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新冠疫情对葡萄牙眼科住院医师培训的影响。

Impact of the COVID-19 Pandemic on Ophthalmology Residency Training in Portugal.

作者信息

Silva Nisa, Laiginhas Rita, Meireles Angelina, Barbosa Breda João

机构信息

Department of Ophthalmology. Centro Hospitalar Universitário do Porto. Porto. Portugal.

Department of Ophthalmology. Centro Hospitalar de Entre o Douro e Vouga. Santa Maria da Feira. Portugal.

出版信息

Acta Med Port. 2020 Oct 1;33(10):640-648. doi: 10.20344/amp.14341. Epub 2020 Sep 10.

Abstract

INTRODUCTION

The purpose of this study was to provide objective and real-life data concerning the impact of the COVID-19 pandemicon ophthalmology residency training in Portugal.

MATERIAL AND METHODS

Descriptive survey-based study applied to current Portuguese ophthalmology residents (n = 80 eligible).

RESULTS

Seventy-five residents participated (94% response rate). All except one (99%) admitted a change in their routine clinical practice during the pandemic, and most (89%) continued to be engaged in ophthalmology department duties. Twenty-five percent were deployed to COVID-19 units, which was combined with ophthalmological activities in about half of them (47%). A significant proportion of participants stated that they were enrolled in the following ophthalmological activities: emergency/inpatient care (87%), outpatient visits (73%; general 70% vs subspecialty 29%), and surgical procedures (64%). Twenty-five percent did not assist in any outpatient visits and 36% did not participate in any surgical procedures. On a scale from 1 (no impact) to 5 (maximum impact), most participants classified their perceived negative impact of the pandemic on the training program as 3 (24%), 4 (40%), or 5 (27%). Participants highly agreed with the extension of the residency program (80%) in order to to make up for training disruption.

DISCUSSION

Most trainees provided ophthalmological care during the pandemic. However, those clinical activities were essentially related to general and emergency care. Surgical experience was significantly curtailed. As such, strategies are needed to guarantee a high-quality learning process. Further studies are required to develop an international perspective on how ophthalmology training programs have been affected so that educational organizations can make recommendations regarding standardized adjustments to training programs.

CONCLUSION

The COVID-19 pandemic has significantly impacted the training of ophthalmology residents nationwide.

摘要

引言

本研究旨在提供关于新冠疫情对葡萄牙眼科住院医师培训影响的客观且真实的数据。

材料与方法

基于描述性调查的研究应用于葡萄牙现有的眼科住院医师(n = 80 名符合条件者)。

结果

75 名住院医师参与(回复率 94%)。除一人外(99%),所有人都承认在疫情期间日常临床实践发生了变化,并且大多数(89%)继续参与眼科部门工作。25%的人被调至新冠病房,其中约一半(47%)同时兼顾眼科工作。相当一部分参与者表示他们参与了以下眼科活动:急诊/住院护理(87%)、门诊就诊(73%;普通门诊 70%,专科门诊 29%)以及外科手术(64%)。25%的人未参与任何门诊就诊,36%的人未参与任何外科手术。在从 1(无影响)到 5(最大影响)的评分中,大多数参与者将他们认为疫情对培训计划的负面影响评为 3(24%)、4(40%)或 5(27%)。参与者高度认同延长住院医师培训计划(80%)以弥补培训中断。

讨论

大多数受训人员在疫情期间提供了眼科护理。然而,这些临床活动主要与普通和急诊护理相关。外科手术经验显著减少。因此,需要采取策略来保证高质量的学习过程。需要进一步开展研究,以形成关于眼科培训计划如何受到影响的国际视角,以便教育机构能够就培训计划的标准化调整提出建议。

结论

新冠疫情对全国眼科住院医师培训产生了重大影响。

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