研究员与胃肠病学培训项目主任对新冠疫情对胃肠病学培训影响的认知差异：希腊全国性调查结果
Differences between fellows and fellowship program directors in their perception of the impact of the COVID-19 pandemic on gastroenterology training: results from a nationwide survey in Greece.
作者信息
Karampekos George, Gkolfakis Paraskevas, Tziatzios Georgios, Apostolopoulos Pericles, Vlachogiannakos Jiannis, Thomopoulos Konstantinos, Protopapas Andreas, Kofokotsios Alexandros, Oikonomou Michalis, Mela Maria, Samonakis Dimitrios, Christodoulou Dimitrios, Triantafyllou Konstantinos
机构信息
Department of Gastroenterology, "Evangelismos-Ophthalmiatreion Athinon - Polykliniki" General Hospital of Athens, Greece (George Karampekos, Maria Mela).
Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium (Paraskevas Gkolfakis).
出版信息
Ann Gastroenterol. 2020 Nov-Dec;33(6):680-686. doi: 10.20524/aog.2020.0546. Epub 2020 Oct 12.
BACKGROUND
Lockdown measures applied during the SARS-CoV-2 outbreak caused a significant disturbance to hospital routine. We assessed trainees' and fellowship directors' perceptions regarding the impact of the pandemic on gastroenterology fellowship training.
METHODS
A web-based survey was anonymously disseminated to all Greek gastroenterology fellows and fellowship program directors. Participants completed electronically a questionnaire comprised of 5 domains that assessed participants' perception of: 1) overall impact on training; 2) impact on training in gastroenterology-specific fields (endoscopy, inflammatory bowel disease, hepatology); 3) impact on different aspects of endoscopy training; 4) impact on academic training; and 5) training perspectives for the post-pandemic era.
RESULTS
A total of 77/128 fellows (60.1%) and 18/28 fellowship program directors (64.3%) responded. More fellows reported that the COVID-19 pandemic would have an adverse impact on fellowship training compared to their fellowship program directors (81.8% vs. 55.6%, P=0.038). This concern was mainly focused on endoscopy training (83.1% vs. 27.8%, P<0.001), with no difference regarding training in gastroenterology's other specific fields. The difference was consistent for technical skills (79.2% vs. 38.9%, P=0.001), and for the performance of basic diagnostic (70.1% vs. 22.2%, P<0.001) and emergency (48.1% vs. 11.1%, P=0.004) procedures. Fellows and fellowship program directors identified the unknown timeframe of measure implementation and the postponement of scheduled endoscopic procedures as the main factors that negatively affected training. Extension of the fellowship training program was deemed the optimal option by fellows for addressing the training decrement in the post-pandemic era, while fellowship program directors favored an increase in workload.
CONCLUSION
Fellows and their fellowship program directors do not share the same concerns about the impact of COVID-19 pandemic on training programs and they propose different measures to remedy its effects.
背景
2019冠状病毒病（SARS-CoV-2）疫情期间实施的封锁措施严重扰乱了医院的日常工作。我们评估了学员和专科培训项目主任对疫情对胃肠病学专科培训影响的看法。
方法
通过网络调查，向所有希腊胃肠病学学员和专科培训项目主任进行匿名发放。参与者以电子方式完成一份问卷，该问卷由5个领域组成，评估参与者对以下方面的看法：1）对培训的总体影响；2）对胃肠病学特定领域（内镜检查、炎症性肠病、肝病学）培训的影响；3）对内镜检查培训不同方面的影响；4）对学术培训的影响；5）大流行后时代的培训前景。
结果
共有77/128名学员（60.1%）和18/28名专科培训项目主任（64.3%）做出了回应。与专科培训项目主任相比，更多学员报告称，2019冠状病毒病疫情将对专科培训产生不利影响（81.8%对55.6%，P=0.038）。这种担忧主要集中在内镜检查培训上（83.1%对27.8%，P<0.001），而在胃肠病学其他特定领域的培训方面没有差异。在技术技能方面（79.2%对38.9%，P=0.001）以及基本诊断操作（70.1%对22.2%，P<0.001）和急诊操作（48.1%对11.1%，P=0.004）的执行方面，差异同样存在。学员和专科培训项目主任认为措施实施的时间不确定以及预定内镜检查程序的推迟是对培训产生负面影响的主要因素。学员认为延长专科培训项目是应对大流行后时代培训减少的最佳选择，而专科培训项目主任则倾向于增加工作量。
结论
学员及其专科培训项目主任对2019冠状病毒病疫情对培训项目的影响存在不同担忧，并且他们提出了不同的措施来补救其影响。
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