id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-252914-51wvis1d	Gaffney, Brian	The impact of COVID-19 on clinical education of internal medicine trainees	2020-08-15		.txt	text/plain	1194	58	39	Prior to the pandemic, an average of 30 patients in a 24-h period were referred for assessment and potential admission by general internal medicine in the authors' institution. The change in the assessment-to-admission ratio potentially reflects the above-mentioned pressures upon primary care providers during this time and the increased sensitivity required of triage processes to capture milder COVID-19 presentations during then-widespread community transmission. Moreover, during this time, each ward was assigned multiple senior decision-makers to improve patient flow through the hospital, thus reducing independence of the medical trainees as key decision-makers. In tandem with the increased burden on acute care services in the authors' institution, outpatient clinics were scaled back due to redeployed staff/physical distancing/infection control constraints, and virtual telephone reviews replaced in-person patient visits. The COVID-19 pandemic has impacted significantly on medical training, and this is likely reflected across the world in internal medicine and other speciality training programmes.	./cache/cord-252914-51wvis1d.txt	./txt/cord-252914-51wvis1d.txt