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Impact of COVID-19 on endoscopy trainees: an international survey
KM. Pawlak, J. Kral, R. Khan, S. Amin, M. Bilal, RN. Lui, DS. Sandhu, A. Hashim, S. Bollipo, A. Charabaty, E. de-Madaria, AF. Rodríguez-Parra, SA. Sánchez-Luna, M. Żorniak, CM. Walsh, SC. Grover, K. Siau,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
- MeSH
- Betacoronavirus * MeSH
- COVID-19 MeSH
- dospělí MeSH
- endoskopie výchova statistika a číselné údaje MeSH
- internacionalita * MeSH
- koronavirové infekce epidemiologie prevence a kontrola přenos MeSH
- lidé MeSH
- pandemie prevence a kontrola MeSH
- profesionální vyhoření epidemiologie MeSH
- průzkumy a dotazníky MeSH
- SARS-CoV-2 MeSH
- úzkost epidemiologie MeSH
- virová pneumonie epidemiologie prevence a kontrola přenos MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
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.
Department of Medicine University of Toronto Toronto Ontario Canada
Division of Gastroenterology University of Toronto Toronto Ontario Canada
Gastroenterology and Endoscopy John Hunter Hospital Newcastle Australia
General Hospital Dr Manuel Gea González National Autonomous University of Mexico Mexico City Mexico
Li Ka Shing Knowledge Institute St Michael's Hospital Toronto Ontario Canada
Liver Unit University Hospitals Birmingham Birmingham UK
Medical and Dental Sciences University of Birmingham Birmingham UK
Citace poskytuje Crossref.org
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