–6) | no experience | 2.89 | reference | reference | ||||||
| experience | 2.93 | 0.041 | -0.027 | 0.109 | 0.230 | 0.008 | -0.061 | 0.076 | 0.824 | |
| Symptomatology and Clinical Reasoning (score, 0–15) | no experience | 8.54 | Reference | reference | ||||||
| experience | 8.66 | 0.120 | 0.001 | 0.238 | 0.047* | 0.069 | -0.049 | 0.187 | 0.254 | |
| Physical Examination and Clinical Procedures (score, 0–15) | no experience | 6.71 | reference | reference | ||||||
| experience | 6.83 | 0.116 | -0.01 | 0.243 | 0.072 | 0.061 | -0.074 | 0.196 | 0.372 | |
| Disease Knowledge (score, 0–24) | no experience | 10.70 | reference | reference | ||||||
| experience | 10.86 | 0.159 | -0.04 | 0.358 | 0.120 | 0.104 | -0.089 | 0.296 | 0.292 | |
| COVID-19 related question (score, 0–1) | no experience | 0.80 | reference | reference | ||||||
| experience | 0.85 | 0.046 | 0.023 | 0.069 | < 0.001* | 0.026 | 0.003 | 0.049 | 0.028* | |
GM-ITE = general medicine in-training examination, COVID-19 = coronavirus disease, CI = confidence interval, * p < 0.05
Estimates of the coefficients of COVID-19 management experience in linear generalized estimating equation models, including hospitals as clusters with the independent working correlation structure. The interpretation of coefficients is the mean difference of scores (total score and scores in subject-specific areas) or difference in correct answer rates (COVID-19-related question)
Multivariable model adjusted for resident-level and hospital-level variables
Resident variable: number of years since graduation, sex, hoped/preferred specialty, general medicine rotation, internal medicine rotation, emergency department duty per month, number of care patients, study time, frequency of case conferences, and PPE supply
Hospital variable: hospital location, hospital function, epidemic area for COVID-19, designated medical institutions for specified infectious diseases, urban or rural, university or community hospital, administration type