Shafique Muhammad Salman, Arham Muhammad, Fatima Sayyam, Bhatti Hamza Waqar
General Surgery, Chesterfield Royal Hospital, Chesterfield, GBR.
General Surgery, Rawalpindi Medical University, Rawalpindi, PAK.
Cureus. 2023 Sep 15;15(9):e45283. doi: 10.7759/cureus.45283. eCollection 2023 Sep.
Background The COVID-19 pandemic has adversely affected medical education and training programs worldwide. Early investigations have shown that surgical residents face a lot of challenges in these unprecedented times. This study aims to assess the impact of the COVID-19 pandemic on surgical education and training in a developing country. Methods This cross-sectional study was conducted in Allied Hospitals of Rawalpindi Medical University, Rawalpindi, Pakistan from June 2021 to July 2021. A structured questionnaire designed by the researchers was distributed to all surgery departments, and surgical residents who consented to participate in this study were included. Results A total of 152 residents participated in this study, of which 53 (34.9%) were in general surgery and 99 (65.1%) in various surgical allied specialties. Of the residents, 14.5% reported full transfer from the parent unit to the COVID-19 unit. An increase in emergency surgical procedures was reported by 52.8% of general surgery residents as compared to surgical allied specialties (P = 0.037). Of the residents, 90.1% reported increased stress and anxiety levels, with the number of allied residents significantly higher than general surgery residents (P = 0.031). A total of 125 (82.2%) respondents claimed that fear of contracting the virus affected proper patient evaluation. Conclusion The COVID-19 pandemic has severely impacted the training and psychological well-being of surgical residents.
新冠疫情对全球医学教育和培训项目产生了不利影响。早期调查表明,外科住院医师在这些前所未有的时期面临诸多挑战。本研究旨在评估新冠疫情对一个发展中国家外科教育和培训的影响。方法:本横断面研究于2021年6月至2021年7月在巴基斯坦拉瓦尔品第医科大学的附属医院开展。研究人员设计的结构化问卷被分发给所有外科科室,同意参与本研究的外科住院医师被纳入。结果:共有152名住院医师参与了本研究,其中53名(34.9%)从事普通外科,99名(65.1%)从事各种外科相关专科。在这些住院医师中,14.5%报告从原科室完全转移到了新冠科室。与外科相关专科住院医师相比,52.8%的普通外科住院医师报告急诊手术量增加(P = 0.037)。在这些住院医师中,90.1%报告压力和焦虑水平增加,其中相关专科住院医师的数量显著高于普通外科住院医师(P = 0.031)。共有125名(82.2%)受访者称,对感染病毒的恐惧影响了对患者的正确评估。结论:新冠疫情严重影响了外科住院医师的培训和心理健康。