The COVID-19 pandemic has dramatically disrupted the educational experience of medical trainees. However, a detailed characterization of exactly how trainees’ clinical experiences have been affected is lacking. Here, we profile residents’ inpatient clinical experiences across the four training hospitals of NYU’s Internal Medicine Residency Program during the pandemic’s first wave. We mined ICD-10 principal diagnosis codes attributed to residents from February 1, 2020, to May 31, 2020. We translated these codes into discrete medical content areas using a newly developed “crosswalk tool.” Residents’ clinical exposure was enriched in infectious diseases (ID) and cardiovascular disease content at baseline. During the pandemic’s surge, ID became the dominant content area. Exposure to other content was dramatically reduced, with clinical diversity repopulating only toward the end of the study period. Such characterization can be leveraged to provide effective practice habits feedback, guide didactic and self-directed learning, and potentially predict competency-based outcomes for trainees in the COVID era.

COVID-19 大流行极大地扰乱了医学实习生的教育经历。然而，缺乏关于受训者的临床经验如何受到影响的详细描述。在这里，我们介绍了大流行第一波期间纽约大学内科住院医师计划的四家培训医院的住院医师临床经验。我们开采了ICD-102020 年 2 月 1 日至 2020 年 5 月 31 日期间归属于居民的主要诊断代码。我们使用新开发的“人行横道工具”将这些代码转换为离散的医疗内容区域。居民的临床暴露在基线时富含传染病 (ID) 和心血管疾病内容。在大流行期间，ID 成为主要的内容领域。与其他内容的接触显着减少，临床多样性仅在研究结束时重新填充。这种特征可以用来提供有效的练习习惯反馈，指导教学和自主学习，并可能预测 COVID 时代受训人员基于能力的结果。