Reshaping ophthalmology training after COVID-19 pandemic.
Betacoronavirus
COVID-19
Comorbidity
Coronavirus Infections
/ epidemiology
Curriculum
Education, Medical, Graduate
/ organization & administration
Eye Diseases
/ epidemiology
Humans
Internship and Residency
/ organization & administration
Ophthalmology
/ education
Pandemics
Pneumonia, Viral
/ epidemiology
SARS-CoV-2
Surveys and Questionnaires
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
24
05
2020
accepted:
19
06
2020
revised:
19
06
2020
pubmed:
3
7
2020
medline:
30
10
2020
entrez:
3
7
2020
Statut:
ppublish
Résumé
The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on practical activities and didactic teaching of residents and fellows. This survey aimed to propose long-term changes for ophthalmology training based on the changes experienced by trainees and their perception of new training opportunities. An online survey was distributed to ophthalmology trainees in multiple countries. Descriptive statistics were used to analyse the data. A total of 504 analyzable responses were collected from 32 different countries. The current impact of COVID-19 pandemic was described as "severe" by most trainees (55.2%); however, the future perspective was more optimistic as demonstrated by the greater number of responses reporting a presumed "moderate" (37.3%), "mild" (14.1%) or "slight" (4.2%) long-term impact. The vast majority of trainees reported a decrease ≥50% of clinical activity (76.4%) and >75% of surgical activity (74.6%). Although an initial gap in didactic teaching has been experienced by many (55.4%), regular web-based teaching was reportedly attended by 67.7% of the respondents. A strong agreement was found regarding the worthwhile role of web-based case-presentations in clinical training (91.7%), web-based discussion of edited surgical videos (85.7%) and simulation-based practice (86.9%) in surgical training. This survey, focusing on trainees' perspective, strongly reinforces the need to promptly include new technology-based training tools, such as web-based teaching, virtual surgical simulators, and telementoring, in long-term reorganisation of ophthalmology training to ensure its continuity and effectiveness, which would remain available even in the face of another unpredictable crisis within the health system.
Sections du résumé
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on practical activities and didactic teaching of residents and fellows. This survey aimed to propose long-term changes for ophthalmology training based on the changes experienced by trainees and their perception of new training opportunities.
METHODS
An online survey was distributed to ophthalmology trainees in multiple countries. Descriptive statistics were used to analyse the data.
RESULTS
A total of 504 analyzable responses were collected from 32 different countries. The current impact of COVID-19 pandemic was described as "severe" by most trainees (55.2%); however, the future perspective was more optimistic as demonstrated by the greater number of responses reporting a presumed "moderate" (37.3%), "mild" (14.1%) or "slight" (4.2%) long-term impact. The vast majority of trainees reported a decrease ≥50% of clinical activity (76.4%) and >75% of surgical activity (74.6%). Although an initial gap in didactic teaching has been experienced by many (55.4%), regular web-based teaching was reportedly attended by 67.7% of the respondents. A strong agreement was found regarding the worthwhile role of web-based case-presentations in clinical training (91.7%), web-based discussion of edited surgical videos (85.7%) and simulation-based practice (86.9%) in surgical training.
CONCLUSIONS
This survey, focusing on trainees' perspective, strongly reinforces the need to promptly include new technology-based training tools, such as web-based teaching, virtual surgical simulators, and telementoring, in long-term reorganisation of ophthalmology training to ensure its continuity and effectiveness, which would remain available even in the face of another unpredictable crisis within the health system.
Identifiants
pubmed: 32612174
doi: 10.1038/s41433-020-1061-3
pii: 10.1038/s41433-020-1061-3
pmc: PMC7329193
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2089-2097Investigateurs
Mariantonia Ferrara
(M)
Vito Romano
(V)
Davis H Steel
(DH)
Rajen Gupta
(R)
Claudio Iovino
(C)
Elon H C van Dijk
(EHC)
Carlos Rocha-de-Lossada
(C)
Ernesto Bali
(E)
Xavier Valldeperas
(X)
Davide Romano
(D)
Kunal A Gadhvi
(KA)
Francesco Matarazzo
(F)
Argyrios Tzamalis
(A)
Piergiacomo Grassi
(P)
Rahul Rachwani
(R)
Giulia Coco
(G)
Catherine Dianne Reyes-Delfino
(CD)
Francesca Amoroso
(F)
Nakhoul Nakhoul
(N)
Francesco Sabatino
(F)
Sufiyan Shaikh
(S)
Adrian Au
(A)
Emiliano Di Carlo
(E)
Bernhard Steger
(B)
Andrea Govetto
(A)
Mario Toro
(M)
Michela Cennamo
(M)
Sibel Demirel
(S)
Pasquale Napolitano
(P)
Cristian Cartes
(C)
Raffaele Raimondi
(R)
Alessio Montericcio
(A)
Giancarlo DellʼAversana Orabona
(G)
Chiara Comune
(C)
Davide Borroni
(D)
Luca Pagano
(L)
Clara Montalbano
(C)
Danilo Iannetta
(D)
Martina Angi
(M)
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Références
Li OJ, Shantha J, Wong TY, Wong EY, Mehta J, Lin H, et al. Preparedness among ophthalmologists: during and beyond the COVID-19 pandemic. Ophthalmology. 2020;127:569–72.
doi: 10.1016/j.ophtha.2020.03.037
Wong TY, Bandello F. Academic ophthalmology during and after the COVID-19 pandemic. Ophthalmology. 2020:S0161-6420:30406-1.
Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobingeret G, et al. COVID-19: towards controlling of a pandemic. Lancet. 2020;395:1015–8.
doi: 10.1016/S0140-6736(20)30673-5
Romano MR, Montericcio A, Montalbano C, Raimondi R, Allegrini D, Ricciardelli G, et al. Facing COVID-19 in ophthalmology department. Curr Eye Res. 2020;45:653–8.
doi: 10.1080/02713683.2020.1752737
Chen RWS, Abazari A, Dhar S, Fredrick DR, Friedman IB, Dagi Glass LR, et al. Living with COVID-19: a perspective from New York area ophthalmology residency program directors at the epicenter of the pandemic. Ophthalmology. 2020:S0161-6420(20)30430-9.
Hodgson JC, Hagan P. Medical education adaptations during a pandemic: transitioning to virtual student support. Med Educ. 2020;54:662–3.
doi: 10.1111/medu.14177
Eva KW, Anderson MB. Medical education adaptations: really good stuff for educational transition during a pandemic. Med Educ. 2020;54:494.
doi: 10.1111/medu.14172
Alsafi Z, Abbas AR, Hassan A, Ali MA. The coronavirus (COVID-19) pandemic: adaptations in medical education. Int J Surg. 2020;78:64–5.
doi: 10.1016/j.ijsu.2020.03.083
Huang G, Fang CH, Lopez SA, Bhagat N, Langer PD, Eloy JA. Impact of fellowship training on research productivity in academic ophthalmology. J Surg Educ. 2015;72:410–7.
doi: 10.1016/j.jsurg.2014.10.010
Hodgetts G, Brown G, Batić-Mujanović O, Gavran L, Jatić C, Racić M, et al. Twenty-five years on: revisiting Bosnia and Herzegovina after implementation of a family medicine development program. BMC Fam Pr. 2020;21:7.
doi: 10.1186/s12875-020-1079-4
Espana-Schmidt C, Ong EC, Frishman W, Bergasa NV, Chaudhari S. Medical residency training and hospital care during and after a natural disaster: Hurricane Sandy and its effects. Am J Med. 2013;126:944–5.
doi: 10.1016/j.amjmed.2013.03.031
Schwartz AM, Wilson JM, Boden SD, Moore TJ, Jr, Bradbury TL,Jr, Fletcher ND. Managing resident workforce and education during the COVID-19 pandemic. JBJS Open Access. 2020;5:e0045.
doi: 10.2106/JBJS.OA.20.00045
Mishra A, Browning D, Haviland MJ, Jackson ML, Luff D, Meyer EC, et al. Communication skills training in ophthalmology: results of a needs assessment and pilot training program. J Surg Educ. 2018;75:417–26.
doi: 10.1016/j.jsurg.2017.08.011
Ting DSW, Lin H, Ruamviboonsuk P, Wong TY, Sim DA. Artificial intelligence, the internet of things, and virtual clinics: ophthalmology at the digital translation forefront. Lancet Digital Health. 2020;2:e8–9.
doi: 10.1016/S2589-7500(19)30217-1
McLean SF. Case-based learning and its application in medical and health-care fields: a review of worldwide literature. J Med Educ Curric Dev. 2016;3:JMECD.S20377.
doi: 10.4137/JMECD.S20377
Lee R, Raison N, Lau WY, Aydin A, Dasgupta P, Ahmed K, et al. A systematic review of simulation-based training tools for technical and non-technical skills in ophthalmology. Eye. 2020.
Hollick EJ, Allan BD. Live surgery: national survey of United Kingdom ophthalmologists. J Cataract Refract Surg. 2008;34:1029–32.
doi: 10.1016/j.jcrs.2008.02.023
van Gog T, Paas F, Marcus N, Ayres P, Sweller J. The mirror neuron system and observational learning: implications for the effectiveness of dynamic visualizations. Educ Psychol Rev. 2008;21:21–30.
Youngson GG. Teaching and assessing non-technical skills. Surgeon. 2011;9:S35–7.
doi: 10.1016/j.surge.2010.11.004
Erridge S, Yeung DKT, Patel HRH, Parkayastha S. Telementoring of surgeons: a systematic review. Surg Innov. 2019;26:95–111.
doi: 10.1177/1553350618813250
Ye Y, Wang J, Xie Y, Jiang H, Zhong J, He X, et al. Global teleophthalmology with the smartphone for microscopic ocular surgery. Eye Contact Lens. 2016;42:275–9.
doi: 10.1097/ICL.0000000000000215
Camara JG, Zabala RR, Henson RD, Senft SH. Teleophthalmology: the use of real-time telementoring to remove an orbital tumor. Ophthalmology. 2000;107:1468–71.
doi: 10.1016/S0161-6420(00)00211-6
Bandhu SD, Raje S. Experiences with E-learning in ophthalmology. Indian J Ophthalmol. 2014;62:792–4.
doi: 10.4103/0301-4738.138297
Backhaus J, Huth K, Entwistle A, Homayounfar K, Koenig S. Digital affinity in medical students influences learning outcome: a cluster analytical design comparing vodcast with traditional lecture. J Surg Educ. 2019;76:711–9.
doi: 10.1016/j.jsurg.2018.12.001
Kapoor S, Catton R, Khalil H. An evaluation of medical student-led podcasts: what are the lessons learnt? Adv Med Educ Pr. 2018;9:133–8.
doi: 10.2147/AMEP.S148513
Petrarca CA, Warner J, Simpson A, Petrarca R, Douiri A, Byrne D, et al. Evaluation of eLearning for the teaching of undergraduate ophthalmology at medical school: a randomised controlled crossover study. Eye. 2018;32:1498–503.
doi: 10.1038/s41433-018-0096-1
Mayorga EP, Bekerman JG, Palis AG. Webinar software: a tool for developing more effective lectures (online or in-person). Middle East Afr J Ophthalmol. 2014;21:123–7.
doi: 10.4103/0974-9233.129756