The Experience of Family Medicine Residents during the Early Phase of COVID-19 Pandemic in Tunisia



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Submitted Sep 4, 2022
Published Jul 25, 2023
10.24018/ejmed.2023.5.4.1501

Abstract viewed = 162 times

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The COVID-19 pandemic has overwhelmed healthcare systems particularly the training curriculum for post-graduate medical students. Our aim was to assess family medicine residents’ perceived impact of the COVID-19 pandemic on training and medical education in Tunisia.

Methods: We conducted a cross-sectional survey among all Tunisian family medicine residents who were in training during the year 2020. Residents starting their first-year residency studies in 2021 were excluded. A structured questionnaire was created and shared via Google Forms. Residents' anonymity and consent were respected.

Results: We included 107 residents (85% females). During the first semester of 2020, a significant reduction in workload was reported including working hours (58.9%), patient's flow (65.1%) and elective admission (83%). The workload tended to partially normalize during the second half of the year. The restriction of academic activities (staff, grand rounds, and congresses) was considered the major obstacle (73.8%) hindering residents’ training. About 72% benefited from E-learning during the second period. By the end of 2020, 48.6% of participants reported being infected by the virus. The majority (97.2%) reported feeling anxious, irritable and/or depressed. The pandemic significantly decreased residents' satisfaction with their medical training (4.22±2.15 before the crisis versus 2.78±1.18 during COVID-19) (p<10-3).

Conclusion: The COVID-19 pandemic had decreased residents' level of satisfaction with their training and had negatively affected their mental health. The key findings of the present research can be a starting point to provide high quality residency training and to avoid bypassing their weaknesses in the upcoming outbreaks.

Keywords: COVID-19 pandemics residency family medicine medical education satisfaction Tunisia

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References

  1. Gaffney B, O’Carroll O, Conroy F, Butler MW, Keane MP, McCarthy C. The impact of COVID-19 on clinical education of internal medicine trainees. Irish Journal of Medical Science. 2020 190, pages845–847 (2021)1–3.
    DOI  |   Google Scholar
  2. Edigin E, Eseaton PO, Shaka H, Ojemolon PE, Asemota IR, Akuna E. Impact of COVID-19 pandemic on medical postgraduate training in the United States. Medical Education Online. 2020;25(1): 1774318.
    DOI  |   Google Scholar
  3. Beshyah SA, Ibrahim WH, Hajjaji IM, Mami FB, Arekat M, Abdelmannan DK. Impact of the COVID-19 Pandemic on Clinical Practice, Medical Education, and Research: An International Survey. La Tunisie Medicale. 2020;98(08):610–8.
     Google Scholar
  4. Balhareth A, AlDuhileb MA, Aldulaijan FA, Aldossary MY. Impact of COVID-19 pandemic on residency and fellowship training programs in Saudi Arabia: A nationwide cross-sectional study. Annals of Medicine and Surgery. 2020 Sep 1;57:127–32.
    DOI  |   Google Scholar
  5. Alsaywid B, Housawi A, Lytras M, Halabi H, Abuzenada M, Alhaidar SA, et al. Residents’ training in COVID-19 pandemic times: An integrated survey of educational process, institutional support, anxiety and depression by the Saudi Commission for Health Specialties (SCFHS). Sustainability. 2020;12(24):10530. 3.
    DOI  |   Google Scholar
  6. Ngoo KS, Fadzli AN, Amponin MOCSE, Cho SY, Chuang YC, Horiguchi A, et al. COVID-19 Pandemic Impact on Urology Residencies in Asia-An Observational Study. Surgical Practice. 2021.
     Google Scholar
  7. Odedra D, Chahal BS, Patlas MN. Impact of COVID-19 on Canadian radiology residency training programs. Canadian Association of Radiologists Journal. 2020;71(4):482–9.
    DOI  |   Google Scholar
  8. Falfoul Y, Chebil A, Halouani S, Bouraoui R, Fekih O, El Matri L. E-learning for ophthalmology training continuity during COVID-19 pandemic: satisfaction of residents of Hédi Raies Institut of Ophthalmology of Tunis. La Tunisie Medicale. 2021;99(2):207–14.
     Google Scholar
  9. Chatziralli I, Ventura CV, Touhami S, Reynolds R, Nassisi M, Weinberg T, et al. Transforming ophthalmic education into virtual learning during COVID-19 pandemic: a global perspective. Eye. 2021;35(5):1459–66.
    DOI  |   Google Scholar
  10. Cai Y, Jiam NT, Wai KC, Shuman EA, Roland LT, Chang JL. Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic. The Laryngoscope. 2020;130(11):2550–7.
    DOI  |   Google Scholar
  11. Cannon GW, Keitz SA, Holland GJ, Chang BK, Byrne JM, Tomolo A, et al. Factors determining medical students’ and residents’ satisfaction during VA-based training: findings from the VA Learners’ Perceptions Survey. Academic Medicine. 2008;83(6):611–20.
    DOI  |   Google Scholar
  12. Landrigan CP, Muret-Wagstaff S, Chiang VW, Nigrin DJ, Goldmann DA, Finkelstein JA. Effect of a pediatric hospitalist system on housestaff education and experience. Archives of pediatrics & adolescent medicine. 2002;156(9):877–83.
    DOI  |   Google Scholar
  13. Stevermer JJ, Stiffman MN. The effect of the teaching physician rule on residency education. Family Medicine-Kansas City. 2001;33(2):104–10.
     Google Scholar
  14. Li X, Pagani N, Curry EJ, Alolabi B, Dickens JF, Miller AN, et al. Factors influencing resident satisfaction and fellowship selection in orthopaedic training programs: an American orthopaedic association North American traveling fellowship project. JBJS. 2019;101(10):e46.
    DOI  |   Google Scholar