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. 2022 Aug 5;22(1):602.
doi: 10.1186/s12909-022-03631-0.

Challenges imposed by the COVID-19 pandemic on the Obstetrics and Gynecology residency program: a mixed-methods Swedish survey in the COPE Staff cohort study

Matilda Wådell  1 , Anne K Örtqvist  2   3 , Karolina Linden  4 , Magnus Akerstrom  5   6 , Ola Andersson  7   8 , Ylva Carlsson  9   10 , Sofie Graner  2   11 , Maria Jonsson  12   13 , Elin Naurin  14 , Verena Sengpiel  9   10 , Malin Veje  15   16 , Anna Wessberg  9 , Mehreen Zaigham  17   18
Affiliations

Challenges imposed by the COVID-19 pandemic on the Obstetrics and Gynecology residency program: a mixed-methods Swedish survey in the COPE Staff cohort study

Matilda Wådell et al. BMC Med Educ. .

Abstract

Background: To outline how the training program and work situation of residents in Obstetrics and Gynecology (OB-GYN) was affected by the pandemic and to illuminate how residents experienced these changes.

Methods: As part of the COVID-19 in Pregnancy and Early Childhood Staff (COPE Staff) cohort study, between January and May 2021, all participating residents were invited to answer a 28-question online Resident Survey focusing on their specialist education, work situation and experiences during the COVID-19 pandemic. Descriptive statistics were given in percentages for categorical variables and means and standard deviations (SD) for continuous variables. Univariate comparative analyses were performed with the use of the Pearson's Chi-2-test for dichotomous data. The association between residents' worry about the quality and length of their specialist training, with extra clinical hours and transfer to other healthcare institutions were assessed by multivariate logistic regression. Free text responses were analyzed by content analysis.

Results: Of the 162 participating OB-GYN residents, 69% expressed concern that the pandemic would have a negative impact on their training. Ninety-five (95%) reported cancellation/postponement of educational activities, 70% performed fewer surgeries and 27% had been transferred to other healthcare institutions where about half reported having gained more general knowledge as a physician. Working extra clinical hours was reported by 69% (7.4 ± 5.3 hours per week) and 14% had considered changing their profession due to the pandemic. Senior residents, compared to junior residents, more often experienced cancelled/postponed clinical rotations (30% vs 15%, P=0.02) and reported performing fewer surgeries (P=0.02). The qualitative analysis highlighted the lack of surgical procedural training as a major concern for residents.

Conclusion: The COVID-19 pandemic has strongly impacted the training program and work situation of OB-GYN residents in Sweden. Residents were concerned over the negative impact of the pandemic on their training program and senior residents reported more missed educational opportunities as compared to junior residents. Program directors, head of institutions and clinical supervisors can use the problem areas pinpointed by this study to support residents and compensate for missed educational opportunities. While hands-on-training and operating time cannot be compensated for, the authors hope that the findings of the study can help develop new strategies to minimize the negative impact of the current and future pandemics on resident education and work situation.

Keywords: COVID-19; Education; Gynecology; Obstetrics; Pandemic; Residency; Survey; Work environment.

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Conflict of interest statement

M.W., A.Ö., Y.C. and M.Z. are previous members of the board of the Swedish society for Obstetricians and Gynecologists under training (OGU). V.S. and Y.C. were members of the Education Committee of the Swedish Federation of Obstetrics and Gynecology (SFOG). M.W., A.Ö. and M.Z. are current residents in Obstetrics and Gynecology. S.G. is head of SFOGs Education Committee. K.L., O.A., M.J., E.N., M.V., M.A. and A.W. have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Flow chart over the study participants
Fig. 2
Fig. 2
Residents-reported experience of transfer to other healthcare institutions and of new assignments normally performed by other professions
See this image and copyright information in PMC

References

    1. Aziz H, James T, Remulla D, et al. 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. doi: 10.1016/j.jsurg.2020.07.037. - DOI - PMC - PubMed
    1. Coleman JR, Abdelsattar JM, Glocker RJ, RAS-ACS COVID-19 Task Force COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons. J Am Coll Surg. 2021;232(2):119–135.e20. doi: 10.1016/j.jamcollsurg.2020.09.026. - DOI - PMC - PubMed
    1. Bitonti G, Palumbo AR, Gallo C, et al. Being an obstetrics and gynaecology resident during the COVID-19: Impact of the pandemic on the residency training program. Eur J Obstet Gynecol Reprod Biol. 2020;253:48–51. doi: 10.1016/j.ejogrb.2020.07.057. - DOI - PMC - PubMed
    1. Boekhorst F, Khattak H, Topcu EG, Horala A, Henriques MG. The influence of the COVID-19 outbreak on European trainees in obstetrics and gynaecology: A survey of the impact on training and trainee. Eur J Obstet Gynecol Reprod Biol. 2021;261:52–58. doi: 10.1016/j.ejogrb.2021.04.005. - DOI - PMC - PubMed
    1. Brito LGO, Romão GS, Fernandes CE, Silva-Filho AL. Impact of COVID-19 on Brazilian medical residencies in obstetrics and gynecology. Int J Gynaecol Obstet. 2020;150(3):411–412. doi: 10.1002/ijgo.13283. - DOI - PMC - PubMed