A Multinational Study of The Impact of Covid-19 On Urologic Surgery Residency and Wellbeing

Goldman, Charlotte; Pradère, Benjamin; Talso, Michele; Bernardino, Rui; Campi, Riccardo; Marchalik, Daniel

doi:10.1016/j.urology.2022.01.069

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Virtual care has been another key point in the process. Virtual care is a work method that residents in medicine and nursing, as well as experienced professionals, were not accustomed to in general, and there were no competencies regarding it in the training programs of residents in medicine and nursing [55,56]. Up until the pandemic, the training of residents in medicine and nursing in clinical encounters and communication skills had been focused on acquiring abilities for in-person care in various healthcare settings.…”

Section: Discussionmentioning

confidence: 99%

Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: A Photovoice study

Elena,

Raquel,

Paloma

et al. 2024

Preprint

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Background: The COVID-19 pandemic brought about sudden changes in healthcare demands, necessitating additional healthcare professionals and altering the educational landscape for medical and nursing residents. This study aimed to explore the experiences and impact of the pandemic on the training of family and community medicine as well as family and community nursing residents. Method: A participatory qualitative study was conducted using the Photovoice methodology. Seven residents in family and community medicine and nursing in the Madrid region were purposively sampled. Participants took photographs and engaged in weekly sessions over five weeks to discuss and analyse their photos, which were grouped into themes and further categorized. Recommendations for institutions and program leaders were developed using an adapted logical framework approach. Results: The average age was 27 years, with 86% being female. Participants captured 96 photographs categorized into five themes (physical and emotional impact; impact on primary care system; hospital care ; social and environmental impact ; and impact on training). Through critical discussions on impact on training-related photos, seven emergent themes were identified: 1) COVID-19 monograph, buried knowledge; 2) Changing roles ; 3) Transition from face-to-face to online delivery format ; 4) Supervision; 5) Tutor as educator and caregiver ; 6) Advocacy ; 7) Family and nursing residents as agents of change. Subsequently, participants formulated seven recommendations that should be considered in similar situations. Conclusion: The COVID-19 pandemic has posed significant challenges in implementing medical education programs. It has had both formative and professional impacts on medical and nursing residents. These findings can aid in designing coping and educational strategies to navigate exceptional situations such as the one experienced during the pandemic.

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Section: Discussionmentioning

confidence: 99%

Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: A Photovoice study

Elena,

Raquel,

Paloma

et al. 2024

Preprint

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“…fURS for <2 cm stones located above the iliac vessels has demonstrated superior stone-free rates in a single procedure when compared to SWL. PCNL is still recommended by both the AUA and European Association of Urology guidelines as the first-line approach for stones in an intrarenal location which are >2 cm in size [5,6]. However, recent years have seen an expanded role for fURS to include larger stones, particularly in patients with other comorbidities such as obesity, musculoskeletal conditions precluding positioning for PCNL or in those on anticoagulants for a variety of associated medical disorders [7-10].…”

Section: Clinical Applications Of the Iau Guideline On Retrograde Int...mentioning

confidence: 99%

“…Screening prevalence of depression and burnout symptoms were as high as 55%, and female sex and lack of programme resources for well‐being were identified as significant predictors. A smaller survey of United States and European urology residents similarly identified concerns regarding operative volume during the pandemic [6]. Rates of depression and burnout were similar between the groups and not substantially different than pre‐pandemic levels.…”

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confidence: 99%

After the surge: flattening the curve of physician burnout in the United States and beyond

Koo

Granberg

2023

BJU International

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Among the hugely consequential effects of the coronavirus disease 2019 (COVID-19) pandemic, those impacting the healthcare community have been some of the most disruptive and persistent. Although we are now several years after the early days when frontline workers faced unprecedented physical and emotional challenges, we are still discovering the far-reaching secondary and tertiary consequences of COVID-19 on patients, families, colleagues, and trainees.

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“…Research teams faced numerous challenges, including work-fromhome orders and limited access to COVID-19 patients based on the recommendations of the Center for Disease Control and the World Health Organization [4][5][6][7][8]. Other aspects of COVID-19 challenges on medical education and training have been investigated [9][10][11] and have shown significant strain on medical professionals regardless of location or profession. A systematic review by Sathian et al [12] published in 2020 indicated that clinical trials experienced delays or complete halt of operations.…”

Section: Introductionmentioning

confidence: 99%

Research Staff COVID-19 Pandemic Survey-Results from the Prevention and Early Treatment of Acute Lung Injury (PETAL) Network

Gill,

Bissonette,

Cook

et al. 2023

COVID

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Objectives: There is a lack of knowledge about the challenges of researchers who continued in-person research during the early phases of the COVID-19 pandemic. Design: Electronic survey assessing work-related exposure to COVID-19, logistical challenges, and procedural changes during the first year of the COVID-19 pandemic on clinical research. Setting: National Heart, Lung, and Blood Institute-sponsored Prevention and Early Treatment of Acute Lung Injury Clinical Trial Network Centers. Subjects: Research staff at research Network Sites. Measurements and Main Results: The 37-question survey was completed by 277 individuals from 24 states between 29 September 2020, and 12 December 2020, yielding a response rate of 37.7%. Most respondents (91.5%) indicated that non-COVID-19 research was affected by COVID-19 research studies. In response to the COVID-19 pandemic, 20% of respondents were reassigned to different roles at their institution. Many survey takers were exposed to COVID-19 (56%), with more than 50% of researchers requiring a COVID-19 test and 8% testing positive. The fear of infection was 2.7-times higher compared to pre-COVID-19 times. Shortages of personal protective equipment were encountered by 34% of respondents, primarily due to lack of access to N95 masks, followed by gowns and protective eyewear. Personal protective equipment reallocation from research to clinical use was reported by 31% of respondents. Most of the respondents (88.5%), despite these logistical challenges, indicated their willingness to enroll COVID-19 patients. Conclusions: During the first year of the COVID-19 pandemic, members of the research network were engaged in COVID-19 research despite logistical challenges, limited access to personal protective equipment, and fear of exposure. The research network’s survey experience can inform ongoing policy discussions to create research enterprises that can dexterously refocus research to address the knowledge gaps associated with novel public health emergencies while mitigating the effect of pandemics on existing research projects and research personnel.

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A Multinational Study of The Impact of Covid-19 On Urologic Surgery Residency and Wellbeing

Cited by 7 publications

References 31 publications

Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: A Photovoice study

Experiences of family and community care physicians and nurse residents in Madrid regarding their training during the COVID-19 pandemic: A Photovoice study

After the surge: flattening the curve of physician burnout in the United States and beyond

Research Staff COVID-19 Pandemic Survey-Results from the Prevention and Early Treatment of Acute Lung Injury (PETAL) Network

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