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新型冠状病毒肺炎大流行如何改变泌尿外科住院医师培训——来自葡萄牙住院医师视角的全国性调查

How the COVID-19 pandemic changed urology residency - a nationwide survey from the Portuguese resident's perspective.

作者信息

Teixeira Bernardo Lobão, Cabral João, Mendes Gonçalo, Madanelo Mariana, Rocha Maria Alexandra, Mesquita Sofia, Correia Jorge, Tavares Catarina, Marques-Pinto André, Fraga Avelino

机构信息

Centro Hospitalar Universitário do Porto, Department of Urology, Porto, Portugal.

出版信息

Cent European J Urol. 2021;74(1):121-127. doi: 10.5173/ceju.2021.0278.R1. Epub 2021 Jan 9.

DOI:10.5173/ceju.2021.0278.R1
PMID:33976927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8097653/
Abstract

INTRODUCTION

The aim of this article was to evaluate the impact of the COVID-19 pandemic on urology residency.

MATERIAL AND METHODS

A 30 question online survey was sent to all urology residents in Portugal between the 25 of April and the 25 of May 2020. Reduction in different areas of clinical activity during the COVID-19 period were evaluated and their perceived impact on their residency program was quantified.

RESULTS

Forty-three (54.4%) Portuguese urology residents responded to our inquiry. Eighty-one percent report having supressed their activity by more than 75% in the outpatient clinic; 48.8% in diagnostic procedures; 29.3% in endoscopic surgery; 67.5% in laparoscopic/robotic surgery and 17.5% in major open surgery. There were no differences in clinical activity reduction across residency years. Considering the impact of COVID-19 on urology training programs, 32.6% plan on prolonging residency. During the COVID-19 period, a larger number of residents report having spent more time developing research projects or on continuing medical education, as compared with the pre-COVID-19 period (p = 0.012).

CONCLUSIONS

COVID-19 had a major impact on Urology residency in Portugal, with major short- and long-term consequences. A large proportion of residents are considering prolonging their residency as a result.

摘要

引言

本文旨在评估新冠疫情对泌尿外科住院医师培训的影响。

材料与方法

2020年4月25日至5月25日期间,向葡萄牙所有泌尿外科住院医师发送了一份包含30个问题的在线调查问卷。评估了新冠疫情期间临床活动不同领域的减少情况,并对其对住院医师培训项目的感知影响进行了量化。

结果

43名(54.4%)葡萄牙泌尿外科住院医师回复了我们的询问。81%的人报告称门诊活动减少了75%以上;诊断程序减少了48.8%;内镜手术减少了29.3%;腹腔镜/机器人手术减少了67.5%;大型开放手术减少了17.5%。各住院医师培训年份的临床活动减少情况没有差异。考虑到新冠疫情对泌尿外科培训项目的影响,32.6%的人计划延长住院医师培训时间。在新冠疫情期间,与疫情前相比,更多住院医师报告称花更多时间开展研究项目或参加继续医学教育(p = 0.012)。

结论

新冠疫情对葡萄牙的泌尿外科住院医师培训产生了重大影响,具有重大的短期和长期后果。因此,很大一部分住院医师正在考虑延长住院医师培训时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/157cec6081de/CEJU-74-0278.R1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/5f56446559f6/CEJU-74-0278.R1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/7ad36827629f/CEJU-74-0278.R1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/157cec6081de/CEJU-74-0278.R1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/5f56446559f6/CEJU-74-0278.R1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/7ad36827629f/CEJU-74-0278.R1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f6/8097653/157cec6081de/CEJU-74-0278.R1-g003.jpg

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