دورية أكاديمية

Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents.

التفاصيل البيبلوغرافية
العنوان: Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents.
المؤلفون: Prezotti JA; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Henriques JVT; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Favorito LA; Unidade de Pesquisa Urogenital, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Rio de Janeiro, RJ, Brasil., Canalini AF; Disciplina de Urologia, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Rio de Janeiro, RJ, Brasil., Machado MG; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Brandão TBV; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Barbosa AMV; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Moromizato JKM; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Anzolch KMJ; Serviço de Urologia, Hospital Moinhos de Vento, Porto Alegre, RS, Brasil., Fernandes RC; Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil., Rodrigues FRA; Divisão de Urologia, Universidade de Brasília - UNB, Brasília, DF, Brasil., Bellucci CHS; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil., Silva CS; Departamento de Cirurgia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil., Pompeo ACL; Disciplina de Urologia, Universidade Federal do ABC - UFABC, Santo André, SP, Brasil., de Bessa J Jr; Departamento de Cirurgia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil., Gomes CM; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
المصدر: International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2021 Jul-Aug; Vol. 47 (4), pp. 753-776.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Brazilian Society of Urology Country of Publication: Brazil NLM ID: 101158091 Publication Model: Print Cited Medium: Internet ISSN: 1677-6119 (Electronic) Linking ISSN: 16775538 NLM ISO Abbreviation: Int Braz J Urol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Rio de Janerio, RJ, Brazil : Brazilian Society of Urology, [2002]-
مواضيع طبية MeSH: COVID-19* , Internship and Residency* , Urology*/education, Brazil ; Health Education ; Humans ; Life Style ; SARS-CoV-2 ; Surveys and Questionnaires
مستخلص: Objectives: To evaluate the impact of COVID-19 on clinical and surgical practice, educational activities, health and lifestyle behavior of Brazilian urology residents.
Materials and Methods: A web-based survey was sent to 468 Brazilian urology residents from postgraduate years (PGY) 3 to 5 to collect data on clinical practice and training after 4 months of COVID-19. We also assessed health-related and behavior changes, rate of infection by SARS-CoV-2, deployment to the front line of COVID-19, residents' concerns, and access to personal protective equipment (PPE).
Results: Massive reductions in elective and emergency patient consultations, diagnostic procedures and surgeries were reported across the country, affecting PGY 3 to 5 alike. Most in-person educational activities were abolished. The median damage to the urological training expected for 2020 was 6.0 [3.4 -7.7], on a scale from 0 to 10, with senior residents estimating a greater damage (P < 0.001). Educational interventions developed included online case-based discussions, subspeciality conferences and lectures, and grand rounds. Most senior residents favored extending residency to compensate for training loss and most younger residents favored no additional training (p< 0.001). Modifications in health and lifestyle included weight gain (43.8%), reduced physical activity (68.6%), increased alcoholic intake (44.9%) and cigarette consumption (53.6%), worsening of sexual life (25.2%) and feelings of sadness or depression (48,2%). Almost half were summoned to work on the COVID-19 front-line and 24.4% had COVID-19. Most residents had inadequate training to deal with COVID-19 patients and most reported a shortage of PPE. Residents' concerns included the risk of contaminating family members, being away from residency program, developing severe COVID-19 and overloading colleagues.
Conclusions: COVID-19 had a massive impact in Brazilian urology residents´ training, health and lifestyle behavior, which may reflect what happened in other medical specialties. Studies should confirm these findings to help developing strategies to mitigate residents' losses.
Competing Interests: None declared.
(Copyright® by the International Brazilian Journal of Urology.)
References: Trends Pharmacol Sci. 1992 Mar;13(3):87-90. (PMID: 1374198)
Curr Urol Rep. 2020 Oct 22;21(12):50. (PMID: 33090272)
Int J Environ Res Public Health. 2020 Aug 17;17(16):. (PMID: 32824596)
Int Braz J Urol. 2020 Nov-Dec;46(6):1042-1071. (PMID: 32539253)
Minerva Urol Nefrol. 2020 Jun;72(3):369-375. (PMID: 32202401)
Updates Surg. 2020 Jun;72(2):269-280. (PMID: 32557207)
Can Urol Assoc J. 2020 Jun;14(6):E233-E236. (PMID: 32525801)
Lancet Psychiatry. 2020 Mar;7(3):228-229. (PMID: 32032543)
Ann Intern Med. 2020 Sep 1;173(5):387-389. (PMID: 32384139)
Addict Behav. 2020 Nov;110:106532. (PMID: 32652385)
Prog Urol. 2020 Jun - Jul;30(8-9):448-455. (PMID: 32376208)
Eur Urol. 2019 Apr;75(4):702-703. (PMID: 30616943)
Epidemiol Serv Saude. 2020 Sep 25;29(4):e2020407. (PMID: 32997069)
J Urol. 2020 Nov;204(5):1039-1045. (PMID: 32463716)
Minerva Urol Nefrol. 2020 Aug;72(4):505-509. (PMID: 32253371)
Urology. 2020 Jul;141:15-19. (PMID: 32339555)
Arch Sex Behav. 2020 Nov;49(8):2735-2738. (PMID: 32696154)
Psychiatry Res. 2020 Jul;289:113050. (PMID: 32387790)
N Engl J Med. 2020 Jun 18;382(25):e96. (PMID: 32268020)
Int Braz J Urol. 2020 Jul;46(suppl.1):165-169. (PMID: 32550707)
Int J Clin Pract. 2020 Sep;74(9):e13559. (PMID: 32460433)
Urology. 2020 Jun;140:1-3. (PMID: 32247725)
Actas Urol Esp (Engl Ed). 2021 Jan-Feb;45(1):39-48. (PMID: 33168176)
Am J Physiol Heart Circ Physiol. 2020 Jun 1;318(6):H1441-H1446. (PMID: 32412779)
Int Braz J Urol. 2020 Jul-Aug;46(4):501-510. (PMID: 32271512)
Indian J Ophthalmol. 2020 Jun;68(6):999-1004. (PMID: 32461413)
فهرسة مساهمة: Keywords: COVID-19; Education, Medical; Surveys and Questionnaires
تواريخ الأحداث: Date Created: 20210413 Date Completed: 20210416 Latest Revision: 20240813
رمز التحديث: 20240813
مُعرف محوري في PubMed: PMC8321480
DOI: 10.1590/S1677-5538.IBJU.2021.99.09
PMID: 33848067
قاعدة البيانات: MEDLINE
الوصف
تدمد:1677-6119
DOI:10.1590/S1677-5538.IBJU.2021.99.09