Gothwal Meenakshi, Singh Pratibha, Sharma Charu, Yadav Garima, Gupta Manoj K
Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Community medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Obstet Gynaecol Res. 2022 Jul;48(7):1955-1960. doi: 10.1111/jog.15291. Epub 2022 May 17.
The goal of this study was to analyze how the COVID-19 pandemic affected the Obstetrics and Gynecology (OBG) residency program in India.
This was a cross-sectional questionnaire-based online survey aimed to assess the impact of the pandemic on the residency training program in Obstetrics and Gynecology. The questionnaire consisted of five sections: demographic details, information regarding COVID-19 status, clinical work load, teaching and research, and psychological impact.
The questionnaire was completed by 280 OBG trainees from different medical colleges from India. Training activity in general was reduced considerably during the pandemic, according to 79.6% (n = 223) respondents. According to 13.21% (n = 37) and 5% (n = 14) respondents, reduction in training activity were due to cancelation of elective operations and reduced patient foot fall respectively. In 74.3% (n = 208) of cases, trainees reported worry about meeting the goals of their specialty training. Logistic regression showed that the extent of training reduction was not significantly associated with residents' age (p = 0.806), gender (p = 0.982), marital status (p = 0.363), and status of their duty in COVID-19 dedicated hospitals (p = 0.110). However, year of residency was a significant predictor of the perception about degree of training reduction.
The pandemic imposed a significant impact on OBG residency training in India. During the pandemic, exposure to learning opportunities, surgeries, and teaching were reduced, which may result in a decline in the quality of care offered to women in the future if training deficit is not overcome. At the same time, pandemic also gave birth to newer insights of learning and interaction by online mode.
本研究的目的是分析新冠疫情如何影响印度的妇产科住院医师培训项目。
这是一项基于问卷调查的横断面在线调查，旨在评估疫情对妇产科住院医师培训项目的影响。问卷包括五个部分：人口统计学细节、新冠疫情状况信息、临床工作量、教学与研究以及心理影响。
来自印度不同医学院的280名妇产科实习生完成了问卷。据79.6%（n = 223）的受访者称，疫情期间总体培训活动大幅减少。据13.21%（n = 37）和5%（n = 14）的受访者称，培训活动减少分别是由于择期手术取消和患者就诊量减少。在74.3%（n = 208）的案例中，实习生表示担心无法实现专业培训目标。逻辑回归显示，培训减少的程度与住院医师的年龄（p = 0.806）、性别（p = 0.982）、婚姻状况（p = 0.363）以及在新冠定点医院的值班状态（p = 0.110）均无显著关联。然而，住院年限是培训减少程度认知的显著预测因素。
疫情对印度的妇产科住院医师培训产生了重大影响。疫情期间，学习机会、手术和教学受到影响，若培训不足问题得不到解决，未来可能导致为女性提供的医疗服务质量下降。与此同时，疫情也催生了通过在线模式进行学习和互动的新见解。
