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新冠疫情对外科教育与培训的影响:发展中国家的住院医师调查

Impact of the COVID-19 Pandemic on Surgical Education and Training: A Resident Survey in a Developing Country.

作者信息

Shafique Muhammad Salman, Arham Muhammad, Fatima Sayyam, Bhatti Hamza Waqar

机构信息

General Surgery, Chesterfield Royal Hospital, Chesterfield, GBR.

General Surgery, Rawalpindi Medical University, Rawalpindi, PAK.

出版信息

Cureus. 2023 Sep 15;15(9):e45283. doi: 10.7759/cureus.45283. eCollection 2023 Sep.

Abstract

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.

摘要

背景

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5650/10576859/c28f1d9474b8/cureus-0015-00000045283-i01.jpg

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