TY - JOUR
T1 - How Can the COVID-19 Pandemic Lead to Positive Changes in Urology Residency?
AU - Busetto, Gian Maria
AU - Del Giudice, Francesco
AU - Mari, Andrea
AU - Sperduti, Isabella
AU - Longo, Nicola
AU - Antonelli, Alessandro
AU - Cerruto, Maria Angela
AU - Costantini, Elisabetta
AU - Carini, Marco
AU - Minervini, Andrea
AU - Rocco, Bernardo
AU - Artibani, Walter
AU - Porreca, Angelo
AU - Porpiglia, Francesco
AU - Damiano, Rocco
AU - De Sio, Marco
AU - Arcaniolo, Davide
AU - Cimino, Sebastiano
AU - Russo, Giorgio Ivan
AU - Lucarelli, Giuseppe
AU - Di Tonno, Pasquale
AU - Gontero, Paolo
AU - Soria, Francesco
AU - Trombetta, Carlo
AU - Liguori, Giovanni
AU - Scarpa, Roberto Mario
AU - Papalia, Rocco
AU - Terrone, Carlo
AU - Borghesi, Marco
AU - Verze, Paolo
AU - Madonia, Massimo
AU - De Lisa, Antonello
AU - Bove, Pierluigi
AU - Guazzoni, Giorgio
AU - Lughezzani, Giovanni
AU - Racioppi, Marco
AU - Di Gianfrancesco, Luca
AU - Brunocilla, Eugenio
AU - Schiavina, Riccardo
AU - Simeone, Claudio
AU - Veccia, Alessandro
AU - Montorsi, Francesco
AU - Briganti, Alberto
AU - Dal Moro, Fabrizio
AU - Pavone, Carlo
AU - Serretta, Vincenzo
AU - Di Stasi, Savino Mauro
AU - Galosi, Andrea Benedetto
AU - Schips, Luigi
AU - Marchioni, Michele
AU - Montanari, Emanuele
AU - Carrieri, Giuseppe
AU - Cormio, Luigi
AU - Greco, Francesco
AU - Musi, Gennaro
AU - Maggi, Martina
AU - Conti, Simon L
AU - Tubaro, Andrea
AU - De Berardinis, Ettore
AU - Sciarra, Alessandro
AU - Gallucci, Michele
AU - Mirone, Vincenzo
AU - de Cobelli, Ottavio
AU - Ferro, Matteo
N1 - Copyright © 2020 Busetto, Del Giudice, Mari, Sperduti, Longo, Antonelli, Cerruto, Costantini, Carini, Minervini, Rocco, Artibani, Porreca, Porpiglia, Damiano, De Sio, Arcaniolo, Cimino, Russo, Lucarelli, Di Tonno, Gontero, Soria, Trombetta, Liguori, Scarpa, Papalia, Terrone, Borghesi, Verze, Madonia, De Lisa, Bove, Guazzoni, Lughezzani, Racioppi, Di Gianfrancesco, Brunocilla, Schiavina, Simeone, Veccia, Montorsi, Briganti, Dal Moro, Pavone, Serretta, Di Stasi, Galosi, Schips, Marchioni, Montanari, Carrieri, Cormio, Greco, Musi, Maggi, Conti, Tubaro, De Berardinis, Sciarra, Gallucci, Mirone, de Cobelli and Ferro.
PY - 2020
Y1 - 2020
N2 - The COVID-19 outbreak, in a few weeks, overloaded Italian hospitals, and the majority of medical procedures were postponed. During the pandemic, with hospital reorganization, clinical and learning activities performed by residents suffered a forced remodulation. The objective of this study is to investigate how urology training in Italy has been affected during the COVID-19 era. In this multi-academic study, we compared residents' training during the highest outbreak level with their previous activity. Overall 387 (67.1%) of the 577 Italian Urology residents participated in a 72-h anonymous online survey with 36 items sent via email. The main outcomes were clinical/surgical activities, social distancing, distance learning, and telemedicine. Clinical and learning activity was significantly reduced for the overall group, and after categorizing residents as those working only in COVID hospitals, both "junior" and "senior" residents, and those working in any of three geographical areas created (Italian regions were clustered in three major zones according to the prevalence of COVID-19). A significant decrease in outpatient activity, invasive diagnostic procedures, and endoscopic and major surgeries was reported. Through multivariate analysis, the specific year of residency has been found to be an independent predictor for all response modification. Being in zone 3 and zone 2 and having "senior" resident status were independent predictors associated with a lower reduction of the clinical and learning activity. Working in a COVID hospital and having "senior" resident status were independent predictors associated with higher reduction of the outpatient activity. Working in zone 3 and having "senior" resident status were independent predictors of lower and higher outpatient surgical activity, respectively. Working in a COVID hospital was an independent predictor associated with robotic surgical activity. The majority of residents reported that distance teaching and multidisciplinary virtual meetings are still not used, and 44.8% reported that their relationships with colleagues decreased. The COVID-19 pandemic presents an unprecedented challenge, including changes in the training and education of urology residents. The COVID era can offer an opportunity to balance and implement innovative solutions that can bridge the educational gap and can be part of future urology training.
AB - The COVID-19 outbreak, in a few weeks, overloaded Italian hospitals, and the majority of medical procedures were postponed. During the pandemic, with hospital reorganization, clinical and learning activities performed by residents suffered a forced remodulation. The objective of this study is to investigate how urology training in Italy has been affected during the COVID-19 era. In this multi-academic study, we compared residents' training during the highest outbreak level with their previous activity. Overall 387 (67.1%) of the 577 Italian Urology residents participated in a 72-h anonymous online survey with 36 items sent via email. The main outcomes were clinical/surgical activities, social distancing, distance learning, and telemedicine. Clinical and learning activity was significantly reduced for the overall group, and after categorizing residents as those working only in COVID hospitals, both "junior" and "senior" residents, and those working in any of three geographical areas created (Italian regions were clustered in three major zones according to the prevalence of COVID-19). A significant decrease in outpatient activity, invasive diagnostic procedures, and endoscopic and major surgeries was reported. Through multivariate analysis, the specific year of residency has been found to be an independent predictor for all response modification. Being in zone 3 and zone 2 and having "senior" resident status were independent predictors associated with a lower reduction of the clinical and learning activity. Working in a COVID hospital and having "senior" resident status were independent predictors associated with higher reduction of the outpatient activity. Working in zone 3 and having "senior" resident status were independent predictors of lower and higher outpatient surgical activity, respectively. Working in a COVID hospital was an independent predictor associated with robotic surgical activity. The majority of residents reported that distance teaching and multidisciplinary virtual meetings are still not used, and 44.8% reported that their relationships with colleagues decreased. The COVID-19 pandemic presents an unprecedented challenge, including changes in the training and education of urology residents. The COVID era can offer an opportunity to balance and implement innovative solutions that can bridge the educational gap and can be part of future urology training.
U2 - 10.3389/fsurg.2020.563006
DO - 10.3389/fsurg.2020.563006
M3 - Article
C2 - 33330604
VL - 7
SP - 563006
JO - Frontiers in Surgery
JF - Frontiers in Surgery
SN - 2296-875X
ER -