Sakızcı Uyar Bahar, Alptekin Alp, Dönmez Aslı
Department of Anaesthesiology and Reanimation, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Turk J Anaesthesiol Reanim. 2022 Jun;50(Supp1):S29-S33. doi: 10.5152/TJAR.2022.21320.
The purpose of this study was to evaluate the impact of the pandemic on clinical practice and education of anaesthesiology and reanimation residents in Turkey.
A 33-question web-based survey was sent to anaesthesiology and reanimation residents in Turkey. Residents were asked about their clinical practice and education before and during the pandemic and personal perspectives on working conditions and training.
A total of 223 residents participated. Median working time in the intensive care unit of 2.5 months/year before the pandemic increased to 6 months/year during the pandemic (P < .001). Median working time in the operating room of 9 months/year decreased to 6 months/year (P < .001). The time working in the algology and anaesthesiology outpatient clinic decreased significantly (both P < .001). Neuraxial and peripheral nerve block practices decreased (P = .002 and P = .023, respectively). The number of night shifts per month increased (P < .001). While the average number of beds in intensive care units was 14, it increased to 19.5 beds (P < .001). The education time for lecture and clinical case discussion decreased (P < .001), but medical meeting attendance did not change (P = .174). Eighty-seven percent of the residents reported that night shifts were very intense and intense during the pandemic. For 87.3% of the respondents, the workload increased, and 71.6% of the respondents reported a decrease in theoretical education and 66.7% in practical training. Sixty-three percent of last year residents reported that they were negatively and very negatively affected in making the thesis.
The pandemic had a negative impact on anaesthesiology and reanimation residency training programs in Turkey.
本研究旨在评估疫情对土耳其麻醉学与复苏医学住院医师临床实践及教育的影响。
向土耳其的麻醉学与复苏医学住院医师发送了一份包含33个问题的网络调查问卷。询问住院医师疫情前和疫情期间的临床实践及教育情况，以及他们对工作条件和培训的个人看法。
共有223名住院医师参与。疫情前重症监护病房的年中位工作时间为2.5个月，疫情期间增至6个月（P <.001）。手术室的年中位工作时间从9个月降至6个月（P <.001）。在疼痛学和麻醉学门诊工作的时间显著减少（均P <.001）。神经轴索阻滞和周围神经阻滞操作减少（分别为P =.002和P =.023）。每月夜班数量增加（P <.001）。重症监护病房的平均床位数从14张增至19.5张（P <.001）。讲座和临床病例讨论的教育时间减少（P <.001），但参加医学会议的情况未变（P =.174）。87%的住院医师报告疫情期间夜班非常紧张和紧张。87.3%的受访者表示工作量增加，71.6%的受访者报告理论教育减少，66.7%的受访者报告实践培训减少。63%的应届住院医师报告在撰写论文方面受到负面和非常负面的影响。
疫情对土耳其的麻醉学与复苏医学住院医师培训项目产生了负面影响。
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