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新冠疫情对青年消化科医生临床实践和培训的影响:一项欧洲调查。

Impact of COVID-19 outbreak on clinical practice and training of young gastroenterologists: A European survey.

机构信息

Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Department of Clinical Medicine and Surgery University Federico II of Naples, Naples, Italy.

出版信息

Dig Liver Dis. 2020 Dec;52(12):1396-1402. doi: 10.1016/j.dld.2020.05.023. Epub 2020 May 23.

Abstract

BACKGROUND

SARS-CoV-2 disease (COVID-19) is a major challenge for the healthcare system and physicians, imposing changes in daily clinical activity.

AIMS

we aimed to describe what European trainees and young gastroenterologists know about COVID-19 and identify training gaps to implement educational programs.

METHODS

A prospective web-based electronic survey was developed and distributed via e-mail to all members of the Italian Young Gastroenterologist and Endoscopist Association and to European representatives.

RESULTS

One hundred and ninety-seven subjects participated in the survey, of whom 14 (7.1%) were excluded. The majority were gastroenterologists in training (123, 67.7%) working in institutions with COVID-19 inpatients (159, 86.9%), aged ≤30 years (113, 61.8%). The activity of Gastroenterology Units was restricted to emergency visits and endoscopy, with reductions of activities of up to 90%. 84.5% of participants felt that the COVID-19 outbreak impacted on their training, due to unavailability of mentors (52.6%) and interruption of trainee's involvement (66.4%). Most participants referred absence of training on the use of personal protective equipment, oxygen ventilation systems and COVID-19 therapies.

CONCLUSION

COVID-19 outbreak significantly impacted on gastroenterologists' clinical activity. The resources currently deployed are inadequate, and therefore educational interventions to address this gap are warranted in the next future.

摘要

背景

严重急性呼吸系统综合征冠状病毒 2 型疾病(COVID-19)对医疗保健系统和医生构成重大挑战,导致日常临床活动发生变化。

目的

我们旨在描述欧洲受训医师和年轻的胃肠病学家对 COVID-19 的了解程度,并确定培训差距,以实施教育计划。

方法

我们开发了一项前瞻性的基于网络的电子调查,并通过电子邮件分发给意大利青年胃肠病学家和内镜医师协会的所有成员以及欧洲代表。

结果

197 名受试者参加了调查,其中 14 名(7.1%)被排除在外。大多数是在有 COVID-19 住院患者的机构中接受培训的胃肠病学家(159 名,86.9%),年龄≤30 岁(113 名,61.8%)。胃肠病学单位的活动仅限于急诊和内镜检查,活动减少了高达 90%。84.5%的参与者认为 COVID-19 疫情对他们的培训产生了影响,原因是导师无法(52.6%)和实习医生参与中断(66.4%)。大多数参与者表示缺乏使用个人防护设备、氧气通气系统和 COVID-19 治疗方面的培训。

结论

COVID-19 疫情严重影响了胃肠病学家的临床活动。目前部署的资源不足,因此在未来需要进行教育干预以解决这一差距。

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