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2019年冠状病毒病疫情对沙特阿拉伯住院医师和专科培训项目的影响:一项全国性横断面研究。

Impact of COVID-19 pandemic on residency and fellowship training programs in Saudi Arabia: A nationwide cross-sectional study.

作者信息

Balhareth Ameera, AlDuhileb Mohammed Abdulrazzaq, Aldulaijan Fozan A, Aldossary Mohammed Yousef

机构信息

Department of General Surgery, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.

出版信息

Ann Med Surg (Lond). 2020 Jul 23;57:127-132. doi: 10.1016/j.amsu.2020.07.025. eCollection 2020 Sep.

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) has profoundly impacted residency and fellowship training and education. However, how and to what extent the daily involvement of trainees in clinical and surgical activities was compromised by the COVID-19 pandemic is currently unknown.

MATERIALS AND METHODS

We conducted an electronic survey. An invitation was sent through the executive training administration of the Saudi Commission for Health Specialties (SCFHS) randomly to 400 residents and fellows over two weeks period from April 23, 2020 until May 6, 2020. Descriptive statistics were presented using counts and proportions (%). The comparison between the trainees among the socio-demographic and the characteristics of trainees toward the impact of COVID-19 pandemic on their training had been conducted using the Chi-square test. A p-value cut off point of 0.05 at 95% Confidence Interval (CI) used to determine statistical significance.

RESULTS

Out of the 400 questionnaires distributed, 240 trainees responded, resulting in a response rate of 60%. The most frequently cited specialty was surgical (41.3%) and medical (38.3%). Approximately 43% of them had direct contact with patients with COVID-19, and 43.8% had enough training regarding the proper use of Personal Protective Equipment (PPE). There were seven responders (2.9%) who had been infected by the disease. Among them, 6 (2.5%) members of their family had also been infected. Approximately 84.6% reported a reduction in training activities due to the current pandemic. Of those with surgical specialties, almost all (97%) reported that their surgical exposure reduced due to the COVID-19 pandemic.

CONCLUSION

The adoption of smart learning is critical. For those who have been affected by examination delays, we recommend continuing to revise steadily using webinars, podcasts, prerecorded sessions, and social media. Routine activities such as journal clubs and departmental teaching should continue through webinars, if possible.

摘要

背景

2019年冠状病毒病(COVID-19)对住院医师培训和专科培训产生了深远影响。然而,目前尚不清楚COVID-19大流行在多大程度上以及如何影响了学员日常参与临床和外科活动。

材料与方法

我们进行了一项电子调查。在2020年4月23日至2020年5月6日的两周时间内,通过沙特卫生专业委员会(SCFHS)的行政培训管理部门随机向400名住院医师和专科培训学员发出邀请。使用计数和比例(%)进行描述性统计。使用卡方检验对社会人口统计学特征的学员与学员对COVID-19大流行对其培训影响的特征进行比较。在95%置信区间(CI)下,以0.05的p值截断点来确定统计学意义。

结果

在分发的400份问卷中,有240名学员回复,回复率为60%。最常提及的专业是外科(41.3%)和内科(38.3%)。其中约43%的人直接接触过COVID-19患者,43.8%的人接受了关于正确使用个人防护装备(PPE)的充分培训。有7名受访者(2.9%)感染了该疾病。其中,他们的家庭成员中有6人(2.5%)也被感染。约84.6%的人报告称由于当前大流行,培训活动减少。在外科专业的学员中,几乎所有人(97%)报告称由于COVID-19大流行,他们的外科手术接触减少。

结论

采用智能学习至关重要。对于那些受到考试延迟影响的人,我们建议继续通过网络研讨会、播客、预录制课程和社交媒体稳步复习。如果可能的话,诸如期刊俱乐部和科室教学等常规活动应通过网络研讨会继续进行。

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