How Can the COVID-19 Pandemic Lead to Positive Changes in Urology Residency?

Francesca Maria Carini, Carlo Pavone, Vincenzo Serretta, Isabella Sperduti, Paolo Verze, Alessandro Sciarra, Matteo Ferro, Riccardo Schiavina, Gennaro Musi, Davide Arcaniolo, Simon L. Conti, Giovanni Lughezzani, Gian Maria Busetto, Francesco Soria, Luca Di Gianfrancesco, Alessandro Antonelli, Fabrizio Dal Moro, Carlo Terrone, Marco Racioppi, Sebastiano CiminoFrancesco Del Giudice, Ettore De Berardinis, Francesco Greco, Michele Marchioni, Martina Maggi, Angelo Porreca, Michele Gallucci, Giorgio Ivan Russo, Elisabetta Costantini, Alessandro Veccia, Bernardo Rocco, Walter Artibani, Andrea Mari, Nicola Longo, Marco Borghesi, Claudio Simeone, Pasquale Di Tonno, Emanuele Montanari, Eugenio Brunocilla, Maria Angela Cerruto, Andrea Minervini, Luigi Schips, Marco De Sio, Ottavio De Cobelli, Antonello De Lisa, Paolo Gontero, Pierluigi Bove, Giuseppe Carrieri, Luigi Cormio, Andrea Benedetto Galosi, Francesco Porpiglia, Savino Mauro Di Stasi, Vincenzo Mirone, Carlo Trombetta, Andrea Tubaro, Giorgio Guazzoni, Roberto Mario Scarpa, Francesco Montorsi, Giovanni Liguori, Rocco Damiano, Marco Carini, Rocco Papalia, Giuseppe Lucarelli, Massimo Madonia, Alberto Briganti, Anna Maria Sciarra, Annunziata Briganti, Antonella Antonelli, Paolo Verze

Risultato della ricerca: Articlepeer review

Abstract

The COVID-19 outbreak, in a few weeks, overloaded Italian hospitals, and the majority of medical procedures were postponed. During the pandemic, with hospital reorganization, clinical and learning activities performed by residents suffered a forced remodulation. The objective of this study is to investigate how urology training in Italy has been affected during the COVID-19 era. In this multi-academic study, we compared residents' training during the highest outbreak level with their previous activity. Overall 387 (67.1%) of the 577 Italian Urology residents participated in a 72-h anonymous online survey with 36 items sent via email. The main outcomes were clinical/surgical activities, social distancing, distance learning, and telemedicine. Clinical and learning activity was significantly reduced for the overall group, and after categorizing residents as those working only in COVID hospitals, both “junior” and “senior” residents, and those working in any of three geographical areas created (Italian regions were clustered in three major zones according to the prevalence of COVID-19). A significant decrease in outpatient activity, invasive diagnostic procedures, and endoscopic and major surgeries was reported. Through multivariate analysis, the specific year of residency has been found to be an independent predictor for all response modification. Being in zone 3 and zone 2 and having “senior” resident status were independent predictors associated with a lower reduction of the clinical and learning activity. Working in a COVID hospital and having “senior” resident status were independent predictors associated with higher reduction of the outpatient activity. Working in zone 3 and having “senior” resident status were independent predictors of lower and higher outpatient surgical activity, respectively. Working in a COVID hospital was an independent predictor associated with robotic surgical activity. The majority of residents reported that distance teaching and multidisciplinary virtual meetings are still not used, and 44.8% reported that their relationships with colleagues decreased. The COVID-19 pandemic presents an unprecedented challenge, including changes in the training and education of urology residents. The COVID era can offer an opportunity to balance and implement innovative solutions that can bridge the educational gap and can be part of future urology training.
Lingua originaleEnglish
Numero di pagine10
RivistaFrontiers in Surgery
Volume7
Stato di pubblicazionePublished - 2020

All Science Journal Classification (ASJC) codes

  • Surgery

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