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What is the impact of the COVID-19 pandemic on emergency medicine residency training: an observational study.
Lo, Hsiang-Yun; Lin, Shen-Che; Chaou, Chung-Hsien; Chang, Yu-Che; Ng, Chip-Jin; Chen, Shou-Yen.
  • Lo HY; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan, Republic of China.
  • Lin SC; The Institute of Health Policy and Management, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.
  • Chaou CH; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan, Republic of China.
  • Chang YC; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan, Republic of China.
  • Ng CJ; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan, Republic of China.
  • Chen SY; Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan, Republic of China.
BMC Med Educ ; 20(1): 348, 2020 Oct 07.
Artículo en Inglés | MEDLINE | ID: covidwho-835832
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has caused reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods.

METHODS:

This was a retrospective study of EM resident physicians' training in a tertiary teaching hospital with two branch regional hospitals in Taiwan. We retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The first confirmed COVID-19 case in Taiwan was reported on January 11, so the pandemic period in our study was defined as spanning from February 1, 2020, to April 30, 2020. The number and characteristics of patients seen by residents were recorded. We compared the data between the prepandemic and pandemic periods.

RESULTS:

The mean number of patients per hour (PPH) seen by EM residents in the adult ED decreased in all three hospitals during the pandemic. The average PPH of critical area of medical ED was 1.68 in the pre-epidemic period and decreased to 1.33 in the epidemic period (p value < 0.001). The average number of patients managed by residents decreased from 1.24 to 0.82 in the trauma ED (p value = 0.01) and 1.56 to 0.51 in the pediatric ED (p value = 0.003) during the pandemic, respectively. The severity of patient illness did not change significantly between the periods.

CONCLUSIONS:

The COVID-19 pandemic engendered a reduced ED volume and decreased EM residents' clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients' case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus / Medicina de Emergencia / Pandemias / Internado y Residencia Tipo de estudio: Estudio experimental / Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino / Middle aged País/Región como asunto: Asia Idioma: Inglés Revista: BMC Med Educ Asunto de la revista: Educación Año: 2020 Tipo del documento: Artículo País de afiliación: S12909-020-02267-2

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus / Medicina de Emergencia / Pandemias / Internado y Residencia Tipo de estudio: Estudio experimental / Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino / Middle aged País/Región como asunto: Asia Idioma: Inglés Revista: BMC Med Educ Asunto de la revista: Educación Año: 2020 Tipo del documento: Artículo País de afiliación: S12909-020-02267-2