Impact of coronavirus 2019 (COVID-19) on training and well-being in subspecialty surgery: A national survey of cardiothoracic trainees in the United Kingdom
Impact of coronavirus 2019 (COVID-19) on training and well-being in subspecialty surgery: A national survey of cardiothoracic trainees in the United Kingdom
复制标题
DOI：
10.1016/j.jtcvs.2020.05.052
复制
发表时间：
2020-10-01
影响因子：
6
通讯作者：
Rathinam, Sridhar
中科院分区：
文献类型：
--
作者：
Caruana, Edward J.;Patel, Akshay;Rathinam, Sridhar
2019年冠状病毒（COVID-19）大流行使国际卫生保健系统不堪重负，扰乱了常规护理。卫生保健工作者的工作常规和专业发展面临中断，感染和发病的风险也在增加。我们试图确定COVID-19大流行对英国所有心胸外科受训者的福祉、实践和进步的影响。方法：设计、验证问卷共31项，并通过电子邮件和即时通讯平台发放。结果：总共有76名心胸外科受训者（118,64%）回应，代表了全国所有培训等级和项目；48人（63%）和24人（32%）分别担心自己的身心健康，25人（33%）因COVID-19而请假，65人（86%）治疗过COVID-19患者，其中36人（55度A）当时穿着满意的个人防护装备，41人（54%）仍然担心其机构的个人防护装备供应，42人（55度A）已被重新部署到其他专业。23人（30%）遇到过与病人护理有关的伦理困境。在门诊（减少44%）、多学科团队会议（减少79%）和手术室（减少78%）花费的时间有显著影响。总共有67名（88%）受访者担心对他们的培训的影响，54名（71%）受访者认为这种偏差可能需要延长他们计划的培训时间。结论：目前大流行的持续时间和影响尚不确定。及时交流经验、关切和期望，将为大流行时期及以后的卫生保健和教育政策提供信息，并影响实践。
Objectives: The coronavirus 2019 (COVID-19) pandemic has overwhelmed health care systems and disrupted routine care internationally. Health care workers face disruption to their work routines and professional development, as well as an elevated risk of infection and morbidity. We sought to establish the impact of the COVID-19 pandemic on the well-being, practice, and progression of all trainees in cardiothoracic surgery in the United Kingdom.Methods: A 31-item questionnaire was designed, validated, and disseminated via email and an instant-messaging platform.Results: In total, 76 (of 118, 64%) cardiothoracic surgical trainees responded, representing all training grades and programs nationally; 48 (63%) and 24 (32%) were concerned about their physical and mental health, respectively, 25 (33%) had taken time off work due to COVID-19, 65 (86%) had treated patients with COVID-19, 36 of whom (55 degrees A) were wearing satisfactory personal protective equipment at the time, 41 (54%) remain concerned about personal protective equipment provision at their institution, 42 (55 degrees A) had been redeployed to cover other specialties, and 23 (3o%) had encountered ethical dilemmas related to care of patients. There was a significant impact on time spent in outpatient clinics (44% reduction), multidisciplinary team meetings (79% reduction), and operating theaters (78% reduction). In total, 67 (88%) of respondents were concerned about the impact on their training, and 54 (71%) felt that the deviation may require an extension in their planned training time.Conclusions: The duration and impact of the current pandemic is, as yet, uncertain. Timely sharing of experiences, concerns, and expectations will inform health care and education policy and influence practice in the pandemic era and beyond.