The state of general surgery residents in Italy after COVID-19 outbreak: a nationwide cross-sectional study.


Journal

Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 24 02 2022
accepted: 25 08 2022
pubmed: 4 9 2022
medline: 14 1 2023
entrez: 3 9 2022
Statut: ppublish

Résumé

A significant reorganization of working activities including those of teaching hospitals occurred after COVID-19 outbreak, leading to the need to re-assess the current status of training after the pandemic. This study aimed to investigate the state of general surgery (GS) residency in Italy. The impact of COVID-19 on GS residents was also assessed. Between October and November 2020, an anonymous online survey was distributed to GS residents across Italy. Email addresses were provided by the Regional Committees of the Italian Polyspecialistic Society of Young Surgeons. The residents completed a set of questions regarding their training schedule and three standardized questionnaires to measure burnout and psychological distress. Overall, 1709 residents were contacted and 648 completed the survey. Almost two-thirds of the residents (68.4%, n = 443) reported to not reach the minimum annual operative case volume. According to ordinal logistic regression analysis, two of the most perceived effects of COVID-19 by trainees on training were reduction of surgical activities (OR = 2.21, p < 0.001) and increased concerns about future employment (OR = 1.14, p = 0.025). Loss of training opportunities was also associated with a significant increase of distress (OR = 1.26, p = 0.003) but not with burnout. This study provided a snapshot of the situation of GS residents in Italy after COVID-19 outbreak. Reduction of activities due to pandemic highlighted the need to improve the level of surgical education in our country by implementing all the new available tools for training and ensuring at the same time the well-being of the residents.

Identifiants

pubmed: 36057026
doi: 10.1007/s13304-022-01370-x
pii: 10.1007/s13304-022-01370-x
pmc: PMC9440313
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

95-103

Informations de copyright

© 2022. Italian Society of Surgery (SIC).

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Auteurs

Matteo Serenari (M)

General Surgery and Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Sant'Orsola-Malpighi Hospital, Via Albertoni 15, 40138, Bologna, Italy. matteo.serenari@gmail.com.

Valentina Colonnello (V)

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.

Francesca Ratti (F)

Division of Hepatobiliary Surgery, IRCCS San Raffaele Hospital, Milan, Italy.

Davide Pertile (D)

Department of General Surgery, Policlinico San Martino, Genoa, Italy.

Roberto Luca Meniconi (RL)

Division of General Surgery and Liver Transplantation, San Camillo-Forlanini Hospital, Rome, Italy.

Andrea Mazzari (A)

General and Minimally Invasive Surgery Unit, Cristo Re Hospital, Rome, Italy.

Nicola Magnavita (N)

Postgraduate School of Occupational Health, Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Rome, Lazio, Italy.
Department of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Lazio, Italy.

Paolo Maria Russo (PM)

Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.

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