The state of general surgery residents in Italy after COVID-19 outbreak: a nationwide cross-sectional study.

Autor: Serenari M; General Surgery and Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, Via Albertoni 15, 40138, Bologna, Italy. matteo.serenari@gmail.com., Colonnello V; Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy., Ratti F; Division of Hepatobiliary Surgery, IRCCS San Raffaele Hospital, Milan, Italy., Pertile D; Department of General Surgery, Policlinico San Martino, Genoa, Italy., Meniconi RL; Division of General Surgery and Liver Transplantation, San Camillo-Forlanini Hospital, Rome, Italy., Mazzari A; General and Minimally Invasive Surgery Unit, Cristo Re Hospital, Rome, Italy., Magnavita N; Postgraduate School of Occupational Health, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Rome, Lazio, Italy.; Department of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Lazio, Italy., Russo PM; Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2023 Jan; Vol. 75 (1), pp. 95-103. Date of Electronic Publication: 2022 Sep 03.
DOI: 10.1007/s13304-022-01370-x
Abstrakt: Introduction: A significant reorganization of working activities including those of teaching hospitals occurred after COVID-19 outbreak, leading to the need to re-assess the current status of training after the pandemic. This study aimed to investigate the state of general surgery (GS) residency in Italy. The impact of COVID-19 on GS residents was also assessed.
Methods: Between October and November 2020, an anonymous online survey was distributed to GS residents across Italy. Email addresses were provided by the Regional Committees of the Italian Polyspecialistic Society of Young Surgeons. The residents completed a set of questions regarding their training schedule and three standardized questionnaires to measure burnout and psychological distress.
Results: Overall, 1709 residents were contacted and 648 completed the survey. Almost two-thirds of the residents (68.4%, n = 443) reported to not reach the minimum annual operative case volume. According to ordinal logistic regression analysis, two of the most perceived effects of COVID-19 by trainees on training were reduction of surgical activities (OR = 2.21, p < 0.001) and increased concerns about future employment (OR = 1.14, p = 0.025). Loss of training opportunities was also associated with a significant increase of distress (OR = 1.26, p = 0.003) but not with burnout.
Conclusions: This study provided a snapshot of the situation of GS residents in Italy after COVID-19 outbreak. Reduction of activities due to pandemic highlighted the need to improve the level of surgical education in our country by implementing all the new available tools for training and ensuring at the same time the well-being of the residents.
(© 2022. Italian Society of Surgery (SIC).)
Databáze: MEDLINE
Externí odkaz: