TY - JOUR
T1 - Impact of COVID-19 on endoscopy trainees
T2 - an international survey
AU - Pawlak, Katarzyna M.
AU - Kral, Jan
AU - Khan, Rishad
AU - Amin, Sunil
AU - Bilal, Mohammad
AU - Lui, Rashid N.
AU - Sandhu, Dalbir S.
AU - Hashim, Almoutaz
AU - Bollipo, Steven
AU - Charabaty, Aline
AU - de-Madaria, Enrique
AU - Rodríguez-Parra, Andrés F.
AU - Sánchez-Luna, Sergio A.
AU - Żorniak, Michał
AU - Walsh, Catharine M.
AU - Grover, Samir C.
AU - Siau, Keith
N1 - Funding Information:
DISCLOSURE: The following authors disclosed financial relationships: R. Khan: Research support from Abbvie , Ferring Pharmaceuticals , and Pendopharm. M. Żorniak: Research support from United European Gastroenterology . S. C. Grover: Research support from Abbvie, Ferring Pharmaceuticals, Pendopharm, Janssen, and Takeda; personal fees from Lupin Pharmaceuticals. All other authors disclosed no financial relationships.
Funding Information:
DISCLOSURE: The following authors disclosed financial relationships: R. Khan: Research support from Abbvie, Ferring Pharmaceuticals, and Pendopharm. M. ?orniak: Research support from United European Gastroenterology. S. C. Grover: Research support from Abbvie, Ferring Pharmaceuticals, Pendopharm, Janssen, and Takeda; personal fees from Lupin Pharmaceuticals. All other authors disclosed no financial relationships.
Publisher Copyright:
© 2020 American Society for Gastrointestinal Endoscopy
PY - 2020/10
Y1 - 2020/10
N2 - Background and Aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide. Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees. Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%. Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.
AB - Background and Aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide. Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees. Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P = .005), lack of institutional support for emotional health (OR, 1.67; P = .008), and concerns regarding prolongation of training (OR, 1.60; P = .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%. Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.
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U2 - 10.1016/j.gie.2020.06.010
DO - 10.1016/j.gie.2020.06.010
M3 - Article
C2 - 32535193
AN - SCOPUS:85087380865
SN - 0016-5107
VL - 92
SP - 925
EP - 935
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 4
ER -