Alshdaifat Eman, Sindiani Amer, Khasawneh Wasim, Abu-Azzam Omar, Qarqash Aref, Abushukair Hassan, Obeidat Nail
Department of Obstetrics and Gynecology, Faculty of medicine, Yarmouk University, P.O.Box: (566), Irbid, 21163, Jordan.
Department of Obstetrics and Gynecology, Faculty of medicine, Jordan University of Science and Technology, Irbid, Jordan.
BMC Med Educ. 2021 Apr 13;21(1):208. doi: 10.1186/s12909-021-02655-2.
Residency programs have been impacted by the Coronavirus disease 2019 (COVID-19) pandemic. In this study we aim to investigate and evaluate the impact of the pandemic on residents as well as residency training programs.
This was a cross-sectional study including a survey of 43 questions prepared on Google forms and electronically distributed among a convenience sample of residents training at a tertiary center in North Jordan during the COVID-19 pandemic. Data were collected in the period between October 30th and November 8th of 2020. The survey included questions that addressed the impact of the pandemic on residents' health as well as training programs. The study participants included residents in training at KAUH in 2020 and were stratified according to the type of residency program (surgical residents (SRs) and non-surgical residents (NSRs)). Statistical methods included descriptive analysis, Chi-square or Fisher's exact test, Mann Whitney U test, and Cramer's V and r statistics as measures of effect sizes.
Of all 430 residents, 255 (59%) responded to the survey. A total of 17 (7%) of residents reported being infected with COVID-19 and a significant difference was reported between SRs and NSRs (10% vs 4%, V = .124 "small effect" (95% CI; .017-.229), p = 0.048). Approximately, 106 (42%) reported a decrease in the number of staff working at the clinic and 164 (64%) reported limited access to personal protective equipment during the pandemic. On a 4-point Likert scale for the feeling of anxiety, the median was 2 (2-3 IQR) in the NSRs group, vs 2 (1-2 IQR) in the SRs groups, with the NSRs being more likely to feel anxious (r = 0.13 "small effect" (95% CI; 0.007-0.249), p = .044). Similarly, the proportion of residents who reported feeling anxious about an inadequacy of protective equipment in the work area was significantly greater in the NSRs group (90.3% vs 75.2%; V = .201 "small effect" (95% CI; .078-.313), p = .001), as well as the proportion of residents who reported feeling increased stress and anxiety between colleagues being also significantly higher in the NSRs group (88.1% vs 76%; V = .158 "small effect" (95% CI; .032-.279), p = .012).
The burden of the ongoing pandemic on the mental health status of residents is very alarming and so providing residents with psychological counseling and support is needed. Also, critical implications on the flow of residency training programs have been noticed. This necessitates adapting and adopting smart educational techniques to compensate for such limitations.
住院医师培训项目受到了2019年冠状病毒病（COVID-19）大流行的影响。在本研究中，我们旨在调查和评估该大流行对住院医师以及住院医师培训项目的影响。
这是一项横断面研究，包括对在谷歌表单上准备的43个问题进行的调查，并以电子方式分发给在COVID-19大流行期间于约旦北部一家三级中心接受培训的住院医师的便利样本。数据于2020年10月30日至11月8日期间收集。该调查包括了关于大流行对住院医师健康以及培训项目影响的问题。研究参与者包括2020年在KAUH接受培训的住院医师，并根据住院医师培训项目的类型（外科住院医师（SRs）和非外科住院医师（NSRs））进行分层。统计方法包括描述性分析、卡方检验或费舍尔精确检验、曼-惠特尼U检验以及作为效应大小度量的克莱默V和r统计量。
在所有430名住院医师中，255名（59%）对调查做出了回应。共有17名（7%）住院医师报告感染了COVID-19；SRs和NSRs之间报告存在显著差异（10%对4%，V = 0.124“小效应”（95%置信区间；0.017 - 0.229），p = 0.048）。大约106名（42%）报告诊所工作的工作人员数量减少；164名（64%）报告在大流行期间难以获得个人防护装备。在4分量表的焦虑感受上，NSRs组中位数为2（2 - 3四分位距），而SRs组为2（1 - 2四分位距），NSRs更有可能感到焦虑（r = 0.13“小效应”（95%置信区间；0.007 - 0.249），p = 0.044）。同样，报告对工作区域防护装备不足感到焦虑的住院医师比例在NSRs组显著更高（90.3%对75.2%；V = 0.201“小效应”（95%置信区间；0.078 - 0.313），p = 0.001），以及报告同事之间压力和焦虑增加的住院医师比例在NSRs组也显著更高（88.1%对76%；V = 0.158“小效应”（95%置信区间；0.032 - 0.279），p = 0.012）。
持续的大流行对住院医师心理健康状况的负担非常令人担忧，因此需要为住院医师提供心理咨询和支持。此外，已注意到对住院医师培训项目流程的关键影响。这就需要调整和采用智能教育技术来弥补此类限制。
