Impact of COVID-19 on endoscopy trainees: an international survey
Impact of COVID-19 on endoscopy trainees: an international survey
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DOI：
10.1016/j.gie.2020.06.010
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发表时间：
2020-10-01
影响因子：
7.7
通讯作者：
Siau, Keith
中科院分区：
文献类型：
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作者：
Pawlak, Katarzyna M.;Kral, Jan;Siau, Keith
背景和目标：尽管2019冠状病毒病（COVID-19）影响了全球的内窥镜服务，但尚未评估对学员的影响。我们的目的是评估COVID-19对全球内窥镜实习生的手术量和情绪健康的影响。方法：在2020年4月进行了为期3周的国际调查。主要结局是COVID-19之前和期间每月手术量的减少百分比。次要结果包括不同大陆之间COVID-19影响的潜在差异以及学员中焦虑和倦怠的发生率和预测因素。结果：来自63个国家的770名学员中，93.8%的人报告内窥镜检查病例量减少。总手术量减少的中位百分比为99%（四分位数范围，85%-100%），这在国际上有差异（P <0.001），其中结肠镜手术减少的百分比最大。病例数量和受训者活动方面的限制是常见的障碍。合共71. 9%的受访者担心COVID-19疫情可能会延长培训时间。52.4%的受访者表示焦虑，18.8%的受访者表示倦怠。焦虑与女性性别（比值比[OR]，2.15; P < .001）、个人防护设备充足性（OR，1.75; P = .005）、缺乏对情绪健康的机构支持（OR，1.67; P = .008）和对延长训练的担忧（OR，1.60; P = .013）独立相关。68.9%的人支持修改现有的国家指南，以支持在大流行期间进行充分的内镜培训。结论：COVID-19大流行导致内镜容量和内镜培训受到限制，全球内镜培训学员的焦虑和倦怠率较高。培训方案有针对性地采取措施解决这些关键问题，以改善受训者的福祉和支持受训者的教育。
Background and Aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide.Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees.Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR] , 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%.Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.