Impact of the COVID-19 Pandemic on Urology Practice in Indonesia: A Nationwide Survey

Rasyid, Nur; Birowo, Ponco; Parikesit, Dyandra; Rahman, Fakhri

doi:10.21203/rs.3.rs-33699/v1

Cited by 7 publications

(13 citation statements)

References 15 publications

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“…29 Fourteen articles consisted of surveys addressing residents' perception toward their learning during the pandemic, the redistribution of activity (including details on involvement on the care of COVID patients), opportunities for away rotations in surgical fields, subjective feelings, and burnout syndromes during the pandemic. 22,[31][32][33][34][35][36][37][38][39][40][41][42][43] Four papers addressed the general viewpoint of urology residents on web-based education, assessed by means of surveys. Opinions on the usefulness of videos, web-based clinical case discussions/frontal lessons/journal clubs and web faculty interviews were explored.…”

Section: Resultsmentioning

confidence: 99%

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COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

et al. 2021

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Objective: To evaluate the impact of an e-learning online event, created for supporting resident’s training during the slowdown of surgical and clinical activities caused by COVID-19 pandemic. An overview of PubMed literature depicting the state of the art of urology residency in the COVID-19 era was performed as well, to contextualize the issue. Methods: An online learning event for residents was set up at the beginning of the pandemic; the faculty consisted of experts in urology who provided on-line lectures and videos on surgical anatomy, procedures, updates in guidelines, technology, training. The audience was composed of 30–500 attendees from Italy, USA, India and Belgium. A questionnaire to analyze relevance, satisfaction and popularity of the lessons was mailed to 30 local residents. Results and limitations: Almost all residents defined the web environment suitable to achieve the learning outcomes; the method, the number and the competence of the faculty were appropriate/excellent. Most of the younger residents (81.8%) stated their surgical knowledge would improve after the course; 72.7% declared they would take advantage into routine inpatients clinical activity. Nineteen more expert residents agreed that the course would improve their surgical knowledge and enhance their practical skills; almost all stated that the initiative would change their outpatients and inpatients practice. Overall, 44 articles available in PubMed have addressed the concern of urological learning and training during the pandemic from different standpoints; four of them considered residents’ general perception towards web-based learning programs. Conclusions: The paper confirms residents’ satisfaction with e-learning methods and, to our knowledge, is the first one focusing on a specific event promptly settled up at the beginning of the outbreak. Web-based educational experience developed during the pandemic may represent the very basis for the implementation of prospective on-site training and overall scientific update of future urologists.

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Section: Resultsmentioning

confidence: 99%

“…Fourteen articles consisted of surveys addressing residents’ perception toward their learning during the pandemic, the redistribution of activity (including details on involvement on the care of COVID patients), opportunities for away rotations in surgical fields, subjective feelings, and burnout syndromes during the pandemic. 22,31–43…”

Section: Resultsmentioning

confidence: 99%

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

et al. 2021

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“…Though triaging strategies have been described, there is no standard consensus on what urologic issues can be managed via telemedicine, and no testing to assess appropriate training and proficiency when using telemedicine for urologic care [47,48]. In Indonesia and Poland, most urologists prefer a return to in-person care after the pandemic [40,41,49]. Surveys of urology residents and providers have also described worry of "suboptimal care" with continued use of telemedicine after the pandemic [8].…”

Section: Telehealth Training and Integrationmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review

et al. 2021

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Purpose of Review The COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic’s impact on urology trainees and their education. Recent Findings Urology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual “check-ins” and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and simulations were utilized to augment surgical education. Academic governing bodies upheld resident protections and provided dynamic guidance for training requirement throughout the pandemic. Medical students were unable to participate in traditional in-person away rotations and interviews, complicating the residency application process. Summary The COVID-19 pandemic shook the healthcare system and ushered in seismic changes for urology trainees worldwide. Though the longstanding effects of the pandemic remain to be seen, urology residents have demonstrated tremendous resilience and bravery throughout this challenging period, and those qualities will undeniably withstand the test of time.

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“…Pattern changes in daily clinical practices, reduction of patient visits to the outpatient clinic and surgical services, and careful selection of surgical patients were seen as a part of urological service adaptation during the COVID-19 pandemic. 4 , 5 Current literature shows a significant decrease in urology residents' clinical and surgical activities and a higher stress level during the COVID-19 pandemic in Italy and France. 6 , 7 Moreover, in Indonesia, where urology residents mainly gain surgical experiences from affiliated teaching hospital rotations, only one urology center continued rotation for residents at such hospitals.…”

Section: Introductionmentioning

confidence: 99%

“… 6 , 7 Moreover, in Indonesia, where urology residents mainly gain surgical experiences from affiliated teaching hospital rotations, only one urology center continued rotation for residents at such hospitals. 5 To overcome this limitation, various mechanisms concerning smart learning technology were rapidly adopted, such as recorded video, webinar, virtual round, and surgery simulation. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Daily activities and training experiences of urology residents during the coronavirus disease 2019 pandemic in Indonesia: A nationwide survey

Birowo

Rasyid

Mochtar

et al. 2023

Asian Journal of Urology

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Objective To explore the impact of the coronavirus disease 2019 (COVID-19) pandemic on the training experience of urology residents in Indonesia. Methods A cross-sectional study using a web-based questionnaire (SurveyMonkey) involved all registered urology residents in Indonesia. The questionnaire was structured in Bahasa Indonesia, consisted of 28 questions, and divided into three sections: Demographic characteristics, current daily activities, and opinions regarding training experiences during the COVID-19 outbreak. The survey was distributed to all respondents via chief of residents in each urology center from May 26, 2020 to Jun 2, 2020. Results Of the total 247 registered urology residents, 243 were eligible for the study. The response and completeness rate for this study were 243/243 (100%). The median age of respondents was 30 (24–38) years old, and 92.2% of them were male. Among them, 6 (2.5%) respondents were confirmed as COVID-19 positive. A decrease in residents’ involvement in clinical and surgical activities was distinguishable in endourological and open procedures. Most educational activities were switched to web-based video conferences (WVC), while others opted for the in-person method. Smart learning methods, such as joining a national/international speaker webinar or watching a recorded video, were used by 93.8% and 80.7% of the respondents, respectively. The respondents thought that educational activities using WVC and smart learning methods were effective methods of learning. Overall, the respondents felt unsure whether training experience during the COVID-19 pandemic was comparable to before the respective period. Conclusions The COVID-19 pandemic negatively affected urology residents’ training experience. However, it also opened up new possibilities for incorporating new learning methodologies in the future.

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Impact of the COVID-19 Pandemic on Urology Practice in Indonesia: A Nationwide Survey

Cited by 7 publications

References 15 publications

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

COVID-19 and slowdown of residents’ activity: Feedback from a novel e-learning event and overview of the literature

The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review

Daily activities and training experiences of urology residents during the coronavirus disease 2019 pandemic in Indonesia: A nationwide survey

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