Your browser doesn't support javascript.
loading
Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents.
Prezotti, José Antonio; Henriques, João Victor T; Favorito, Luciano A; Canalini, Alfredo F; Machado, Marcos G; Brandão, Thulio B V; Barbosa, Akemi M V; Moromizato, Julyana K M; Anzolch, Karin M J; Fernandes, Roni de C; Rodrigues, Fransber R A; Bellucci, Carlos H S; Silva, Caroline S; Pompeo, Antonio Carlos L; de Bessa, Jose; Gomes, Cristiano M.
Afiliación
  • Prezotti JA; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Henriques JVT; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Favorito LA; Unidade de Pesquisa Urogenital, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
  • Canalini AF; Disciplina de Urologia, Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
  • Machado MG; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Brandão TBV; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Barbosa AMV; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Moromizato JKM; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Anzolch KMJ; Serviço de Urologia, Hospital Moinhos de Vento, Porto Alegre, RS, Brasil.
  • Fernandes RC; Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brasil.
  • Rodrigues FRA; Divisão de Urologia, Universidade de Brasília - UNB, Brasília, DF, Brasil.
  • Bellucci CHS; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Silva CS; Departamento de Cirurgia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
  • Pompeo ACL; Disciplina de Urologia, Universidade Federal do ABC - UFABC, Santo André, SP, Brasil.
  • de Bessa J; Departamento de Cirurgia, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil.
  • Gomes CM; Divisão de Urologia, Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
Int Braz J Urol ; 47(4): 753-776, 2021.
Article en En | MEDLINE | ID: mdl-33848067
OBJECTIVES: To evaluate the impact of COVID-19 on clinical and surgical practice, educational activities, health and lifestyle behavior of Brazilian urology residents. MATERIALS AND METHODS: A web-based survey was sent to 468 Brazilian urology residents from postgraduate years (PGY) 3 to 5 to collect data on clinical practice and training after 4 months of COVID-19. We also assessed health-related and behavior changes, rate of infection by SARS-CoV-2, deployment to the front line of COVID-19, residents' concerns, and access to personal protective equipment (PPE). RESULTS: Massive reductions in elective and emergency patient consultations, diagnostic procedures and surgeries were reported across the country, affecting PGY 3 to 5 alike. Most in-person educational activities were abolished. The median damage to the urological training expected for 2020 was 6.0 [3.4 -7.7], on a scale from 0 to 10, with senior residents estimating a greater damage (P < 0.001). Educational interventions developed included online case-based discussions, subspeciality conferences and lectures, and grand rounds. Most senior residents favored extending residency to compensate for training loss and most younger residents favored no additional training (p< 0.001). Modifications in health and lifestyle included weight gain (43.8%), reduced physical activity (68.6%), increased alcoholic intake (44.9%) and cigarette consumption (53.6%), worsening of sexual life (25.2%) and feelings of sadness or depression (48,2%). Almost half were summoned to work on the COVID-19 front-line and 24.4% had COVID-19. Most residents had inadequate training to deal with COVID-19 patients and most reported a shortage of PPE. Residents' concerns included the risk of contaminating family members, being away from residency program, developing severe COVID-19 and overloading colleagues. CONCLUSIONS: COVID-19 had a massive impact in Brazilian urology residents´ training, health and lifestyle behavior, which may reflect what happened in other medical specialties. Studies should confirm these findings to help developing strategies to mitigate residents' losses.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urología / COVID-19 / Internado y Residencia Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Int Braz J Urol Asunto de la revista: UROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urología / COVID-19 / Internado y Residencia Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Int Braz J Urol Asunto de la revista: UROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil