Impact of SARS-CoV-2 on training and mental well-being of surgical gynecological oncology trainees

Autor: Yee-Loi Louise Wan, Maximilian Lanner, Mahalakshmi Gurumurthy, Andrei Pletnev, Allison Saiz, Isabel Rodriguez, Ranjit Manchanda, Kamil Zalewski, Charalampos Theofanakis, James Dilley, Faiza Gaba, İlker Selçuk, Nicolò Bizzarri, Tanja Nikolova, Zoia Razumova, Oleg Blyuss
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Gaba, F, Blyuss, O, Rodriguez, I, Dilley, J, Wan, Y-L L, Saiz, A, Razumova, Z, Zalewski, K, Nikolova, T, Selcuk, I, Bizzarri, N, Theofanakis, C, Lanner, M, Pletnev, A, Gurumurthy, M & Manchanda, R 2021, ' Impact of SARS-CoV-2 on training and mental well-being of surgical gynecological oncology trainees ', International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, vol. 31, no. 9, pp. 1268-1277 . https://doi.org/10.1136/ijgc-2021-002803
DOI: 10.1136/ijgc-2021-002803
Popis: IntroductionThe SARS-CoV-2 global pandemic has caused a crisis disrupting health systems worldwide. While efforts are being made to determine the extent of the disruption, the impact on gynecological oncology trainees/training has not been explored. We conducted an international survey of the impact of SARS-CoV-2 on clinical practice, medical education, and mental well-being of surgical gynecological oncology trainees.MethodsIn our cross-sectional study, a customized web-based survey was circulated to surgical gynecological oncology trainees from national/international organizations from May to November 2020. Validated questionnaires assessed mental well-being. The Wilcoxon rank-sum test and Fisher’s exact test were used to analyse differences in means and proportions. Multiple linear regression was used to evaluate the effect of variables on psychological/mental well-being outcomes. Outcomes included clinical practice, medical education, anxiety and depression, distress, and mental well-being.ResultsA total of 127 trainees from 34 countries responded. Of these, 52% (66/127) were from countries with national training programs (UK/USA/Netherlands/Canada/Australia) and 48% (61/127) from countries with no national training programs. Altogether, 28% (35/125) had suspected/confirmed COVID-19, 28% (35/125) experienced a fall in household income, 20% (18/90) were self-isolated from households, 45% (57/126) had to re-use personal protective equipment, and 22% (28/126) purchased their own. In total, 32.3% (41/127) of trainees (16.6% (11/66) from countries with a national training program vs 49.1% (30/61) from countries with no national training program, p=0.02) perceived they would require additional time to complete their training fellowship. The additional training time anticipated did not differ between trainees from countries with or without national training programs (p=0.11) or trainees at the beginning or end of their fellowship (p=0.12). Surgical exposure was reduced for 50% of trainees. Departmental teaching continued throughout the pandemic for 69% (87/126) of trainees, although at reduced frequency for 16.1% (14/87), and virtually for 88.5% (77/87). Trainees reporting adequate pastoral support (defined as allocation of a dedicated mentor/access to occupational health support services) had better mental well-being with lower levels of anxiety/depression (p=0.02) and distress (pConclusionSARS-CoV-2 has negatively impacted the surgical training, household income, and psychological/mental well-being of surgical gynecological oncology trainees. The overall clinical impact was worse for trainees in countries with no national training program than for those in countries with a national training program, although national training program trainees reported greater distress. COVID-19 sickness increased anxiety/depression. The recovery phase must focus on improving mental well-being and addressing lost training opportunities.
Databáze: OpenAIRE
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