关键词: COVID-19 Lebanon education ethics hospital settings medical residents psychology

来  源:   DOI:10.1177/23821205241262685   PDF(Pubmed)

Abstract:
OBJECTIVE: Coronavirus disease 2019 (COVID-19) has profoundly impacted residency and fellowship training and education. However, how and to what extent the COVID-19 pandemic in Lebanon compromised the daily involvement of trainees on the clinical and ethical levels is currently unknown, which this study will shed light on.
METHODS: We conducted a cross-sectional survey (30 questions) targeting medical residents delivering healthcare services in Lebanon. Residents from different specialties were included in the study to assess the effect of the pandemic on their education and the ethical obstacles they faced when dealing with patients.
RESULTS: A total of 221 postgraduate medical students participated in our study. Results showed that about half of the residents (52.1%) were only able to do a basic physical examination rather than a full examination as a mandatory requirement in the residency curriculum. The majority (60%) agreed that the doctor-patient relationship is contravened. In addition, almost all residents suffered from fear and emotional distress that affected their education (83.7%).
CONCLUSIONS: The findings of this study identify the effect of COVID-19 on residents\' training, which affects treatment outcomes and greatly impacts the mental well-being of both healthcare workers and patients.
摘要:
目标:2019年冠状病毒病(COVID-19)对住院医师和奖学金培训和教育产生了深远的影响。然而,目前尚不清楚黎巴嫩的COVID-19大流行如何以及在多大程度上损害了受训者在临床和道德层面的日常参与,这项研究将阐明这一点。
方法:我们针对在黎巴嫩提供医疗服务的医疗居民进行了一项横断面调查(30个问题)。来自不同专业的居民被纳入研究,以评估大流行对他们的教育的影响以及他们在与患者打交道时面临的道德障碍。
结果:共有221名研究生参与了我们的研究。结果显示,大约一半的居民(52.1%)只能进行基本的体检,而不是作为住院医师课程的强制性要求进行全面检查。大多数人(60%)同意违反了医患关系。此外,几乎所有居民都遭受恐惧和情绪困扰,影响了他们的教育(83.7%)。
结论:这项研究的结果确定了COVID-19对住院医师培训的影响,这会影响治疗结果,并极大地影响医护人员和患者的心理健康。
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