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Impact of SARS-CoV-...
Impact of SARS-CoV-2 on training and mental well-being of surgical gynecological oncology trainees
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Gaba, F (författare)
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Blyuss, O (författare)
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Rodriguez, I (författare)
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Dilley, J (författare)
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Wan, YLL (författare)
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Saiz, A (författare)
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- Razumova, Z (författare)
- Karolinska Institutet
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Zalewski, K (författare)
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Nikolova, T (författare)
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Selcuk, I (författare)
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Bizzarri, N (författare)
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Theofanakis, C (författare)
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Lanner, M (författare)
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Pletnev, A (författare)
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Gurumurthy, M (författare)
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Manchanda, R (författare)
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(creator_code:org_t)
- 2021-07-29
- 2021
- Engelska.
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Ingår i: International journal of gynecological cancer : official journal of the International Gynecological Cancer Society. - : BMJ. - 1525-1438. ; 31:9, s. 1268-1277
- Relaterad länk:
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https://ijgc.bmj.com...
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http://kipublication...
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https://doi.org/10.1...
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Abstract
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- The SARS-CoV-2 global pandemic has caused a crisis disrupting health systems worldwide. While efforts are being made to determine the extent of the disruption, the impact on gynecological oncology trainees/training has not been explored. We conducted an international survey of the impact of SARS-CoV-2 on clinical practice, medical education, and mental well-being of surgical gynecological oncology trainees.MethodsIn our cross-sectional study, a customized web-based survey was circulated to surgical gynecological oncology trainees from national/international organizations from May to November 2020. Validated questionnaires assessed mental well-being. The Wilcoxon rank-sum test and Fisher’s exact test were used to analyse differences in means and proportions. Multiple linear regression was used to evaluate the effect of variables on psychological/mental well-being outcomes. Outcomes included clinical practice, medical education, anxiety and depression, distress, and mental well-being.ResultsA total of 127 trainees from 34 countries responded. Of these, 52% (66/127) were from countries with national training programs (UK/USA/Netherlands/Canada/Australia) and 48% (61/127) from countries with no national training programs. Altogether, 28% (35/125) had suspected/confirmed COVID-19, 28% (35/125) experienced a fall in household income, 20% (18/90) were self-isolated from households, 45% (57/126) had to re-use personal protective equipment, and 22% (28/126) purchased their own. In total, 32.3% (41/127) of trainees (16.6% (11/66) from countries with a national training program vs 49.1% (30/61) from countries with no national training program, p=0.02) perceived they would require additional time to complete their training fellowship. The additional training time anticipated did not differ between trainees from countries with or without national training programs (p=0.11) or trainees at the beginning or end of their fellowship (p=0.12). Surgical exposure was reduced for 50% of trainees. Departmental teaching continued throughout the pandemic for 69% (87/126) of trainees, although at reduced frequency for 16.1% (14/87), and virtually for 88.5% (77/87). Trainees reporting adequate pastoral support (defined as allocation of a dedicated mentor/access to occupational health support services) had better mental well-being with lower levels of anxiety/depression (p=0.02) and distress (p<0.001). Trainees from countries with a national training program experienced higher levels of distress (p=0.01). Mean (SD) pre-pandemic mental well-being scores were significantly higher than post-pandemic scores (8.3 (1.6) vs 7 (1.8); p<0.01).ConclusionSARS-CoV-2 has negatively impacted the surgical training, household income, and psychological/mental well-being of surgical gynecological oncology trainees. The overall clinical impact was worse for trainees in countries with no national training program than for those in countries with a national training program, although national training program trainees reported greater distress. COVID-19 sickness increased anxiety/depression. The recovery phase must focus on improving mental well-being and addressing lost training opportunities.
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- Av författaren/redakt...
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Gaba, F
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Blyuss, O
-
Rodriguez, I
-
Dilley, J
-
Wan, YLL
-
Saiz, A
-
visa fler...
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Razumova, Z
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Zalewski, K
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Nikolova, T
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Selcuk, I
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Bizzarri, N
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Theofanakis, C
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Lanner, M
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Pletnev, A
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Gurumurthy, M
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Manchanda, R
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visa färre...
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Karolinska Institutet