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1.
Can J Surg ; 63(5): E454-E459, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33107817

RESUMO

SUMMARY: Small surgical residency programs like plastic surgery can be challenging environments to accommodate parental leave. This study aimed to report the experiences, attitudes and perceived support of Canadian plastic surgery residents, recent graduates and staff surgeons with respect to pregnancy and parenting during training. Residents and staff surgeons were invited via email to participate in an online survey. The results presented here explore experiences of pregnancy and parental leave of current plastic surgery residents and staff surgeons. Residents' and staff surgeons' perceptions of program director support, policies, negative comments and the impact of parental leave on the workload of others were also explored. Although the findings suggest that there may be improvements in the support of program directors, there continues to be a negative attitude in surgical culture toward pregnancy during residency. The perceived confusion of respondents with respect to programspecific policies emphasizes the need for open conversations and standardization of parental leave.


Assuntos
Atitude do Pessoal de Saúde , Internato e Residência/estatística & dados numéricos , Licença Parental/estatística & dados numéricos , Gravidez/psicologia , Cirurgia Plástica/educação , Adulto , Canadá , Feminino , Humanos , Internato e Residência/organização & administração , Masculino , Pessoa de Meia-Idade , Diretores Médicos/psicologia , Políticas , Gravidez/estatística & dados numéricos , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/psicologia , Cirurgia Plástica/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Carga de Trabalho/psicologia , Carga de Trabalho/estatística & dados numéricos
2.
Prim Health Care Res Dev ; 21: e47, 2020 10 28.
Artigo em Inglês | MEDLINE | ID: mdl-33109285

RESUMO

AIM: Family physicians are role models for their societies in disaster management and have an important place in it. This study was carried out during the specialty training of the residents, who are currently family physicians fighting against COVID-19 in the field, and was aimed to identify the awareness levels of residents regarding the roles and duties of family physicians before, during, and after disasters and to increase their awareness of disaster medicine and management. BACKGROUND: The duties and responsibilities of a family physician in disasters should be a part of their specialty training. This study has contributed to the limited literature, increased awareness, and opened a new avenue of research for studies to be conducted with family physicians by demonstrating the current situation of family physicians in disaster management. METHODS: This is an observational and descriptive study. The knowledge, experience, opinions, willingness, attitudes of the residents, and the awareness levels of the residents regarding their roles and duties in a disaster were evaluated along with their sociodemographic information. The surveys were applied in the family medicine clinics of the all residents by the interview method (n = 233). FINDINGS: Only 9.2% of the residents stated that they had received training on disaster medicine where they currently work. The knowledge level of the residents on this subject was found as 'Unsure'. In total, 80% of the residents stated that family physicians should have a role in disasters. It was found that 83.3% of the residents had never joined a disaster drill, 94.3% had never participated in making or applying a disaster plan, and 97.7% had never worked in any disaster. CONCLUSION: The residents participating in the study lacked not only information on disaster management but also experience. The residents' willingness to receive training, work voluntarily, significantly question the curriculum, and specialize in disaster medicine were a positive outcome.


Assuntos
Competência Clínica/estatística & dados numéricos , Medicina de Desastres/métodos , Internato e Residência/estatística & dados numéricos , Papel do Médico , Médicos de Família/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Turquia , Adulto Jovem
3.
South Med J ; 113(9): 462-465, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32885267

RESUMO

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed resident training in the United States. Here, we explore the early perceived effects of COVID-19 on dermatology residents through an electronic sample survey and identify possible areas for targeted improvement in lieu of a possible second wave of COVID-19 cases. METHODS: On April 3, 2020, a survey of link with 25 questions was sent to dermatology program coordinators to be disseminated among dermatology residents in the United States. The survey was closed on April 13, 2020. All of the questions were optional and no personal identifiers were collected. RESULTS: A total of 140 dermatology residents from 50 different residency programs across 26 states responded to the survey. The majority of respondents (85%) reported negative effects of COVID-19 on their overall wellness. Despite the majority of residents (92%) speculating that COVID-19 will have negative long-term effects on the US economy, only 33% agreed or strongly agreed that it will affect their job prospects. Teledermatology was widely implemented following the declaration of a national emergency (96% of represented residencies compared with only 30% before the pandemic), with heavy resident involvement. The majority of residents (99%) reported having virtual didactics and that they found them to be beneficial. Most residents were uncomfortable with the prospect of being reassigned to a nondermatology specialty during the pandemic. In addition, 22% of residents believed that their leadership were not transparent and prompt in addressing changes relating to COVID-19. CONCLUSIONS: Dermatology residents were affected negatively by COVID-19 in regard to their well-being, clinical training, and education. Several areas of improvement were identified that could improve our preparedness for a second wave of the virus.


Assuntos
Infecções por Coronavirus , Dermatologia , Pandemias , Administração dos Cuidados ao Paciente/tendências , Pneumonia Viral , Dermatopatias/terapia , Telemedicina , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Dermatologia/educação , Dermatologia/métodos , Educação/métodos , Feminino , Humanos , Internato e Residência/estatística & dados numéricos , Masculino , Inovação Organizacional , Pandemias/prevenção & controle , Administração dos Cuidados ao Paciente/organização & administração , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Percepção Social , Inquéritos e Questionários , Telemedicina/métodos , Telemedicina/tendências , Estados Unidos
4.
Rev. Hosp. Ital. B. Aires (2004) ; 40(3): 127-131, sept. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1129089

RESUMO

Introducción: Los aspirantes a las residencias en salud pertenecen a una generación que suele preferir instituciones flexibles y poco estructuradas para avanzar en su desarrollo profesional. Objetivo: Nos propusimos explorar cuáles son las motivaciones de los aspirantes en la elección de la institución en donde llevarán a cabo su residencia. Material y métodos: Se realizó un estudio de corte transversal a través de una encuesta anónima a todos los aspirantes a las residencias médicas. Se evaluaron edad, sexo, universidad de procedencia, especialidad elegida, preferencia de tipo de gestión y la descripción de las tres condiciones que consideran más importantes para elegir una institución en orden de importancia. Resultados: Se analizaron 1113 encuestas y el 59% correspondieron a mujeres. Las primeras tres condiciones elegidas fueron: 1.°) calidad académica (65,4%), prestigio institucional (16%) y caudal y complejidad de pacientes (5,9%); 2.°) clima de aprendizaje (21,6%), calidad académica (20%) y prestigio institucional (18,8%) y 3.°) clima de aprendizaje (16,1%), condiciones laborales (16,1%) y calidad académica (14,5%). No se encontró asociación entre las motivaciones para elegir una institución y sexo, universidad de origen, tipo de especialidad o preferencia de gestión. Conclusión: Los aspirantes a las residencias valoran en primer lugar los aspectos vinculados con su formación académica. Por otra parte, es relevante la importancia adjudicada al clima de aprendizaje y las condiciones laborales. (AU)


Introduction: Applicants to health care residences belong to a generation that often prefers flexible and unstructured institutions to develop their professional development. Objective: We set out to explore what the applicants' motivations are in choosing the institution where they will carry out their residence. Material and methods: A cross-sectional study was conducted through an anonymous survey of all applicants to medical residences. Age, sex, university of origin, chosen specialty, management type preference and the description of the three conditions that they consider most important to choose an institution in order of importance were evaluated. Results: 1,113 surveys were analyzed and 59% were women. The first three conditions chosen were: 1st) academic quality (65.4%), institutional prestige (16%) and wealth and complexity of patients (5.9%); 2nd) learning climate (21.6%), academic quality (20%) and institutional prestige (18.8%) and 3rd) learning climate (16.1%), conditions labor (16.1%) and academic quality (14.5%). No association was found between the motivations for choosing an institution and sex, home university, type of specialty or management preference. Conclusion: Applicants to residences value first the aspects related to their academic training. On the other hand, the importance attached to the climate of learning and working conditions. (AU)


Assuntos
Humanos , Masculino , Feminino , Estudantes de Medicina/estatística & dados numéricos , Internato e Residência/tendências , Argentina , Médicos/tendências , Instituições Acadêmicas/estatística & dados numéricos , Ambiente de Trabalho/estatística & dados numéricos , Condições de Trabalho , Estudos Transversais , Inquéritos e Questionários , Capacitação Profissional , Esgotamento Psicológico , Ambiente de Instituições de Saúde/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Satisfação no Emprego
5.
PLoS One ; 15(8): e0238239, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32866220

RESUMO

INTRODUCTION: Residency applications via virtual-interview could potentially mitigate the extensive cost and time required for customary in-person interviews. We outline the perception of medical students and residents on the use of virtual-interview for residency applications in lieu of in-person interviews. METHODS: We obtained 1824 responses from medical students and residents through an online questionnaire between March2019-Feb2020 in Texas-United States. The survey had 11 statements (five in favor of in-person interviews and 6 in favor of virtual interviews) that respondents could rank on a 5-point Likert scale. All statements' scores were summed based on the response given by each participant to create a total score between 11 and 55. The perception of the two groups was analyzed using an independent sample T-test and ANOVA. RESULTS: We received a total of 1711 responses from medical students and 113 from medical residents. Respondents were more female (82.2% of medical students and 47.8% of residents), with a mean age of 22.87±3.42 years old for medical students and 28.72±4.35 years old for residents. Both groups preferred in-person interviews; however, the residents were significantly more in favor (P = 0.03). Both groups agree that virtual-interviews should be as an option, though this was considerably higher in the medical students (P = 0.001). In the multivariate analysis, "travel distance" and "type of medical school" had a significant impact on choosing the virtual-interviews in both groups (p<0.01). CONCLUSIONS: In-person interviews are favored by both medical students and residents compared to virtual-interview services in normal circumstances. However, both groups agree that programs should offer the option of having virtual-interviews as an available choice. Distance to an interview location and the type of medical school were the factors that had a significant impact on perception of using virtual-interviews. Knowing about the applicants' attitude toward residency interviews and the national circumstances are essential when preparing the interview guides. Our findings are limited by the small sample size and the low response rate. Further extensive studies are warranted to better understand the perception of residency applicants toward virtual-interviews to improve the interview process in the United States.


Assuntos
Entrevistas como Assunto/métodos , Seleção de Pessoal/métodos , Estudantes de Medicina/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Internato e Residência/estatística & dados numéricos , Entrevistas como Assunto/estatística & dados numéricos , Masculino , Critérios de Admissão Escolar/estatística & dados numéricos , Faculdades de Medicina/estatística & dados numéricos , Inquéritos e Questionários , Texas , Estados Unidos , Adulto Jovem
6.
Int J Radiat Oncol Biol Phys ; 108(2): 416-420, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32890524

RESUMO

PURPOSE: Telemedicine was rapidly and ubiquitously adopted during the COVID-19 pandemic. However, there are growing discussions as to its role postpandemic. METHODS AND MATERIALS: We surveyed patients, radiation oncology (RO) attendings, and RO residents to assess their experience with telemedicine. Surveys addressed quality of patient care and utility of telemedicine for teaching and learning core competencies. Satisfaction was rated on a 6-point Likert-type scale. The quality of teaching and learning was graded on a 5-point Likert-type scale, with overall scores calculated by the average rating of each core competency required by the Accreditation Council for Graduate Medical Education (range, 1-5). RESULTS: Responses were collected from 56 patients, 12 RO attendings, and 13 RO residents. Patient feedback was collected at 17 new-patient, 22 on-treatment, and 17 follow-up video visits. Overall, 88% of patients were satisfied with virtual visits. A lower proportion of on-treatment patients rated their virtual visit as "very satisfactory" (68.2% vs 76.5% for new patients and 82.4% for follow-ups). Only 5.9% of the new patients and none of the follow-up patients were dissatisfied, and 27% of on-treatment patients were dissatisfied. The large majority of patients (88%) indicated that they would continue to use virtual visits as long as a physical examination was not needed. Overall scores for medical training were 4.1 out of 5 (range, 2.8-5.0) by RO residents and 3.2 (range, 2.0-4.0) by RO attendings. All residents and 92% of attendings indicated they would use telemedicine again; however, most indicated that telemedicine is best for follow-up visits. CONCLUSIONS: Telemedicine is a convenient means of delivering care to patients, with some limitations demonstrated for on-treatment patients. The majority of both patients and providers are interested in using telemedicine again, and it will likely continue to supplement patient care.


Assuntos
Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Assistência ao Paciente/estatística & dados numéricos , Radioterapia (Especialidade) , Telemedicina , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
9.
Artigo em Inglês | MEDLINE | ID: mdl-32916996

RESUMO

This study aimed to explore changes in psychological responses (perceived stress, traumatic stress, stigma, coping) over time in residents, as well as their predictors. The level of perceived stress, traumatic stress, stigma, and coping responses were assessed using the Perceived Stress Scale, Impact of Event-Revised, Healthcare Workers Stigma Scale, and Brief Coping Orientation to Problems Experienced (COPE) Inventory, respectively. We collected responses from 274 residents at baseline and 221 residents at 3 months follow-up (timepoint 2) from the National Healthcare Group (NHG) residency programs in Singapore. All residents reported lower perceived stress and lower perceived stigma compared to baseline. Use of avoidance coping was associated with all three psychological responses (perceived stress, traumatic stress, and stigma) across the two timepoints. Compared to baseline, specific factors associated with perceived stress and traumatic stress at timepoint 2 were living alone, less problem solving, and seeking social support. Residency programs should encourage active coping strategies (e.g., seeking social support, positive thinking, problem solving) among residents, and proactively identify residents who may be at higher risk of psychological sequelae due to circumstances that contribute to isolation.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/psicologia , Internato e Residência/estatística & dados numéricos , Médicos/psicologia , Pneumonia Viral/psicologia , Estigma Social , Transtornos de Estresse Traumático/psicologia , Estresse Psicológico/psicologia , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Estudos Longitudinais , Pandemias , Pneumonia Viral/epidemiologia , Singapura , Estresse Psicológico/etnologia
10.
Acta Med Port ; 33(10): 640-648, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32914750

RESUMO

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.


Assuntos
Infecções por Coronavirus/epidemiologia , Internato e Residência , Oftalmologistas , Oftalmologia/educação , Pneumonia Viral/epidemiologia , Adulto , Assistência Ambulatorial/estatística & dados numéricos , Betacoronavirus , Estudos Transversais , Serviços Médicos de Emergência/estatística & dados numéricos , Feminino , Humanos , Internato e Residência/estatística & dados numéricos , Masculino , Procedimentos Cirúrgicos Oftalmológicos/estatística & dados numéricos , Oftalmologia/estatística & dados numéricos , Pandemias , Portugal/epidemiologia , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
11.
Anesth Analg ; 131(4): 1201-1209, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32925341

RESUMO

BACKGROUND: The critical question of racial and gender diversity in pediatric anesthesia training programs has not been previously explored. The primary objective of this study was to evaluate trends by race/ethnicity and gender in pediatric anesthesiology fellowship training programs in the United States for the years 2000 to 2018. METHODS: Demographic data on pediatric anesthesiology fellows and anesthesiology residents were obtained from the self-reported data collected for the Journal of the American Medical Association's annual report on Graduate Medical Education for the years 2000 to 2018. Diversity was assessed by calculating the proportions of trainees per year by gender and racial/ethnic groups in pediatric anesthesiology fellowship and anesthesiology residency programs. Logistic regression equations were developed to estimate the annual growth rate of each racial/ethnic groups. RESULTS: The number of pediatric anesthesiology fellows increased from 57 trainees in 2000-2001 to 202 in 2017-2018 at an average rate of 9 fellows per year (95% confidence interval [CI], 8-10). These increases were primarily due to white trainees (54.4%-63.4%) as the proportions of black (7.0%-4.5%), Asian (26.3%-21.3%), and other minority (12.3%-10.9%) trainees have remained low. The number of anesthesiology residents increased from 3950 trainees in 2000-2001 to 5940 in 2017-2018 at an average rate of 99 residents per year (95% CI, 88-111). Within all anesthesiology trainees, these increases were due to white trainees (55.7%-61.3%) as the proportion of black (5.0%-6.0%), Asian (25.8%-24.1%), and other minority trainees (8.2%-8.5%) has remained fairly constant over the time period. Despite the overall lower proportion of female anesthesiology residents (range: 27.0%-37.5%), a steady increase in the number of women in pediatric anesthesiology fellowship programs has reversed the gender imbalance in this population as of 2010. CONCLUSIONS: While historic gains have been made in gender diversity in pediatric anesthesiology, there is persistent underrepresentation of black and Hispanic trainees in pediatric anesthesiology. It appears that their low numbers in anesthesiology residency programs (the reservoir) may be partly responsible. Efforts to increase ethnic/racial diversity in pediatric anesthesiology fellowship and anesthesiology residency training programs are urgently needed.


Assuntos
Anestesiologia/educação , Grupos Étnicos/estatística & dados numéricos , Bolsas de Estudo/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Pediatria/educação , Sexismo/estatística & dados numéricos , Adulto , Afro-Americanos , Americanos Asiáticos , Criança , Estudos de Coortes , Educação de Pós-Graduação em Medicina , Grupo com Ancestrais do Continente Europeu , Feminino , Hispano-Americanos , Humanos , Masculino , Grupos Minoritários , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos , Adulto Jovem
12.
Br J Radiol ; 93(1115): 20200596, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32903029

RESUMO

OBJECTIVES: Considering the growing use of imaging modalities and contrast agents, radiologists are prone to encounter adverse drug reactions (ADR). In the current study, we mainly aim to evaluate the knowledge of radiologists regarding pharmacovigilance (PV). Also, we intend to gather information about their previous ADR experiences. Secondarily, we hope to increase the awareness about contrast-medium-related ADRs and attract attention to the importance of properly reporting these ADRs. METHODS: A survey was generated by using an online survey webpage, and the relevant link was e-mailed to radiologists and radiology residents. The survey begins with a short explanation about the study. The second section contains questions about PV knowledge level, and the final section aims to gather information about the experienced ADRs. RESULTS: The survey was completed by 202 participants. 65.3% stated that they were aware of PV. 24.8% of the participants said that they know the national PV program. 97% told that they knew the term ADR. 66.3% of the participants encountered an ADR. 53.7% of them reported these ADRs. 70.8% of them reported these ADRs to a clinician. CONCLUSIONS: Radiologists encounter ADRs almost as frequently as the other doctors. Their awareness about PV is similar with other healthcare professionals. They have fewer information about TUFAM and PvCPs. Radiologists generally prefer to communicate with a clinician about an ADR. Overall condition of radiologists about PV is quite similar with other healthcare professionals and education can improve it, as for the others. ADVANCES IN KNOWLEDGE: Radiologists encounters ADRs almost as frequently as the other doctors. Overall condition of radiologists about PV is quite similar with other healthcare professionals and education can improve it, as for the others.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Internato e Residência , Farmacovigilância , Radiologistas , Sistemas de Notificação de Reações Adversas a Medicamentos/estatística & dados numéricos , Meios de Contraste/efeitos adversos , Humanos , Internato e Residência/estatística & dados numéricos , Radiologistas/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
13.
Plast Reconstr Surg ; 146(3): 698-707, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32842119

RESUMO

BACKGROUND: Previous studies have provided recommendations for increasing female leadership in academic plastic surgery. This study quantifies the extent to which these recommendations have been met in plastic surgery residency programs and identifies remaining institutional barriers to the advancement of women in academic plastic surgery. METHODS: An electronic survey was designed to quantify select recommendations for promoting female leadership in academic plastic surgery. The survey was distributed to either a female faculty member or a male program director at each academic plastic surgery program. An optional phone interview discussing current barriers to women's advancement followed the survey. RESULTS: Forty-nine of 92 survey recipients participated (52.7 percent response rate). Women constituted 25 percent of faculty, 22 percent of program directors, and 20 percent of program leaders of participating programs. Programs on average provided three of 11 resources. Programs with female leaders provided 6.20 resources versus 2.28 resources at departments with male chairs (p = 0.015). Programs with female program directors provided 5.50 resources versus 2.18 resources at programs with male program directors (p = 0.008). Of the 49 survey respondents, nine completed the interview (18.4 percent completion rate). The most frequently identified barriers to aspiring women leaders were opaque promotion criteria (cited by 77.8 percent of interviewees), motherhood bias (77.8 percent), and unequal recruitment practices (55.6 percent). CONCLUSIONS: The presence of a female chair or program director is associated with a greater quantity of resources for promoting female leaders. Remaining barriers to women seeking academic leadership positions include compensation and promotion disparities, motherhood bias, and unequal recruitment practices.


Assuntos
Internato e Residência/estatística & dados numéricos , Liderança , Médicas/estatística & dados numéricos , Cirurgia Plástica/educação , Feminino , Guias como Assunto , Humanos , Masculino , Sexismo , Inquéritos e Questionários , Estados Unidos
14.
Plast Reconstr Surg ; 146(2): 217e-220e, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740601

RESUMO

BACKGROUND: The gender disparity between the number of female and male chairs and program directors has been previously established. The aim of this study was to determine whether any differences in objective credentials existed between male and female plastic surgery department chairs/division chiefs and program directors. METHODS: Information about each plastic surgery program director and chair/chief was extracted from the websites of all institutions affiliated with a plastic surgery residency program. For each individual, information about the length of their career, number of fellowships completed, and number of publications was recorded. The two-tailed t test was used to compare differences between male and female chairs and program directors. RESULTS: A total of 99 chairs were recorded, of which nine (9.1 percent) were female. Of the 99 program directors, 13 (13.1 percent) were female. There was no difference in the number of years in practice or number of fellowships between men and women for either position. On average, male chairs had significantly fewer publications than female chairs (71.9 versus 128; p < 0.05). There was no significant difference in the number of publications between male and female program directors. Compared to program directors, chairs had significantly more years in practice and numbers of publications, which held true for both men and women. CONCLUSIONS: Women are not only underrepresented in the department chair and program director positions, but also possess higher qualifications that may reflect differences in standards for promotion and appointment. Additional research is needed to elucidate the reasons behind the observed differences in qualifications.


Assuntos
Docentes de Medicina/organização & administração , Internato e Residência/organização & administração , Seleção de Pessoal/ética , Sexismo , Cirurgia Plástica/organização & administração , Docentes de Medicina/estatística & dados numéricos , Bolsas de Estudo/estatística & dados numéricos , Feminino , Humanos , Internato e Residência/ética , Internato e Residência/estatística & dados numéricos , Liderança , Masculino , Publicações/estatística & dados numéricos , Cirurgia Plástica/ética , Cirurgia Plástica/estatística & dados numéricos
15.
Eur J Obstet Gynecol Reprod Biol ; 253: 48-51, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32771888

RESUMO

OBJECTIVE: to evaluate the impact of the COVID-19 pandemic on the obstetrics and gynecology residency training program in Italy. STUDY DESIGN: This was a cross-sectional survey study aimed to assess the impact of the COVID-19 pandemic on the obstetrics and gynecology residency training program in Italy. An online survey with 45 questions was sent and completed anonymously by residents after accepting an informed consent. The invitation to the online survey was sent to all the Italian residents in obstetrics and gynecology. Those on maternity leave at the time of the study were excluded. Residents were asked about their routinely activity before the COVID-19 pandemic, and to report the reduction in their clinical practice. They were also asked about psychological impact of COVID-19 on their clinical practice. RESULTS: 933 Italian residents in obstetrics and gynecology, were invited for this survey study. Four-hundred and seventy-six (51 %) completed the survey and were included in the study. Three-hundred and eighty-seven (81.3 %) were female, and 89 (18.7 %) were male. Residents age ranged from 25 to 42. In 71,8 % (342/476) of the cases residents work in a COVID-19 reference Hospitals. One-hundred and eighty-four out of 76 residents (38.6 %) were tested on RT-PCR assay of nasal and pharyngeal swab specimens, and of them 12/184 (6.5 %) were positive to SARS-COV-2. Regarding the use of personal protective equipment (PPE), 267 (56.1 %) reported to receive adequate device, and 379 (79.6 %) felt to be well informed about prevention and management protocols. Three-hundred and thirty-one residents (69.5 %) reported to have managed COVID-19 positive patients. For 54,7 % of respondent residents, training activity in general decreased significantly during the COVID-19 epidemic. A one-third reduction was reported in 31,4 % of the cases, whereas a total suspension of the training in 9,9 % of the cases. In 89,3 % of cases the reduction was caused by the reorganization of work. Anxiety about the professional future was reported in 84 % of the residents, and 59 % of them had the perception that their training was irreversibly compromised. CONCLUSIONS: Among Italian residents in obstetrics and gynecology, COVID-19 pandemic was associated with a significant training impairment.


Assuntos
Competência Clínica/estatística & dados numéricos , Infecções por Coronavirus , Ginecologia/educação , Internato e Residência/estatística & dados numéricos , Obstetrícia/educação , Pandemias , Pneumonia Viral , Adulto , Betacoronavirus , Feminino , Humanos , Itália/epidemiologia , Masculino , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/virologia
16.
Medicine (Baltimore) ; 99(27): e20901, 2020 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-32629681

RESUMO

Burnout has been commonly observed in health care workers. Though research has been conducted involving burnout among doctors in China, few studies have focused on residents during standardized residency training (SRT). The professional status of the residents during SRT remains largely unclear. The present study was conducted in order to clarify the prevalence and potential risk factors of burnout in residents during SRT.An electronic questionnaire comprised 2 parts. The first part was designed to collect some basic characteristic information. Maslach Burnout Inventory-Human Services Survey was included in the second part.As many as 71.05% residents had at least 1 scale of burnout. Emotional exhaustion (EE) was found in 55.6% residents, depersonalization (DP) in 29.7% and reduced personal accomplishment (RPA) in 41.6%. Being older than 27, senior SRT year, working time more than 60 hours per week and poor sleeping quality was independently associated with at least on scale of burnout. Being unable to receive timely supervisor support significantly increased the probability of DP and EE. Not having friends at work or feeling cared for by the hospital were independently related to all 3 symptoms of burnout as well as overall burnout.Burnout rate is high in residents under SRT from middle part of China. Organizational, professional, and social support was demonstrated critical by the potential roles in protecting against burnout. Residents with burnout were prone to considering turnover. Strategies for managing burnout related factors among residents should be focused in future studies.


Assuntos
Esgotamento Profissional/epidemiologia , Hospitais de Ensino/estatística & dados numéricos , Internato e Residência/estatística & dados numéricos , Adulto , China/epidemiologia , Estudos Transversais , Despersonalização/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Sono , Apoio Social , Local de Trabalho/psicologia , Adulto Jovem
17.
Rev Assoc Med Bras (1992) ; 66(6): 812-817, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32696877

RESUMO

OBJECTIVE Assess the impact of COVID-19 on medical students' internships in public and private institutions in Brasil, in addition to estimating the quality of the measures taken by their respective Universities in the face of the problem and the availability of personal protective equipment (PPE). METHODS A descriptive cross-sectional quantitative analysis study carried out with 317 students undergoing medical internship from March 31, 2020, to April 12, 2020. The survey was conducted through an online questionnaire using the SurveyMonkey tool with 20 questions. Interns from the fourth to the sixth year of medical schools in the country were randomly included in the study through a survey sent by Whatsapp application. Statistical analysis was performed using the Chi-Square, considering p <0.05 as significant. RESULTS Four main topics were identified in the research: student demographic data; how classes and courses are being taught; the use and ease of access to personal protective equipment and the students' fears and perspectives for the future. CONCLUSION The study clarified that although half of the students still have some degree of content and, in their majority, they are satisfied, there is still a lot of difficulty in obtaining personal protective equipment, which prevents students from returning safely to their internships.


Assuntos
Infecções por Coronavirus , Internato e Residência , Pandemias , Pneumonia Viral , Estudantes de Medicina , Betacoronavirus , Brasil/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Humanos , Internato e Residência/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Pesquisa/tendências , Inquéritos e Questionários
18.
Niger Postgrad Med J ; 27(3): 215-223, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32687122

RESUMO

Background: Burnout amongst healthcare professionals has gained significant attention over the last few decades. As a result of the intense demand from the work environment, clinicians are susceptible to developing burnout beyond the usual workplace stress. Residency training, in particular, can cause significant degree of burnout. Aim: The aim was to determine the prevalence and pattern of burnout amongst resident doctors in Benin City. Materials and Methods: This study utilised a descriptive, cross-sectional study design. A total population study was carried out amongst resident doctors in Benin City. The tool for data collection was a pretested Maslach Burnout Inventory Questionnaire-Human Services Survey for Medical Personnel. Data were analysed with IBM SPSS version 22.0 software. The level of significance was set at P < 0.05. Results: A total of 448 resident doctors with a mean age (standard deviation) of 33.9 ± 0.4 years participated in this study. A higher proportion (279, 62.3%) of the respondents were males. A total of 267 (59.6%) respondents suffered emotional exhaustion (EE), while depersonalisation and reduced personal accomplishments were suffered amongst 211 (47.1%) and 153 (34.2%), respectively. The overall prevalence of burnout was 41.7%. Long duration of call hours (P < 0.001) and speciality (P = 0.039) were found to be significantly associated with burnout. Conclusion: Burnout was prevalent amongst resident doctors in Benin City. EE was the most reported type. There is a need for relevant stakeholders to re-structure the residency programme by reducing the duration of call hours and increasing the number of resident doctors on call per shift to further address modifiable risks amongst the would-be specialists.


Assuntos
Esgotamento Profissional/psicologia , Internato e Residência/estatística & dados numéricos , Estresse Psicológico/diagnóstico , Adulto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Prevalência , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
20.
PLoS One ; 15(7): e0233004, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32609757

RESUMO

INTRODUCTION: The Electronic Health Record (EHR) has become an integral component of healthcare delivery. Survey based studies have estimated that physicians spend 4-6 hours of their workday devoted to EHR. Our study was designed to use computer software to objectively obtain time spent on EHR. METHODS: We recorded EHR time for 248 physiciansover 2 time intervals. EHR active use was defined as more than 15 keystrokes, or 3 mouse clicks, or 1700 "mouse miles" per minute. We recorded total time and % of work hours spent on EHR, and differences in those based on seniority. Physicians reported duty hours using a standardized toolkit. RESULTS: Physicians spent 3.8 (±2) hours on EHR daily, which accounted for 37% (±17%), 41% (±14%), and 45% (±12%) of their day for all clinicians, residents, and interns, respectively. With the progression of training, there was a reduction in EHR time (all p values <0.01). During the first academic quarter, clinicians spent 38% (± 8%) of time on chart review, 17% (± 7%) on orders, 28% (±11%) on documentation (i.e. writing notes) and 17% (±7%) on other activities (i.e. physician hand-off and medication reconciliation). This pattern remained unchanged during the fourth quarter. CONCLUSIONS: Physicians spend close to 40% of their work day on EHR, with interns spending the most time. There is a significant reduction in time spent on EHR with training and greater experience, although the overall amount of time spent on EHR remained high.


Assuntos
Registros Eletrônicos de Saúde/estatística & dados numéricos , Hospitais Comunitários/estatística & dados numéricos , Atitude Frente aos Computadores , Humanos , Internato e Residência/estatística & dados numéricos , Satisfação do Paciente , Médicos/estatística & dados numéricos , Fatores de Tempo
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