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在 COVID-19 大流行期间和之后重塑小动物外科学领域的外科专家培训。

Reshaping surgical specialist training in small animal surgery during and after the COVID-19 pandemic.

机构信息

Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.

出版信息

Vet Surg. 2021 Jul;50(5):924-932. doi: 10.1111/vsu.13660. Epub 2021 May 25.

DOI:10.1111/vsu.13660
PMID:34036591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8242755/
Abstract

OBJECTIVE

To assess the perceived effects of the COVID-19 pandemic on small animal surgical specialist training, among trainees and supervisors and to propose changes, based upon the results, that could be incorporated into training programs.

STUDY DESIGN

Anonymous online questionnaire survey.

SAMPLE POPULATION

Eighty-one eligible responses were collected in September 2020, including 52 European College of Veterinary Surgeons (ECVS) residents and 29 ECVS Diplomates acting as supervisors.

METHODS

Descriptive statistics were used to analyze the data. Fisher's exact test was used to test for significance.

RESULTS

A reduction in surgical case load was reported by 82% (n = 66/81) of respondents, with 82% (n = 54/66) of those believing that COVID-19 had a mild-to-moderate impact on training. Compared to supervisors, residents were less likely to feel that appropriate guidance, a safe working environment, and measures to preserve training had been provided (p < .01). Only 45% (n = 22/49) of residents reported confidence with performing teleconsultations. Ninety percent (n = 73/81) of respondents considered online "case presentations" and "edited surgical video footage" as a positive ancillary tool.

CONCLUSION

COVID-19 has resulted in a reduction in case load and training for the majority of residents. A discrepancy between the opinions of residents and supervisors was noted on various aspects of COVID-19 related effects.

IMPACT

Open communication, as well as the use of additional training tools through digital platforms may help to preserve safe and effective training during times of decreased clinical activity. While this study has focused on surgical specialist training, the results could be applied to other disciplines.

摘要

目的

评估 COVID-19 大流行对小动物外科专科培训的影响,包括学员和导师的看法,并根据调查结果提出可纳入培训计划的改变。

研究设计

匿名在线问卷调查。

样本人群

2020 年 9 月共收集到 81 份符合条件的回复,包括 52 名欧洲兽医外科学院(ECVS)住院医师和 29 名担任导师的 ECVS 专科医师。

方法

使用描述性统计分析数据。使用 Fisher 确切检验进行显著性检验。

结果

82%(n=66/81)的受访者报告手术病例量减少,其中 82%(n=54/66)的人认为 COVID-19 对培训产生了轻度至中度影响。与导师相比,住院医师更有可能认为没有提供适当的指导、安全的工作环境和保留培训的措施(p<0.01)。只有 45%(n=22/49)的住院医师报告对进行远程咨询有信心。90%(n=73/81)的受访者认为在线“病例汇报”和“编辑手术视频片段”是一种积极的辅助工具。

结论

COVID-19 导致大多数住院医师的病例量和培训减少。学员和导师对 COVID-19 相关影响的各个方面的看法存在差异。

影响

开放的沟通,以及通过数字平台使用额外的培训工具,可能有助于在临床活动减少的情况下保持安全有效的培训。虽然本研究集中于外科专科培训,但结果可应用于其他学科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/5d5a8decadfc/VSU-50-924-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/11a5551c99e5/VSU-50-924-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/625822470068/VSU-50-924-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/5d5a8decadfc/VSU-50-924-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/11a5551c99e5/VSU-50-924-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/625822470068/VSU-50-924-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fc/8242755/5d5a8decadfc/VSU-50-924-g003.jpg

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