在 COVID-19 期间担任妇产科住院医师：疫情对住院医师培训计划的影响。
Being an obstetrics and gynaecology resident during the COVID-19: Impact of the pandemic on the residency training program.
机构信息
Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
Department of Clinical and Experimental Medicine, Unit of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Catanzaro, Italy.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:48-51. doi: 10.1016/j.ejogrb.2020.07.057. Epub 2020 Aug 1.
OBJECTIVE
to evaluate the impact of the COVID-19 pandemic on the obstetrics and gynecology residency training program in Italy.
STUDY DESIGN
This was a cross-sectional survey study aimed to assess the impact of the COVID-19 pandemic on the obstetrics and gynecology residency training program in Italy. An online survey with 45 questions was sent and completed anonymously by residents after accepting an informed consent. The invitation to the online survey was sent to all the Italian residents in obstetrics and gynecology. Those on maternity leave at the time of the study were excluded. Residents were asked about their routinely activity before the COVID-19 pandemic, and to report the reduction in their clinical practice. They were also asked about psychological impact of COVID-19 on their clinical practice.
RESULTS
933 Italian residents in obstetrics and gynecology, were invited for this survey study. Four-hundred and seventy-six (51 %) completed the survey and were included in the study. Three-hundred and eighty-seven (81.3 %) were female, and 89 (18.7 %) were male. Residents age ranged from 25 to 42. In 71,8 % (342/476) of the cases residents work in a COVID-19 reference Hospitals. One-hundred and eighty-four out of 76 residents (38.6 %) were tested on RT-PCR assay of nasal and pharyngeal swab specimens, and of them 12/184 (6.5 %) were positive to SARS-COV-2. Regarding the use of personal protective equipment (PPE), 267 (56.1 %) reported to receive adequate device, and 379 (79.6 %) felt to be well informed about prevention and management protocols. Three-hundred and thirty-one residents (69.5 %) reported to have managed COVID-19 positive patients. For 54,7 % of respondent residents, training activity in general decreased significantly during the COVID-19 epidemic. A one-third reduction was reported in 31,4 % of the cases, whereas a total suspension of the training in 9,9 % of the cases. In 89,3 % of cases the reduction was caused by the reorganization of work. Anxiety about the professional future was reported in 84 % of the residents, and 59 % of them had the perception that their training was irreversibly compromised.
CONCLUSIONS
Among Italian residents in obstetrics and gynecology, COVID-19 pandemic was associated with a significant training impairment.
目的
评估 COVID-19 大流行对意大利妇产科住院医师培训计划的影响。
研究设计
这是一项横断面调查研究，旨在评估 COVID-19 大流行对意大利妇产科住院医师培训计划的影响。通过在线调查，向所有意大利妇产科住院医师发送了 45 个问题的匿名调查问卷。邀请参加在线调查的人在接受知情同意书后完成调查。在研究期间，正在休产假的住院医师被排除在外。住院医师被要求报告 COVID-19 大流行前的常规活动，并报告其临床实践的减少情况。他们还被问及 COVID-19 对其临床实践的心理影响。
结果
共有 933 名意大利妇产科住院医师受邀参加这项调查研究。476 名（51%）完成了调查并被纳入研究。其中 387 名（81.3%）为女性，89 名（18.7%）为男性。住院医师年龄在 25 至 42 岁之间。在 71.8%（342/476）的病例中，住院医师在 COVID-19 参考医院工作。184 名住院医师（76 名中的 184 名）接受了鼻咽拭子 RT-PCR 检测，其中 12 名（6.5%）对 SARS-COV-2 呈阳性。关于个人防护设备（PPE）的使用，267 名（56.1%）报告收到了足够的设备，379 名（79.6%）表示对预防和管理方案有很好的了解。331 名住院医师（69.5%）报告管理过 COVID-19 阳性患者。对于 54.7%的受访者，培训活动在 COVID-19 流行期间显著减少。三分之一的病例报告减少了 31.4%，而 9.9%的病例完全暂停了培训。在 89.3%的病例中，减少是由于工作的重新组织。84%的住院医师对职业未来感到焦虑，其中 59%的人认为他们的培训不可逆转地受到了影响。
结论
在意大利妇产科住院医师中，COVID-19 大流行与培训严重受损有关。
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