Masnada Silvia, Spagnoli Carlotta, Duca Maddalena, Chiarello Daniela, Lo Barco Tommaso, Nucera Bruna
U.O.C. Neurologia Pediatrica, Buzzi Children's Hospital, 20154, Milan, Italy.
S.O.C. Neuropsichiatria Infantile, Ospedale S. Maria Nuova, AUSL-IRCCS Di Reggio Emilia, 42123, Reggio Emilia, Italy.
Neurol Sci. 2025 Jan;46(1):33-44. doi: 10.1007/s10072-024-07836-7. Epub 2024 Nov 4.
In March 2020, the World Health Organization declared the coronavirus-related disease SARS-CoV-2 infection pandemic. Italy was one of the most affected countries and managed the emergency also by a health care reorganization.
The Education and Career Development Task Force of the Young Epilepsy Section-Italy (YES-I) designed a survey to assess the impact of the pandemic on the training and work of young epileptologists (< 40 years).
Fifty-three responses were collected: 45.3% were resident, 9.4% PhD students and the remainder specialists. Clinical activity changed for most (83%) during the pandemic. Educational activity at epilepsy centers was reduced for 35.8% of the survey participants, while 30.2% of research projects involving patients participation were stopped to switch mainly to COVID-19-related research. For 73.6% of survey participants, attending online courses and congresses was easier in terms of cost and organization, although for 50.9% the level of training was lower in quality. In contrast, 58.5% rated the webinars organized by YES-I very educational. Less than 50% of the clinicians used telemedicine in the pandemic period and continue to use it. Despite several positive aspects of virtual medicine, a small number (32.1%) of our interviewees were satisfied from telemedicine and few of them (30.2%) reported that it led to improvement of clinical practice.
Our survey showed that the pandemic has had a negative impact on training, research and clinical activity in the epilepsy field; moreover, it underlined the critical aspects of virtual communication methods in order to improve its use for the future.
2020年3月,世界卫生组织宣布新型冠状病毒相关疾病SARS-CoV-2感染为大流行病。意大利是受影响最严重的国家之一,也通过医疗保健重组来应对这一紧急情况。
意大利青年癫痫科教育与职业发展特别工作组(YES-I)设计了一项调查,以评估大流行病对年轻癫痫学家(<40岁)培训和工作的影响。
共收集到53份回复:45.3%为住院医师,9.4%为博士生,其余为专科医生。在大流行期间,大多数(83%)人的临床活动发生了变化。35.8%的调查参与者所在癫痫中心的教育活动减少,而30.2%涉及患者参与的研究项目停止,主要转向与COVID-19相关的研究。对于73.6%的调查参与者来说,参加在线课程和会议在成本和组织方面更容易,尽管50.9%的人认为培训质量较低。相比之下,58.5%的人认为YES-I组织的网络研讨会很有教育意义。在大流行期间,不到50%的临床医生使用远程医疗,且仍在继续使用。尽管虚拟医疗有几个积极方面,但我们的受访者中只有少数(32.1%)对远程医疗感到满意,其中很少有人(30.2%)表示它改善了临床实践。
我们的调查表明,大流行病对癫痫领域的培训、研究和临床活动产生了负面影响;此外,它突出了虚拟通信方法的关键问题,以便未来更好地利用它。