Duggan I, Hablase R, Beard L, Odejinmi F, Mallick R
Facts Views Vis Obgyn. 2022 Mar;14(1):69-75. doi: 10.52054/FVVO.14.1.007.
Obstetrics and Gynaecology (O&G) training continues to face challenges caused by the COVID-19 pandemic, particularly in gynaecological surgical training. This follow-up survey captures the ongoing effect on O&G trainees and highlights the future recovery plan considering the historical training gaps in benign gynaecology.
an anonymised survey was emailed to all O&G trainees in Kent, Surrey and Sussex (KSS). Responses were collected over 6 weeks.
53% of trainees responded. In total, 78% of trainees agreed that the pandemic had an ongoing negative effect on their physical and mental wellbeing respectively. Trainees felt the prior negative impact on obstetric training is improving, whilst 88% still experience a negative impact on their gynaecology surgical training despite the resumption of elective services in the National Health Service (NHS). 80% continue to feel the negative impact on their educational activities and 88% felt their overall training continues to be negatively impacted. 70% were positive that they would recover from this. Responses were representative of each training year. Interestingly, 95% of trainees had accepted the COVID vaccine.
despite "restoration" of normal services, the negative impact on trainees particularly benign gynaecology surgical training continues. Addressing pre-pandemic training gaps whilst tackling the surgical back-log and the needs of service provision will continue for years to follow.
WHAT IS NEW?: Future training needs to incorporate creative ways of acquiring surgical skills. It is imperative to imbed simulation training into O&G training programmes. Pastoral support is key to ensure trainees' mental and physical well-being are prioritised and the already high burn-out rates do not worsen.
妇产科（O&G）培训仍面临由新冠疫情引发的挑战，尤其是在妇科手术培训方面。这项跟踪调查记录了疫情对妇产科实习生持续产生的影响，并强调了考虑到良性妇科领域以往培训差距的未来恢复计划。
向肯特郡、萨里郡和苏塞克斯郡（KSS）的所有妇产科实习生发送了一份匿名调查问卷。在6周内收集回复。
53%的实习生做出了回应。总体而言，78%的实习生分别认为疫情对他们的身心健康持续产生负面影响。实习生们感觉疫情先前对产科培训的负面影响正在改善，而尽管国民医疗服务体系（NHS）恢复了择期手术服务，但88%的实习生仍觉得他们的妇科手术培训受到负面影响。80%的实习生继续感受到疫情对他们教育活动的负面影响，88%的实习生觉得他们的整体培训仍受到负面影响。70%的实习生坚信他们能够从中恢复。回复具有各培训年份的代表性。有趣的是，95%的实习生接种了新冠疫苗。
尽管服务已“恢复正常”，但对实习生尤其是良性妇科手术培训的负面影响仍在持续。在接下来的数年里，在解决手术积压问题和满足服务提供需求的同时，弥补疫情前的培训差距仍将是一项持续的工作。
未来培训需要采用创新方式来获取手术技能。将模拟培训融入妇产科培训项目势在必行。提供精神支持至关重要，以确保实习生的身心健康得到优先关注，避免本就很高的职业倦怠率进一步恶化
