Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH.
Division of Gastroenterology, Hepatology and Nutrition, University of Utah, Salt Lake City, UT.
J Pediatr Gastroenterol Nutr. 2020 Jul;71(1):6-11. doi: 10.1097/MPG.0000000000002768.
The COVID-19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID-19 has affected pediatric gastroenterology fellowship training.
A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics.
Fifty-one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty-six of 51 (90%) PDs reported that they were under a "stay-at-home" order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID-19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted.
This report provides early information of the impact of COVID-19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.
COVID-19 大流行极大地改变了全球的医疗保健系统和培训。北美小儿胃肠病学、肝病学和营养学学会培训委员会试图了解 COVID-19 如何影响小儿胃肠病学研究员培训。
2020 年 4 月 7 日，通过电子邮件向北美小儿胃肠病学、肝病学和营养学学会研究员培训计划主任数据库中的所有 77 名小儿胃肠病学研究员培训计划主任发送了一份 21 个问题的调查。通过电子邮件收集的回复于 2020 年 4 月 19 日进行了分析，采用描述性统计。
来自美国、加拿大和墨西哥的 77 名培训计划主任中的 51 名（66%）对调查做出了回应。在调查时，51 名培训计划主任中有 46 名（90%）报告他们处于“居家令”之下，中位数为 4 周。在 51 名培训计划主任中有 2 名（4%）的计划在 COVID-19 之前让研究员参与门诊远程医疗，而在调查时则有 39 名（76%）。22 个（43%）培训计划停止了研究员参与门诊诊所，26 个（52%）培训计划停止了内镜检查。住院病人护理的变化包括减少研究员的人员配备、限制进入病人病房的人员和远程查房。3 名在纽约的研究员被部署到成人内科病房。在 51 个培训计划中有 47 个（94%）将教学转移到虚拟会议，并且研究员使用了各种在线资源。临床研究和不成比例的基础研究受到限制。
本报告提供了 COVID-19 对小儿研究员培训影响的早期信息。迅速采用远程医疗以及减少临床和研究经验是重要的变化。调查信息可能会激发沟通和创新，以帮助教育者适应。
