CHALLENGES AND OPPORTUNITIES IN RESIDENTS’ TRAINING DURING COVID-19 PANDEMIC: A QUALITATIVE STUDY

Yıl 2024, Cilt: 33 Sayı: 1, 43 - 51, 01.04.2024

Selçuk Akturan , Melek Üçüncüoğlu , Yasemin Güner , Bilge Delibalta , Ayşenur Duman Dilbaz

https://doi.org/10.34108/eujhs.1329090

Öz

There are limited studies reporting the opinions of residents from three main sciences which are surgical, internal medicine and basic medical sciences in Turkey. So, we need to reveal more opinions of residents on their trainings during pandemic to manage the trainings well during emerging situations in the future. It is aimed to reveal the opinions of residents from all main sciences on their training in medicine given at Karadeniz Technical University Faculty of Medicine during the COVID-19 pandemic process. The study was designed as qualitative phenomenological study,and includes focus group interviews. It was conducted between April 2021- March 2022. Gender, department and duration of residency were taken into account in order to ensure diversity in the determination of the participants. Interviews were conducted online through the Zoom. Content analyses was done by researchers. In our study, five focus group interviews were conducted with a total of 38 residents. The five themes that emerged are as follows: changes in education; health care delivery climate; scientific activities; emotions/feelings; structural problems, in education programs. It is necessary to design the frequency, duration and content intensity of online training activities. Scientific research and thesis studies have been adversely affected by the pandemic. However, the online scientific meetings provided during the pandemic were seen as important education opportunities. ‘Feeling of decreased emotional resillience’ is a new emerged emotional problem. The positive developments in the attitudes and behaviors of the society towards the health professionals during the pandemic contributed positively to the emotions of the residents.

Anahtar Kelimeler

COVID-19 pandemic, evaluation, medical residencies, qualitative study, training

COVID-19 PANDEMISI SIRASINDA ASISTAN EĞITIMINDE KARŞILAŞILAN ZORLUKLAR VE FIRSATLAR: NITEL BIR ÇALIŞMA

Öz

Türkiye'de cerrahi, dahili ve temel tıp bilimlerinde eğitim alan araştırma görevlilerinin pandemi dönemindeki eğitimlerine yönelik görüşlerini bildiren çalışmalar sınırlıdır. Bu nedenle, gelecekte ortaya çıkabilecek durumlarda eğitimleri iyi yönetebilmek için asistanların pandemi döneminde aldıkları eğitimlere ilişkin görüşlerini daha fazla ortaya koymamız gerekmektedir. Bu çalışmada, tüm bilim dallarından araştırma görevlilerinin, Karadeniz Teknik Üniversitesi Tıp Fakültesi'nde COVID-19 pandemisi sürecinde aldıkları tıp eğitimlerine ilişkin görüşlerinin ortaya çıkarılması amaçlanmıştır. Araştırma nitel fenomenolojik çalışma olarak tasarlanmış olup, odak grup görüşmelerini içermektedir. Nisan 2021-Mart 2022 tarihleri arasında gerçekleştirilen araştırmada katılımcıların belirlenmesinde çeşitliliğin sağlanması amacıyla cinsiyet, bölüm ve asistanlık süresi dikkate alınmıştır. Görüşmeler Zoom üzerinden online olarak gerçekleştirilmiştir. İçerik analizleri araştırmacılar tarafından yapılmıştır. Çalışmamızda toplamda 38 araştırma görevlisinin katılımıyla beş odak grup görüşmesi yapılmıştır. Ortaya çıkan beş tema şu şekildedir: eğitimdeki değişimler; sağlık hizmeti sunum iklimi; bilimsel faaliyetler; duygular/hisler; eğitim programlarında yapısal sorunlar. Çevrimiçi eğitim etkinliklerinin sıklığı, süresi ve içerik yoğunluğunun tasarlanması gerekmektedir. Bilimsel araştırma ve tez çalışmaları, pandeminin getirdiği ağır iş yükünden olumsuz etkilenmiştir. Ancak pandemi döneminde sağlanan online bilimsel toplantılar önemli eğitim fırsatları olarak görülmüştür. 'Duygusal dayanıklılıkta azalma hissi' yeni ortaya çıkan bir duygusal sorundur. Pandemi sürecinde toplumun sağlık çalışanlarına yönelik tutum ve davranışlarında yaşanan olumlu gelişmeler, asistanların duygularına da olumlu katkı sağladığı düşünülmektedir.

Anahtar Kelimeler

COVID-19 pandemisi, değerlendirme, tıpta uzmanlık, nitel araştırma, eğitim

Kaynakça

• Öcek Z, Batı H, Sezer ED, et al. Research training program in a Turkish medical school: challenges, barriers and opportunities from the perspectives of the students and faculty members. BMC Medical Education. 2021;21(1):1-14. doi:10.1186/s12909-020-02454-1
• Ficarra V, Novara G, Abrate A, et al. Urology practice during COVID-19 pandemic. Mınerva Urologıca E Nefrologıca.2020;72(3):369-375. doi:10.23736/S03 93-2249.20.03846-1
• Liang ZC, Ooi SBS, Wang W. Pandemics and Their Impact on Medical Training: Lessons from Singapore. Academic Medicine. 2020;1359-1361. doi:10.1097/ACM.000000000 0003441
• Connor MJ, Winkler M, Miah S. COVID-19 pandemic – is virtual urology clinic the answer to keeping the cancer pathway moving? BJU International. 2020;125(6):E3-E4. doi:10.1111/bju.15061
• Tan MN, Özçakar N, Kartal M. Resident doctors’ professional satisfaction and its effect on their lives. Marmara Medical Journal. 2012;25(1):20-25. doi:10.5472/MMJ.2011.02048.1
• Liu Q, Luo D, Haase JE, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020;8(6):e790-e798. doi:10.1016/S2214-109X(20)30204-7
• Alsafi Z, Abbas AR, Hassan A, Ali MA. The coronavirus (COVID-19) pandemic: Adaptations in medical education. International Journal of Surgery. 2020;78:64. doi:10.1016/j.ijsu. 2020.03.083
• Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e17-e18. doi:10.1016/S2215-0366(20)30077-8
• Turan C, Metin N, Erdem O. The Impact of the Pandemic on Dermatology Residency Training in Turkey: Descriptive Studies. Turkiye Klinikleri J Dermatol. 2021;31(3):195-206. doi:10.5336/dermato. 2021-85447
• Yıldırım M, Aydogan H, Zengin H, Akcan R, Tümer A. Impact of the COVID-19 Pandemic on Forensic Medicine Residency Training. The Bulletin of Legal Medicine. 2022;27(3):225-232. doi:10.17986/blm. 1596
• Topcu G, Ozcivit IB, Erkilinc S. Impact of the COVID-19 Pandemic on Obstetrics and Gynecology Residency Training in Turkey. Turkish Journal of Obstetrics and Gynecology. 2021; 18(4): 0-0 doi: 10.4274/tjod.galenos.2021.90775
• Kalkanlı A, Çilesiz NC, Gezmiş CT, Kaya C, Fikri O, Kadıoğlu A. The impact of COVID-19 pandemic on urology residency in Turkey: a nationwide survey. The New Journal of Urology. 2022;17(3):136-48. doi:10.33719/yud.2022;17-3-1099157
• Gunay, E., Gunay, S. Impact of the COVID-19 Pandemic on an Emergency Medicine Residency Training Program in Istanbul. In: Al Naimiy, H.M.K., Bettayeb, M., Elmehdi, H.M., Shehadi, I. (eds) Future Trends in Education Post COVID-19. Singapore: Springer Nature Singapore.2022;67-76. doi:10.1007/978-981-99-1927-7_6
• Çevik, H., Ungan, M. The impacts of the COVID-19 pandemic on the mental health and residency training of family medicine residents: findings from a nationwide cross-sectional survey in Turkey. BMC Fam Pract. 2021;22(1), 1-13. doi:10.1186/s12875-021-01576-9
• Atilgan B, Celik N, Elçin M, Turan S. COVID-19 Pandemic Experiences of Residents: A Qualitative Study. TED. 2022;21(64):91-108. doi:10. 25282/ted.1092139
• Nilforushan N, Abolfathzadeh N, Department O. The Impact of the COVID-19 Pandemic on Ophthalmology Residency Training. Journal of Ophthalmic & Vision Research. 2021; 16(2):312. doi:10.18502/jovr.v16i2.9102
• Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In vivo. 2020;34(3 suppl):1603–1611. doi:10.21873/invivo.11950
• David J. Savage. The COVID- 19 pandemic as a catalyst for medical education innovation: A learner’s perspective. FASEB Bio Advances. 2021; 3(6): 449-455. doi:10.1096/fba.2020-00133
• Walker J, Brewster C, Fontinha R, et al. The unintended consequences of the pandemic on non-pandemic research activities. Research Policy. 2022; 51(1):104369. doi:10.1016/j.respol.2021. 104369
• Mourad M, Bousleiman S, Wapner R, Gyamfi-Bannerman C. Conducting research during the COVID-19 pandemic. In Seminars in perinatology. 2020;44(7):p.151287 doi:10.1016/j.semperi. 2020. 151287
• Pozzilli P, Napoli N. Medical congresses at the click of a mouse. Diabetes Research and Clinical Practice. 2021;175. doi:10.1016/j.diabres.2021.108829
• Ayhan E, Naqui Z. A survey about preferences of future FESSH congresses: virtual, in-person, or hybrid. Journal of Hand Surgery (European Volume). 2021;46(10):1127-1129. doi:10.1177/1753193421104496
• Gothe H, Köster AD,Storz P, Nolting HD, Haussler B. Job Satisfaction among Doctors. Dtsch Arztebl. 2007;104(20): 1394–1399.
• Demiral Y, Akvardar Y, Ergör A, Ergör G. The Impact Of Job Satısfactıon On Anxıety And Depressıon Levels Among Unıversty Physıcıans. 2006; 20(3):157-164
• Tan MN, Özçakar N, Kartal M. Resident doctors’ professional satisfaction and its effect on their lives. Marmara Medical Journal. 2012;25(1):20–25. doi: 10.5472/MMJ.2011.02048.1
• Takahashi O, Ohde S, Jacobs JL, Tokuda Y, Omata F, Fukui T. Residents’ Experience of Scholarly Activities is Associated with Higher Satisfaction with Residency Training. Journal of general internal medicine. 2009; 24(6):716-720. doi:10.1007/s1160 6-009-0970-4
• Epstein RM, Siegel DJ, Silberman J. Self-monitoring in clinical practice: A challenge for medical educators. Journal of Continuing Education in the Health Professions. 2008 ;28(1):5–13.  doi:10.1002/chp.149
• Billings ME, Lazarus ME, Wenrich M, Curtis JR, Engelberg RA. The Effect of the Hidden Curriculum on Resident Burnout and Cynicism. Journal of graduate medical education, 2011; 3(4):503-510. doi:10.4300/JGME-D-11-00044.1
• Hafler JP, Ownby AR, Thompson BM, Fasser CE, Grigsby K, Haidet P, et al. Decoding the learning environment of medical education: A hidden curriculum perspective for faculty development. Academic Medicine. 2011;86(4):440–444. doi:10.1097/ACM.0b013e31820df8e2
• Bandiera G, Frank J, Scheele F, Karpinski J, Philibert I. Effective accreditation in postgraduate medical education: from process to outcomes and back. BMC Medical Education. 2020; 20(1):1-7. doi:10.1186/s12909-020-02123-3
• Yusufu LMD, Ahmed A, Odigie VI, Delia IZ, Mohammed AA. Residency training program: Perceptions of residents. Annals of African medicine. 2010; 9(2). doi: 10.4103/1596-3519.64745
• Xiang D, Liang B, Wang Y, et al. Factors Influencing Residents’ Psychological Status During Standardized Training in COVID-19. Frontiers in Psychiatry. 2021;12. doi:10.3389/fpsyt.2021.73771 7
• Malkoç A, Yalçın I. Relationships among Resilience, Social Support, Coping, and Psychological Well-Being among University Studentss.Turkish Psychological Counseling and Guidance Journal. 2015;5(43): 35–43.
• Pedrosa AL, Bitencourt L, Fróes ACF, et al. Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic. Frontiers in psychology. 2020;11:566212. doi:10.3389/fpsyg.2020.566212