Alam Laima, Alam Mafaza, Kazmi Syed Kumail Hasan, Kazmi Syed Ashoor Hasan
Laima Alam, FCPS. Junior Consultant Gastroenterology, Bahria Town International Hospital, Phase VIII, Rawalpindi, Pakistan.
Mafaza Alam Registrar Operative Dentistry, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan.
Pak J Med Sci. 2021 Mar-Apr;37(2):367-372. doi: 10.12669/pjms.37.2.3496.
To provide an insight on the disruption of multiple facets of residency programs in a multi-centre study.
This cross-sectional survey was carried out by enrolling the available residents from three teaching hospitals of the country by sending a questionnaire through email. The questionnaire comprised of three parts; 1) basic demographics, 2) effect on multiple facets of training and 3) the use of smart learning with the support provided by the hospitals. Data collection was started during the first week of June 2020 after acquiring ethical approval from the concerned department and the total duration of the study was one month. Data was analysed using SPSS v. 19.0.
A hundred-and-five completed responses were obtained with a response rate of 42%. Fifty-nine percent of the participants were female residents. Majority of the residents (69%) belonged to the age group 25-30 years. Fourth year residents (38%) showed maximum participation and the mean number of work days per month were 22±5.4. All of the aspects of training suffered complete or severe reduction except for the multi-disciplinary team (MDT) meetings, elective rotations and e-log book entries. Sixty seven to sixty-nine percent of the residents felt complete clinical, educational and psychological desertion in their departments, 59% used telemedicine and 90% reported non-availability of smart learning facilities.
Overall, our study confirmed that the COVID-19 pandemic has substantially affected the clinical skills, teaching and personal growth of many trainees. There is a decrease in exposure to almost all of the aspects of training with no alternative in the form of smart learning provided to many. Clinical, educational and psychological support, although an extremely important part of healthcare staffing and management, has been largely neglected as well.
在一项多中心研究中深入了解住院医师培训项目多个方面的中断情况。
通过电子邮件发送问卷，对该国三所教学医院的现有住院医师进行横断面调查。问卷包括三个部分：1）基本人口统计学信息；2）对培训多个方面的影响；3）在医院提供的支持下智能学习的使用情况。在获得相关部门的伦理批准后，于2020年6月的第一周开始数据收集，研究总时长为一个月。使用SPSS v. 19.0进行数据分析。
共获得105份完整回复，回复率为42%。59%的参与者为女性住院医师。大多数住院医师（69%）年龄在25 - 30岁之间。四年级住院医师参与度最高（38%），每月平均工作日为22±5.4天。除多学科团队（MDT）会议、选修轮转和电子日志记录外，培训的所有方面都遭受了完全或严重的减少。67%至69%的住院医师感到在其科室完全失去了临床、教育和心理支持，59%使用了远程医疗，90%报告称没有智能学习设施。
总体而言，我们的研究证实新冠疫情已对许多受训人员的临床技能、教学和个人成长产生了重大影响。几乎培训的所有方面的接触都有所减少，且许多人没有智能学习这种替代形式。临床、教育和心理支持尽管是医疗人员配置和管理极其重要的一部分，但也在很大程度上被忽视了。
