Impact of COVID-19 outbreak on clinical practice and training of young gastroenterologists: A European survey.
Adult
Ambulatory Care
/ statistics & numerical data
COVID-19
Endoscopy, Digestive System
/ statistics & numerical data
Europe
Female
France
Gastroenterologists
/ statistics & numerical data
Gastroenterology
/ education
Humans
Italy
Male
Mentors
Personal Protective Equipment
/ supply & distribution
Portugal
Practice Patterns, Physicians'
/ statistics & numerical data
Romania
Spain
Surveys and Questionnaires
Covid-19
Gastroenterology
Personal protective equipment
Survey
Training
Journal
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
ISSN: 1878-3562
Titre abrégé: Dig Liver Dis
Pays: Netherlands
ID NLM: 100958385
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
21
04
2020
revised:
14
05
2020
accepted:
15
05
2020
pubmed:
9
6
2020
medline:
15
12
2020
entrez:
9
6
2020
Statut:
ppublish
Résumé
SARS-CoV-2 disease (COVID-19) is a major challenge for the healthcare system and physicians, imposing changes in daily clinical activity. we aimed to describe what European trainees and young gastroenterologists know about COVID-19 and identify training gaps to implement educational programs. A prospective web-based electronic survey was developed and distributed via e-mail to all members of the Italian Young Gastroenterologist and Endoscopist Association and to European representatives. One hundred and ninety-seven subjects participated in the survey, of whom 14 (7.1%) were excluded. The majority were gastroenterologists in training (123, 67.7%) working in institutions with COVID-19 inpatients (159, 86.9%), aged ≤30 years (113, 61.8%). The activity of Gastroenterology Units was restricted to emergency visits and endoscopy, with reductions of activities of up to 90%. 84.5% of participants felt that the COVID-19 outbreak impacted on their training, due to unavailability of mentors (52.6%) and interruption of trainee's involvement (66.4%). Most participants referred absence of training on the use of personal protective equipment, oxygen ventilation systems and COVID-19 therapies. COVID-19 outbreak significantly impacted on gastroenterologists' clinical activity. The resources currently deployed are inadequate, and therefore educational interventions to address this gap are warranted in the next future.
Sections du résumé
BACKGROUND
SARS-CoV-2 disease (COVID-19) is a major challenge for the healthcare system and physicians, imposing changes in daily clinical activity.
AIMS
we aimed to describe what European trainees and young gastroenterologists know about COVID-19 and identify training gaps to implement educational programs.
METHODS
A prospective web-based electronic survey was developed and distributed via e-mail to all members of the Italian Young Gastroenterologist and Endoscopist Association and to European representatives.
RESULTS
One hundred and ninety-seven subjects participated in the survey, of whom 14 (7.1%) were excluded. The majority were gastroenterologists in training (123, 67.7%) working in institutions with COVID-19 inpatients (159, 86.9%), aged ≤30 years (113, 61.8%). The activity of Gastroenterology Units was restricted to emergency visits and endoscopy, with reductions of activities of up to 90%. 84.5% of participants felt that the COVID-19 outbreak impacted on their training, due to unavailability of mentors (52.6%) and interruption of trainee's involvement (66.4%). Most participants referred absence of training on the use of personal protective equipment, oxygen ventilation systems and COVID-19 therapies.
CONCLUSION
COVID-19 outbreak significantly impacted on gastroenterologists' clinical activity. The resources currently deployed are inadequate, and therefore educational interventions to address this gap are warranted in the next future.
Identifiants
pubmed: 32507619
pii: S1590-8658(20)30233-4
doi: 10.1016/j.dld.2020.05.023
pmc: PMC7245276
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1396-1402Informations de copyright
Copyright © 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest None declared.
Références
Lancet Respir Med. 2020 May;8(5):434-436
pubmed: 32203710
JAMA. 2020 Jun 2;323(21):2131-2132
pubmed: 32232420
Lancet. 2020 Apr 11;395(10231):1225-1228
pubmed: 32178769
Lancet Infect Dis. 2020 Jul;20(7):777-778
pubmed: 32213335
Lancet Glob Health. 2020 Apr;8(4):e480
pubmed: 32109372
Minerva Urol Nefrol. 2020 Aug;72(4):505-509
pubmed: 32253371
BMJ. 2020 Mar 26;368:m1254
pubmed: 32217525
Eur Respir Rev. 2020 Apr 3;29(155):
pubmed: 32248146
Gut. 2020 Jun;69(6):991-996
pubmed: 32241897
Gastroenterology. 2020 May;158(6):1518-1519
pubmed: 32142785
Lancet. 2020 Mar 21;395(10228):922
pubmed: 32199474
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Aliment Pharmacol Ther. 2020 May;51(9):843-851
pubmed: 32222988
Gastrointest Endosc. 2020 Jul;92(1):192-197
pubmed: 32179106
Gastroenterology. 2020 Jul;159(1):363-366.e3
pubmed: 32283102
J Allergy Clin Immunol. 2020 May;145(5):1357-1359
pubmed: 32243877
Psychiatry Res. 2020 May;287:112915
pubmed: 32199182
Gastroenterology. 2020 Jul;159(1):81-95
pubmed: 32251668
Exp Ther Med. 2020 Jun;19(6):3451-3453
pubmed: 32346406
Gastrointest Endosc. 2020 Sep;92(3):519-523
pubmed: 32353457
Front Med. 2020 Apr;14(2):229-231
pubmed: 32212058
J Surg Educ. 2020 Jul - Aug;77(4):729-732
pubmed: 32253133
Sci Total Environ. 2020 Jul 10;725:138532
pubmed: 32304970
Nat Rev Gastroenterol Hepatol. 2020 May;17(5):253-255
pubmed: 32214232
Gastroenterology. 2020 May;158(6):1831-1833.e3
pubmed: 32142773
Nature. 2020 Mar;579(7798):265-269
pubmed: 32015508