新冠疫情对尼日利亚三级医疗机构住院医师培训的影响:一项全国性调查

Impact of Covid-19 on Residency Training in Tertiary Health Institutions in Nigeria: A National Survey.

作者信息

Okonta Kelechi E, Ogaji Daprim S, Ogah Okechukwu S, Adebayo Oladimeji, Enebeli Ugo U, Tolani Musliu Adetola, Sowade Ayokunmi, Adeyemi Tope E, Ogunsuji Oluwaseyi, Atilola Olayinka, Olaopa Olusegun, Okpani Charles P, Okonta Emeka M, Sokomba Aliyu, Yawe King-David T

机构信息

Department of Surgery, University of Port Harcourt Teaching Hospital, Nigeria.

Department of Preventive and Social Medicine, University of Port Harcourt, Choba, Nigeria.

出版信息

Niger Med J. 2023 Dec 5;63(4):267-274. doi: 10.60787/NMJ-63-4-39. eCollection 2022 Jul-Aug.

Abstract

BACKGROUND

The emergence of COVID-19 had a massive impact on the health system globally. While there are many kinds of literature reporting the impact on postgraduate medical training in other parts of the world, this cannot be said about Nigeria.

METHODOLOGY

This was a national cross-sectional study among Resident doctors via an online google form survey for 8-months. Stratified cluster design where the entire country was stratified into the six geopolitical zones, and Tertiary Health Institutions (THI) were randomly selected from each of these zones. Data from the 47-item google form were analysed with Statistical Package for Social Science (SPSS) version 23, and internal consistency reliability was measured by Cronbach's alpha coefficient. Categorical variables were compared using chi-square, and the p-value was <0.05.

RESULTS

A total of 239 residents from THI in all six geopolitical zones completed the survey. The mean± standard deviation of the age of respondents, years in practice, and years in residency were 36.3±4.4); 10.2±7.6 years, and 4.2±2.6 years, respectively. The Cronbach's alpha coefficient was 0.95. Less than half had delayed the progression of residency (44.4%). The least strongly positive impacts were related to recruitments (4.2%), laboratory testing (4.2%), and ward rounds (4.2%); and the more strongly positive disruptive impact was on postgraduate seminars (9.2%), research (8.4%), professional examinations (8.0%) and residents' clinical schedules (8.0%).

CONCLUSION

COVID-19 has caused a considerable delay in residents' training programs, and resident doctors have great concerns regarding the pandemic. This impact is perceived by them in almost all aspects of the training.

摘要

背景

新型冠状病毒肺炎(COVID-19)的出现对全球卫生系统产生了巨大影响。虽然有许多文献报道了其对世界其他地区研究生医学培训的影响,但尼日利亚并非如此。

方法

这是一项针对住院医生的全国性横断面研究,通过在线谷歌表单进行了为期8个月的调查。采用分层整群设计,将整个国家分为六个地缘政治区,并从每个区随机选取三级卫生机构(THI)。使用社会科学统计软件包(SPSS)23版对来自47项谷歌表单的数据进行分析,并通过克朗巴赫α系数测量内部一致性信度。使用卡方检验比较分类变量,p值<0.05。

结果

来自所有六个地缘政治区的THI的239名住院医生完成了调查。受访者的年龄、执业年限和住院医师年限的平均值±标准差分别为36.3±4.4岁、10.2±7.6年和4.2±2.6年。克朗巴赫α系数为0.95。不到一半的人推迟了住院医师培训进程(44.4%)。积极影响最小的方面是招聘(4.2%)、实验室检测(4.2%)和查房(4.2%);而积极干扰影响较大的方面是研究生研讨会(9.2%)、研究(8.4%)、专业考试(8.0%)和住院医生临床日程安排(8.0%)。

结论

COVID-19导致住院医生培训计划出现了相当大的延迟,住院医生对该疫情极为关注。他们在培训的几乎所有方面都感受到了这种影响。

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