La educación médica frente a la exposición al SARS COV-2: logros de competencia de un médico residente en el campo de la uroginecología
Palabras clave:
COVID-19, educación médicaResumen
La propagación del CoV-2 del SARS afecta a la educación médica. Los pacientes con casos uroginecológicos son en su mayoría pacientes de edad avanzada que están en riesgo de exposición al virus. Este trabajo tiene como objetivo revisar la educación de los residentes en el campo de la uroginecología durante la pandemia y cómo los residentes pueden lograr una competencia adecuada. Este estudio examina los puntos de vista de varios artículos de investigación anteriores y luego los recopila en una revisión narrativa. Las nuevas recomendaciones, como los servicios en los centros de salud, así como las visitas programadas o los servicios virtuales, repercuten en la reducción del número de casos, el contacto limitado con los pacientes, la exposición al virus desde los lugares de práctica, el aprendizaje en línea y la participación de los médicos residentes en el manejo de casos de CoV-2 para otras unidades. Los médicos residentes necesitan alcanzar la competencia para convertirse en profesionales en sus campos. Lo que hay que tener en cuenta es que la práctica directa con los pacientes, la realización de exámenes, la elaboración de diagnósticos y la aplicación de terapias con casos reales no pueden sustituirse por el aprendizaje en línea. La formación médica de los residentes debe garantizar la seguridad en la obtención de la educación y la práctica en el hospital para cumplir con la tarea de atender a los pacientes, el acceso a la salud mental en una pandemia y la formación basada en la simulación. Todas estas intervenciones están diseñadas para garantizar que la competencia de los graduados conseguida antes o durante el COVID-19 sea la misma: médicos profesionales y competentes en sus campos.
Citas
Sahi PK, Mishra D, Singh T. Medical Education Amid the COVID-19 Pandemic. Indian Pediatr. 2020;57(7):652-657
S Khan and A Mian. Medical education: COVID-19 and surgery. Br J Surg. 2020; 107(8): e269
Ahmed H, Allaf M, Elghazaly H. COVID-19, and medical education [published correction appears in Lancet Infect Dis. 2020;20(5):e79]. Lancet Infect Dis. 2020;20(7):777-778.
Rhim HC, Han H. Teaching online: foundational concepts of online learning and practical guidelines. Korean J Med Educ. 2020;32(3):175-183.
Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, Ashwieb A, Ghula M, Ben Hasan H, Abudabuos S, Alameen H, Abokhdhir T, Anaiba M, Nagib T, Shuwayyah A, Benothman R, Arrefae G, Alkhwayildi A, Alhadi A, Zaid A, Elhadi M. Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020;15(11):e0242905.
Okhunov Z, Safiullah S, Patel R, Juncal S, Garland H, Khajeh NR, Martin J, Capretz T, Cottone C, Jordan ML, McDougall E, Clayman RV, Landman J. Evaluation of Urology Residency Training and Perceived Resident Abilities in the United States. J Surg Educ. 2019;76(4):936-948.
Drutz H, Riss P, Halaska M, Hanzal E, Khullar V, Kölbl H, Vervest H. IUGA Guidelines forTraining in Urogynecology and Reconstructive Pelvic Surgery (URPS). International urogynecology journal and pelvic floor dysfunction 2002;386(95).
Casiano ER, Wendel GD Jr, Congleton MJ, Wai CY. Urogynecology training and practice patterns after residency. J Surg Educ. 2012;69(1):77-83
RSUD Dr. Soetomo. Rekam Medis Pasien Uroginekologi. 2020
Rosen GH, Murray KS, Greene KL, Pruthi RS, Richstone L, Mirza M. Effect of COVID- 19 on Urology Residency Training: A Nationwide Survey of Program Directors by the Society of Academic Urologists. J Urol. 2020; 204(5):1039-1045.
Amparore D, Claps F, Cacciamani GE, Esperto F, Fiori C, Liguori G, Serni S, Trombetta C, Carini M, Porpiglia F, Checcucci E, Campi R. Impact of the COVID-19 pandemic on urology residency training in Italy. Minerva Urol Nefrol. 2020;72(4):505-509
Aziz H, James T, Remulla D, Sher L, Genyk Y, Sullivan ME, Sheikh MR. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ. 2021;78(2):431-439
Odedra D, Chahal BS, Patlas MN. Impact of COVID-19 on Canadian Radiology Residency Training Programs. Can Assoc Radiol J. 2020;71(4):482-489.
Pertile D, Gallo G, Barra F, Pasculli A, Batistotti P, Sparavigna M, Vizzielli G, Soriero D, Graziano G, Di Saverio S, Meniconi RL, Guaitoli E, Mazzarri A; SPIGC Working Group. The impact of COVID-19 pandemic on surgical residency programs in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg. 2020;72(2):269-280
WHO.https://www.who.int/news/item/05-07-2018-low-quality-healthcare-is- increasing-the-burden-of-illness-and-health-costs-globally
IUGA. Guidance for the management of urogynecological conditions during the Coronavirus (COVID-19) pandemic. 2020. Accessed from https://www.iuga.org/publications/covid-19- guidance-for-urogynecological-conditions
Ka Yu Tse, Efren J. Domingo, Hiralal Konar, Suresh Kumarasamy, Jitendra Pariyar, Brahmana A. Tjokroprawiro, Kimio Ushijima, Perapong Inthasorn, Ai Ling Tan, and Sarikapan Wilailak, The Oncology Committee, Asia and Oceania Federation of Obstetrics and Gynecology. COVID-19 and gynecological cancers: Asia and OceaniaFederation of Obstetrics and Gynecology oncology committee opinion. J. Obstet. Gynaecol. Res. 2021.
Loganathan, J., Doumouchtsis, S.K. & CHORUS: An International Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women’s Health. Impact of COVID-19 on the management of urogynaecology patients: a rapid review of the literature. Int Urogynecol J.2021
Liang ZC, Ooi SBS, Wang W. Pandemics and Their Impact on Medical Training: Lessons From Singapore. Acad Med. 2020;95(9):1359-1361
Chick RC, Clifton GT, Peace KM, et al. Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic. J Surg Educ. 2020;77(4):729-732.
Rana T, Hackett C, Quezada T, Chaturvedi A, Bakalov V, Leonardo J, Rana S. Medicine and surgery residents' perspectives on the impact of COVID-19 on graduate medical education. Med Educ Online. 2020;5(1):1818439
Shah S, Diwan S, Kohan L, Rosenblum D, Gharibo C, Soin A, Sulindro A, Nguyen Q, Provenzano DA. The Technological Impact of COVID-19 on the Future of Education and Health Care Delivery. Pain Physician. 2020;23(4S):S367-S380
Al-Balas M, Al-Balas HI, Jaber HM, Obeidat K, Al-Balas H, Aborajooh EA, Al-Taher R, Al-Balas B. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ. 2020;20(1):341.
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical studentstowards online teaching during the COVID-19 pandemic: a national cross- sectional survey of 2721 UK medical students. BMJ Open. 2020;10(11):e042378
Loda T, Löffler T, Erschens R, Zipfel S, Herrmann-Werner A. Medical education in times of COVID-19: German students' expectations - A cross-sectional study. PLoS One. 2020;15(11):e0241660.
Ibrahim NK, Al Raddadi R, AlDarmasi M, Al Ghamdi A, Gaddoury M, AlBar HM, Ramadan IK. Medical students' acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdulaziz University, Jeddah. J Infect Public Health. 2021;14(1):17-23.
Napoe GS, Adjei NN, Cooper AC, Raker CA, Korbly NB. Postpartum urinary retention: a survey of obstetrics and gynecology residents in the United States. J Obstet Gynaecol. 2020;40(8):1118-1121
Kandadai P, Mcvay S, Larrieux JR, OʼDell K. Knowledge and Comfort With Pessary Use:A Survey of US Obstetrics and Gynecology Residents. Female Pelvic Med Reconstr Surg. 2016;22(6):491-496
Valant R, Grigorescu B, Benerofe S, Lazarou G. Improved Understanding of Female Pelvic Medicine and Reconstructive Surgery Concepts Through Targeted Case-Based Educational Intervention: A Pilot Study. Female Pelvic Med Reconstr Surg. 2020;26(12):723-725.
Smith TM, Trowbridge ER, Pastore LM, Smith SC, Brennan MC, Dooley Y, Matthews CA, Ozel B, Sutkin G, Hullfish KL. The multicenter urogynecology study on education: associations between educational outcomes and clerkship center characteristics. Female Pelvic Med Reconstr Surg. 2011;17(3):134-8
Schimpf, M., Feldman, D., O'Sullivan, D., LaSala, C. Resident education and training in urogynecology and pelvic reconstructive surgery: A survey. International urogynecology journal and pelvic floor dysfunction. 2007.
Khusid JA, Weinstein CS, Becerra AZ, Kashani M, Robins DJ, Fink LE, Smith MT Jr, Weiss JP. Well-being and education of urology residents during the COVID-19 pandemic: Results of an American National Survey. Int J Clin Pract. 2020;74(9):e13559
Mishra D, Nair AG, Gandhi RA, Gogate PJ, Mathur S, Bhushan P, Srivastav T, Singh H, Sinha BP, Singh MK. The impact of COVID-19 related lockdown on ophthalmology training programs in India - Outcomes of a survey. Indian J Ophthalmol. 2020;68(6):999- 1004
Descargas
Publicado
Número
Sección
Licencia
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
