Repercusión de la pandemia por COVID-19 en la formación de los residentes de neurología españoles

Abstract

Introducción La pandemia ocasionada por la aparición del SARS-CoV-2, ha transformado la práctica médica, y ha alterado gravemente la formación de los médicos residentes a nivel mundial. Desde la Sociedad Española de Neurología (SEN) se ha querido conocer el grado de repercusión que la COVID-19 ha tenido en el ámbito formativo entre los residentes de neurología. Método Se realizó un estudio descriptivo transversal mediante el envío de una encuesta por email a todos los residentes de neurología miembros de dicha sociedad. Se incluyeron preguntas relativas a aspectos demográficos, actividad asistencial y repercusión a nivel formativo y personal durante la pandemia, así como su previsión sobre el futuro laboral «post-COVID». Resultados De 422 encuestas, respondió un total de 152 (36%) residentes, 79 mujeres (52%) y 73 varones (48%). La distribución por año de residencia fue R4: 51 (33,6%), R3: 45 (29,6%), R2: 28 (18,4%) y R1: 28 (18,4%). La actividad de hospitalización se vio alterada en 139 (90,8%) casos. Consideraron que la situación afectaría negativamente a su formación 126 (82,8%) residentes, de los que 99 (64,7%) perdieron rotaciones no recuperables. Manifestaron deseo de alargar el periodo de residencia 101 (66%). Conclusiones La pandemia ha tenido un gravísimo impacto en todo el sistema sanitario, siendo los médicos en formación uno de los colectivos más afectados. En los residentes de neurología ha provocado notables deficiencias de su actividad formativa y asistencial como consecuencia de la suspensión de rotaciones específicas. Un alto porcentaje manifestó deseo de ampliar el periodo de residencia.

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

“…During the early waves of the pandemic, learning environments were severely affected and deteriorated, consistent with ndings from studies conducted in Spain and other countries in our region [47,48,53,54].…”

“…This reassignment to different services affected family and community medicine residents more than other specialties because of their more transversal and multidisciplinary training, allowing them to perform professionally in primary care centers, hospitals, and out-of-hospital.emergency services. All of this was associated with an increase in work hours, which resulted in less time dedicated to specialty training, similar to what has been described in other studies [47,49,50], but other studies conducted in the United States reported a decrease in face-to-face working hours in some specialties [51], which in some cases was partially compensated by an increase in the number of hours worked from home [52].…”

“…Unlike previous epidemics such as Ebola, where trainee professionals were removed from the front line [45], this was not the case in this instance, medical and nursing residents were frontline workers.As they were generally young and healthy, they were at a lower risk of developing a severe illness in case of infection. The need for personnel redistribution in areas with high demand and staff shortages due to the increasing number of patients and infections among healthcare workers [46] led to many medical and nursing residents being reassigned to other services during critical moments of the pandemic [47,48]. This reassignment to different services affected family and community medicine residents more than other specialties because of their more transversal and multidisciplinary training, allowing them to perform professionally in primary care centers, hospitals, and out-of-hospital.emergency services.…”

“…After the rst wave, a signi cant portion of training shifted from in-person to virtual to ensure COVID prevention measures and social distancing. Seminars and other didactic sessions that had been cancelled were then held virtually through online media [12]. Even residents in specialties such as radiology in the USA saw reduced training encounters, with most training being conducted online [13].…”

Respuesta emergente de la psicología frente a la covid-19

“…Pero en esta pandemia y con la restricción de "no salir de casa", ¿cómo se está intentando lograr la formación práctica de los futuros profesionales? Como docentes de instituciones universitarias conocemos las vicisitudes por las que han transcurrido las disciplinas más aplicadas como la psicología(Pereyra et al, 2020) la medicina(Cerdán et al, 2021), la enfermería(Meléndez Chávez et al, 2020; Orozco-López, 2021), las ingenierías(Aranda et al, 2020; Sánchez y Ariza, 2020;Guarnizo, 2021), y las ciencias del deporte(Nahuelpi et al, 2021;Araujo, 2020).…”