Impact of the COVID-19 pandemic on urology residency training in Italy
Impact of the COVID-19 pandemic on urology residency training in Italy
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DOI：
10.23736/s0393-2249.20.03868-0
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发表时间：
2020-08-01
影响因子：
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通讯作者：
Campi, Riccardo
中科院分区：
文献类型：
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作者：
Amparore, Daniele;Claps, Francesco;Campi, Riccardo
在COVID-19大流行引发的全球紧急情况下，泌尿外科住院医师的培训可能会受到严重影响。为了深入了解这一问题，在意大利出现第一例COVID-19病例一个月后，向所有意大利居民发送了一份包含25个项目的在线调查，以评估他们在COVID-19之前和期间参与“临床”（随叫随到、门诊就诊、诊断程序）和“外科”（内窥镜、开放和微创手术）培训活动的日常情况。总体而言，577名居民中有351名（60.8%）完成了调查。新冠肺炎疫情前，居民日常参与“临床”和“手术”活动的比例分别为79.8% - 87.2%和49.3% - 73.5%。在COVID-19期间，“临床”活动中培训暴露严重减少（>40%）或完全抑制（>80%）的居民比例在41.1%至81.2%之间，“外科”活动在44.2%至62.1%之间。这种减少在参加最后一年培训的住院医生中更为明显。我们的研究首次提供了关于泌尿外科住院医师培训在紧急时期如何受损的真实数据。为了应对这一挑战，旨在增加远程医疗、“智能学习”计划和外科手术远程指导的战略是有必要的。
In the global emergency scenario caused by COVID-19 pandemic, the Urology residents' training might be critically affected. To provide insights on this issue, a 25-item online Survey was sent to all Italian residents one month after the first case of COVID-19 in Italy, to evaluate their routine involvement in "clinical" (on-call duty, outpatient visits, diagnostic procedures) and "surgical" (endoscopic, open and minimally invasive surgery) training activities before and during the COVID-19 period. Overall, 351 of 577 (60.8%) residents completed the Survey. Before the COVID-19 pandemic, the proportion of residents routinely involved in "clinical" and "surgical" activities ranged from 79.8% to 87.2% and from 49.3% to 73.5%, respectively. In the COVID-19 period, the proportion of residents experiencing a severe reduction (>40%) or complete suppression (>80%) of training exposure ranged between 41.1% and 81.2% for "clinical" activities while between 44.2% and 62.1% for "surgical" activities. This reduction was even more pronounced for residents attending the final year of training. Our study is the first to provide real-life data on how Urology residency training can be impaired during an emergency period. To address this challenge, strategies aiming to increase the use of telemedicine, "smart learning" programs and tele-mentoring of surgical procedures, are warranted.