Department of Family Medicine, Jagiellonian University Medical College, Krakow, Poland.
Institute of General Practice & Family Medicine, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Eur J Gen Pract. 2020 Dec;26(1):182-188. doi: 10.1080/13814788.2020.1855136.
COVID-19 outbreak has significantly changed all aspects of general practice in Europe. This article focuses on the academic challenges for the discipline, mainly in the field of education, research, and quality assurance. The efforts of the European Region of the World Organisation of National Colleges, Academies, and Academic Associations of General Practitioners/Family Physicians (WONCA Europe) to support academic sustainability of the discipline in the time of pandemic are presented. Medical education was affected by the pandemic, threatening both its productivity and quality. Emerging new educational methods might be promising, but the results of their rapid implementation remain uncertain. A relatively small number of publications related to COVID-19 and general practice is available in the medical literature. There is a shortage of original data from general practice settings. This contrasts with the crucial role of GPs in fighting a pandemic. COVID-19 outbreak has opened widely new research areas, which should be explored by GPs. Maintaining the quality of care and safety of all patients during the COVID-19 pandemic is the utmost priority. Many of them suffer from poor access or inadequate management of their problems. Rapid implementation of telemedicine brought both threats and opportunities. The COVID-19 pandemic also challenged doctors' safety and well-being. These aspects will require discussion and remedy to prevent deterioration of the quality of primary care. WONCA Europe is making a multi-faceted effort to support GPs in difficult times of the pandemic. It is ready to support future efforts to uphold the integrity of family medicine as an academic discipline.
新冠疫情的爆发对欧洲的全科医学产生了重大影响。本文主要关注该学科在学术领域面临的挑战,特别是在教育、研究和质量保证方面。本文介绍了世界家庭医生组织欧洲区域学院、研究院及学术协会(WONCA Europe)在疫情期间为支持该学科的学术可持续性所做的努力。医学教育受到了疫情的影响,其生产力和质量都受到了威胁。新兴的教育方法可能有一定前景,但它们快速实施的结果尚不确定。医学文献中与新冠疫情和全科医学相关的出版物数量相对较少,且缺乏来自全科医疗环境的原始数据。而全科医生在抗击疫情方面发挥着至关重要的作用,这种情况形成了鲜明对比。疫情也为全科医生开辟了广泛的新研究领域。在新冠疫情期间,维持所有患者的护理质量和安全是重中之重。他们中的许多人都面临着无法获得或无法充分解决自身问题的困境。远程医疗的快速实施带来了挑战和机遇。新冠疫情还对医生的安全和福祉构成了威胁。这些方面需要加以讨论并采取补救措施,以防止初级保健质量下降。WONCA Europe 正在做出多方面的努力,以支持全科医生度过疫情的艰难时期。它已准备好支持未来为维护家庭医学作为一门学术学科的完整性所做的努力。