Apostol-Nicodemus Leilanie, Francisco Peter Julian A, Concha Ma Elinore A, Leopando Zorayda E, Pagkatipunan Paulo Maria N, Medina Daisy M, Berdin Florentino M
College of Medicine, University of the Philippines Manila, Manila, Philippines.
Department of Family and Community Medicine, Southern Philippines Medical Center, Davao City, Davao del Sur, Philippines.
Acta Med Philipp. 2024 Jul 31;58(13):15-21. doi: 10.47895/amp.v58i13.8122. eCollection 2024.
The COVID-19 pandemic had a profound impact on medical education, particularly in Family and Community Medicine training programs. This study aimed to assess the impact in the Philippines by comparing the number of cases and procedures before and during the pandemic, as well as the adaptations made by these programs.
The objective of this study was to determine the effect of the COVID-19 pandemic on Family and Community Medicine training in the Philippines by comparing the average number of cases and procedures done before and during the pandemic and the changes implemented by the different accredited training programs.
A cross-sectional study utilizing an explanatory sequential mixed methods approach was undertaken. The quantitative portion collected data on cases and procedures from the participating institutions' residents using the standardized checklist of the Philippine Academy of Family Physicians. The qualitative portion was done through a focused group discussion (FGD) following a prepared set of FGD questions. Analysis of variation (ANOVA) was used to compare the average cases seen and procedures across the four years and content analysis for the qualitative data.
There was a significant decrease in the average number of adult and pediatric cases during the pandemic years (2020-2021) compared to before (2018-2019). Various organ systems cases such as neurology, ophthalmology, dermatology, and gastrointestinal, showed significant differences (p-value <0.05) in the average number of pediatric cases. For adult cases, significant differences (p-value <0.05) were found for several organ system cases when comparing the years before (2018-2019) and during the pandemic (2020-2021), including neurology, ophthalmology, ENT, dermatology, cardiology, gastrointestinal, genitourinary, reproductive health, musculoskeletal, and endocrinology cases. The trainers adjusted training activities to support the hospital's COVID-19 response and that prompted an abrupt shift to online strategies for patient consultations, teaching sessions, and examinations.
The COVID-19 pandemic led to a reduction in the variety of cases and procedures in Family and Community Medicine training, impacting the fulfillment of specialty training requirements. However, it also drove innovation through the integration of technology, including online teaching methods. These experiences underscore the importance of resilience and adaptability in medical education and offer valuable lessons for future training programs, potentially leading to improvements in training and patient care through innovative methodologies.
新冠疫情对医学教育产生了深远影响，尤其是在家庭与社区医学培训项目方面。本研究旨在通过比较疫情前和疫情期间的病例数及操作数量，以及这些项目所做的调整，来评估其在菲律宾的影响。
本研究的目的是通过比较疫情前和疫情期间完成的病例及操作的平均数量，以及不同认可培训项目所实施的变化，来确定新冠疫情对菲律宾家庭与社区医学培训的影响。
采用解释性序列混合方法进行横断面研究。定量部分使用菲律宾家庭医师学会的标准化清单，从参与机构的住院医师处收集病例和操作数据。定性部分通过焦点小组讨论（FGD）进行，讨论遵循一套预先准备好的FGD问题。采用方差分析（ANOVA）比较四年间的平均病例数和操作数，并对定性数据进行内容分析。
与疫情前（2018 - 2019年）相比，疫情期间（2020 - 2021年）成人和儿科病例的平均数量显著减少。各种器官系统病例，如神经科、眼科、皮肤科和胃肠科，儿科病例的平均数量显示出显著差异（p值<0.05）。对于成人病例，在比较疫情前（2018 - 2019年）和疫情期间（2020 - 2021年）时，几个器官系统病例发现了显著差异（p值<0.05），包括神经科、眼科、耳鼻喉科、皮肤科、心脏病科、胃肠科、泌尿生殖科、生殖健康科、肌肉骨骼科和内分泌科病例。培训人员调整了培训活动以支持医院的新冠疫情应对工作，这促使患者咨询、教学课程和考试突然转向在线策略。
新冠疫情导致家庭与社区医学培训中的病例和操作种类减少，影响了专科培训要求的满足。然而，它也通过技术整合推动了创新, 包括在线教学方法。这些经验强调了医学教育中恢复力和适应性的重要性，并为未来的培训项目提供了宝贵的经验教训，有可能通过创新方法改善培训和患者护理。
