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The Effect of COVID-19 Pandemic on Performance of Postgraduate Medical Trainee Doctors: A Nationwide Epidemiological Study in Pakistan.
Afzal, Saira; Masood, Muhammad Hasan; Salman, Fariha; Gondal, Khalid Masud; Arshad, Amber.
  • Afzal S; Department of Community Medicine, King Edward Medical University, Lahore, Pakistan.
  • Masood MH; Department of Surgery, King Edward Medical University, Lahore, Pakistan.
  • Salman F; Department of Community Medicine, King Edward Medical University, Lahore, Pakistan.
  • Gondal KM; Department of Surgery, King Edward Medical University, Lahore, Pakistan.
  • Arshad A; Department of Community Medicine, King Edward Medical University, Lahore, Pakistan.
J Coll Physicians Surg Pak ; 31(2): 182-187, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1110942
ABSTRACT

OBJECTIVE:

To find out various organizational, personal, and systemic factors influencing the performance of the postgraduate trainee doctors in managing COVID-19 pandemic. STUDY

DESIGN:

Analytical cross-sectional study. PLACE AND DURATION OF STUDY Conducted in various medical institutions of Pakistan from 15th  April to 30th  June, 2020.

METHODOLOGY:

An analytical cross-sectional study was conducted on 11,656 postgraduate doctors. They were contacted through the e-log system of College of Physicians and Surgeons Pakistan. Semi-structured questionnaire was used consisting of demographic details, presenting symptoms, systemic involvements, clinical features, diagnostic tests, management of cases, authenticity of the  information used, telemedicine services, practice of preventive measures, training and interactive educational activities, performance-based tasks and details about workplace environment. Mean and standard deviation was reported for continuous variables. Bivariate and multivariate analyses were used to report p values.

RESULTS:

Among 11,656 postgraduate doctors, 3,193 (27.4%) were directly involved in the management of COVID-19 patients in designated special corona facilities. Multivariate analysis was performed to control confounders. The risk factors, found statistically significant with performance, were presence of comorbidity (OR 1.261; 95% C.I.1.06-1.50), allergic and autoimmune disorders (OR 1.18; 95% C.I.1.03-1.35), confirmed COVID-19 status due to exposure (OR 0.570; 95% C.I.0.41-0.81), and care provision to old parents (OR 1.299; 95% C.I.1.19-1.42).

CONCLUSION:

The effect of COVID-19 on performance of postgraduate doctors was multi-factorial. Significant risk factors were presence of a comorbidity, allergic and autoimmune disorders, and confirmed COVID-19 due to exposure. Key Words COVID 19, Postgraduate trainee, Pandemic, Comorbidity, PCR.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Physicians / Depression / Education, Medical, Graduate / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Coll Physicians Surg Pak Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: Jcpsp.2021.02.182

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Physicians / Depression / Education, Medical, Graduate / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: J Coll Physicians Surg Pak Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: Jcpsp.2021.02.182