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新冠疫情对土耳其妇产科住院医师培训的影响。

Effects of the COVID-19 pandemic on obstetrics and gynecology residency training in Turkey.

作者信息

Topçu Göknur, Özçivit İpek Betül, Erkılınç Selçuk

机构信息

Kaçkar State Hospital, Clinic of Obstetrics and Gynecology, Rize, Turkey

İstanbul University Cerrahpaşa-Cerrahpaşa Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey

出版信息

Turk J Obstet Gynecol. 2021 Dec 24;18(4):304-310. doi: 10.4274/tjod.galenos.2021.90775.

Abstract

OBJECTIVE

This study aimed to evaluate the effect of the coronavirus disease-19 (COVID-19) pandemic on obstetrics and gynecology residency in Turkey.

MATERIALS AND METHODS

A 40-item questionnaire was prepared by the European Network of Trainees in Obstetrics and Gynecology. The survey included four parts, namely, workload, training aspects, trainees' health and safety, and women's and maternal health, conducted between April 2020 and September 2020. The submission of the questionnaire was voluntary.

RESULTS

A total of 103 trainees from 28 cities responded to the survey. The mean duration of training was 2.5 years, and first- to fifth-year residents were included. In this study, 66 trainees (65.3%) were deployed in COVID-19 units, and the number of working hours was 84 hours per week. Moreover, 67% of the trainees reported insufficient outpatient clinic experience to meet education targets. Almost all trainees (101 of 103) trainees reported that the number of surgeries and/or elective surgeries decreased or were canceled. In addition, 63% and 68% of the trainees reported that their surgical skills were hindered by the reduced number of surgeries and dissatisfaction by not achieving a sufficient number of surgeries, respectively. Overall, 71% (n=73) were worried about their training. Only 45 trainees (43.6%) have raised their concerns to their program coordinators. Trainees in Turkey experienced a decrease in the workload during the first COVID-19 wave by 62% (n=64). In average, trainees worked nearly 30 h less than their usual workweek. Only 5% of the trainees (n=5) worked from home. Trainees claimed to have used sufficient personal protective equipment, and 66% (n=68) could keep their social distance in the hospital. The availability of health care was different between departments, and the family planning and reproductive medicine departments were the most affected.

CONCLUSION

The obstetrics and gynecology training in Turkey has significantly been affected by the COVID-19 pandemic.

摘要

目的

本研究旨在评估2019冠状病毒病(COVID-19)大流行对土耳其妇产科住院医师培训的影响。

材料与方法

由欧洲妇产科住院医师网络编制了一份包含40个条目的问卷。该调查包括四个部分,即工作量、培训方面、住院医师的健康与安全以及妇女和孕产妇健康,于2020年4月至2020年9月期间进行。问卷提交是自愿的。

结果

来自28个城市的103名住院医师对调查做出了回应。培训的平均时长为2.5年,涵盖了第一年至第五年的住院医师。在本研究中,66名住院医师(65.3%)被部署到COVID-19科室,每周工作时长为84小时。此外,67%的住院医师报告门诊临床经验不足,无法达到教育目标。几乎所有住院医师(103名中的101名)报告手术数量和/或择期手术减少或被取消。此外,分别有63%和68%的住院医师报告手术数量减少阻碍了他们的手术技能,以及因未完成足够数量的手术而感到不满。总体而言,71%(n = 73)的人担心他们的培训。只有45名住院医师(43.6%)向他们的项目协调员提出了担忧。在COVID-19第一波疫情期间,土耳其的住院医师工作量减少了62%(n = 64)。平均而言,住院医师比平时的工作周少工作近30小时。只有5%的住院医师(n = 5)在家工作。住院医师声称使用了足够的个人防护装备,66%(n = 68)的人在医院能够保持社交距离。各科室的医疗服务可及性存在差异,计划生育和生殖医学科室受影响最大。

结论

COVID-19大流行对土耳其的妇产科培训产生了重大影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ac/8711676/4727a3e43d6a/TJOG-18-304-g1.jpg

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