Impact Of COVID-19 Pandemic On Ophthalmology Residency Training- A Cross-Sectional Survey Among Pakistani Residents

M. Shaheer, Asima Rafique
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Abstract

Background: The purpose of this study was to get an idea of the impact of COVID-19 on Ophthalmology post-graduate training. Materials & methods: This cross-sectional questionnaire-based study was conducted at the College of Ophthalmology and Allied Vision Sciences/Eye Unit III (King Edward Medical University), Lahore from 01-03-2021 to 31-08-2021. A web-based close-ended questionnaire (Google form) was developed consisting of questions related to residency training in the wake of the COVID-19 pandemic. Eighty-one Ophthalmology residents from across the country participated in this survey. Based on the responses to 21 questions, percentages of various variables in questions were calculated. Data analysis was done on SPSS version 22. Responses to questions are mainly presented as percentages. A chi-square test was applied to see the significant difference in survey questions. For categorical variables, Fisher’s Exact test was applied. P-value ≤0.05 is considered significant. Results: Twenty-seven ophthalmology residents were 1st year residents 23 were 2nd year residents while 3rd and 4th year residents were 14 and 17 respectively. 33% of residents thought their surgical training was affected badly due to covid-19 pandemic while 55% of them were concerned about their basic cataract surgery skills. 67% of residents were in favour of their training extension for 6-12 months. The majority of residents stated that COVID-19 affected their training adversely (p=0.000) and cataract surgery training was the most affected one (p=0.000) Conclusion: The COVID-19 pandemic has severely affected the clinical and surgical training of post-graduate ophthalmology residents. Formulation of institution-based & nationwide short and long-term strategies regarding web-based teaching, surgical simulation courses and necessary adjustments in curriculum are the need of the hour.
COVID-19 大流行对眼科住院医师培训的影响--对巴基斯坦住院医师的横断面调查
背景:本研究旨在了解 COVID-19 对眼科研究生培训的影响。 材料与方法:这项横断面问卷调查研究于 2021 年 3 月 1 日至 2021 年 8 月 31 日在拉合尔爱德华国王医科大学眼科学与视觉科学学院/眼科三组进行。该研究开发了一个基于网络的封闭式问卷(谷歌表格),其中包含与 COVID-19 大流行后住院医师培训相关的问题。来自全国各地的 81 名眼科住院医师参与了此次调查。根据对 21 个问题的回答,计算了问题中各种变量的百分比。数据分析采用 SPSS 22 版本。对问题的回答主要以百分比表示。对调查问题的显著差异采用了卡方检验。对于分类变量,则采用费雪精确检验。P 值≤0.05 为显著。 结果27名眼科住院医师为一年级住院医师,23名为二年级住院医师,三年级和四年级住院医师分别为14名和17名。33%的住院医师认为他们的手术培训因covid-19大流行而受到严重影响,55%的住院医师对他们的白内障手术基本技能表示担忧。67%的住院医师赞成将他们的培训时间延长6-12个月。大多数住院医师表示COVID-19对他们的培训产生了不利影响(P=0.000),而白内障手术培训是受影响最大的一项(P=0.000):COVID-19大流行严重影响了眼科住院医师研究生的临床和手术培训。当务之急是制定以机构为基础的、全国性的短期和长期战略,包括网络教学、手术模拟课程和必要的课程调整。
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