scholarly journals 1215 Training of Surgical Junior Doctors Impacted by COVID-19 in a Tertiary Referral and Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F Griffin ◽  
M Heelan ◽  
M Kumar
Keyword(s):  
Hospital Management ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Junior Doctors ◽  
Training Experience ◽  
Cross Sectional ◽  
Career Support ◽  
Individual Perception ◽  
The Impact ◽  
And Training

Abstract Introduction The COVID-19 pandemic continues to cause significant disruption to the working lives, training, and career development for doctors in training. We sought to identify the impact this has had on colleagues and if these issues were in existence before the pandemic. Method This was a cross sectional study, with primary data collection using a web-based survey carried out. Trainees in all surgical specialities were invited to participate. The questionnaire was divided into 4 sections which included questions on individual perception of training experiences and support from Clinical/ Educational Supervisors (CS/ES) preceding and since the onset of the pandemic (Nov 2019-Feb 2020 vs March 2020- June 2020). Results In total, 36 trainees responded. Those reporting adequate support from relevant supervisors fell across the following domains: education and training (-39%), career support (-52%), overall support (-20%). Adequate support from hospital management fell from 42% pre-pandemic to 22% after. Trainees felt less valued, ranked morale lower and felt less integrated into a team since the onset of the pandemic. 39% said their consultants had no understanding of the issues they faced at work. Conclusions This study highlights relevant existing issues including supervision, training, workload, and support that were amplified following the onset of this pandemic. It does also highlight the discrepancy in the understanding of trainees’ role and their workload by supervisors and hospital management. Further studies are required to better understand and address these issues. The importance of representation in organisational decision-making in-service design can help improve workforce and training experience.

scholarly journals 1227 The Impact of COVID-19 on the Wellbeing of Surgical Junior Doctors in a Tertiary Referral and Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F Griffin ◽  
M Heelan ◽  
M Kumar
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Junior Doctors ◽  
Cross Sectional ◽  
Web Based ◽  
Near Misses ◽  
Regulatory Bodies ◽  
The Impact

Abstract Introduction Protecting the wellbeing of staff in the NHS is becoming ever more critical as we progress through this pandemic. We sought to identify the impact of the pandemic and changes in working pattern on wellbeing of doctors in training in a teaching hospital. Method Cross sectional study, with primary data collection using a web-based survey. Questionnaire was designed to identify issues relating to the personal wellbeing before and since the onset of the pandemic (Nov 2019-Feb 2020 vs March 2020- June 2020). Trainees in all surgical specialities were invited to participate. Results Thirty-six doctors responded. Across the timepoints there was a marked increase in reports of the following: constant fatigue (+500%), headaches (250%), loss of motivation (+500%), loss of interest in hobbies/friends (+566%), anger (+500%), loss of focus (+320%) and heightened emotional state (+700%). Almost 70% reported difficulty sleeping in the preceding month, with only 50% feeling they received adequate rest between shifts. Feelings of ‘too tired to drive’ increased by 216% with accidents or near misses increasing by 500%. Use of alcohol as coping mechanism increased by 500%, and comfort eating rose by 244%. 50% considered leaving their post. Conclusions These findings are significant and point to a dangerous trend if left unchecked. The causes of these outcomes are multi-factorial; changes to working patterns, cancellation of leave, redeployment, and anxieties around career progression were noted. The long-term health implications on the workforce should not be overlooked. This requires a collective response and action by employers, training and regulatory bodies and government.

scholarly journals Stress gradation of medical practitioners during the pandemic (covid-19) along with ways to de-stress; a cross sectional study at tertiary care hospitals using Kessler’s 10 psychological distress scale.

2021 ◽  
Vol 28 (09) ◽  
pp. 1239-1244
Author(s):  
Umair Toqueer ◽  
Muhammad Usama Zardad ◽  
Mahwish Toqueer ◽  
Anila Riyaz ◽  
Sana Khan ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Junior Doctors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Tertiary Care Hospitals ◽  
Distress Scale ◽  
The Impact

Objectives: To determine stress grades of doctors working in tertiary care  hospitals by using a standard measuring tool i.e. Kessler 10 psychological distress scale along with finding out different coping methods adopted by doctors during the COVID-19 pandemic. Study Design: Cross Sectional study. Setting: Tertiary Care Hospitals of Khyber Pakhtunkhwa (KPK), Pakistan. Period: 15 March 2020 to 20 June 2020. Material & Methods: A structured questionnaire was sent online to the junior and senior doctors working during the pandemic. The data was automatically collected with the help of Google docs and then analysed using SPSS 26. Results: Of the 219 doctors who completed the questionnaire 142 were males (64.8%) and 77 were females (35.2%). Interestingly, analysis of the score revealed that 38.8% of the doctors were found likely to be well, 16.4% of the doctors were likely to have mild disease and 20.5% were likely to have a moderate disorder while 24.2% were likely to have a severe disorder. Further analysis showed that the mean of  Kessler’s score was greater for junior doctors as  compared to Consultants which was found to be statistically significant (p=0.044). Conclusion: The impact of Corona virus disease (COVID-19) on the stress levels of health workers warrants considerable attention as it was declared a pandemic. Assessing the psychological impact and ways to tackle them will not only help the health care workers during this pandemic but will be beneficial in future pandemics as well.

scholarly journals Influence of workshop attendance on management of pediatric fecal incontinence in Nigeria

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Taiwo Akeem Lawal
Keyword(s):  
Fecal Incontinence ◽  
Management Practices ◽  
Postgraduate Training ◽  
Surgical Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Past ◽  
The Impact ◽  
Training Opportunities ◽  
And Training

Abstract Background The care of children with fecal incontinence is suboptimal with inadequate support and training opportunities. The postgraduate training of pediatric surgeons on the management of fecal incontinence is inadequate since each training center is not likely to see enough number of cases yearly. Supplemental training through workshops on fecal incontinence may help to bridge the gap. The aim of this cross sectional study was to evaluate the impact of previous attendance of a workshop on fecal incontinence management practices among pediatric surgeons. Results A total of 41 respondents participated. Eleven (26.8%) respondents had attended a workshop in the past and seven (17.1%) had done a Malone antegrade continent enema (MACE) on patients. A higher proportion of respondents who had practiced for over 15 years had attended a workshop on fecal incontinence compared to those who had not attended one (90.9% vs. 33.3%, p = 0.001). The proportion of respondents who had attended a workshop on fecal incontinence and had performed a MACE (18.2%) was higher than the proportion of those who had not attended a workshop and had performed a similar procedure on patients (3.3%), p = 0.047. Conclusions One quarter of pediatric surgeons in the country surveyed had attended a workshop on fecal incontinence. Prior attendance of a workshop on fecal incontinence is significantly related to experience and significantly influenced the performance of a MACE procedure. Supplementation of the training of pediatric surgeons through workshops on fecal incontinence will help to improve capacity in pediatric colorectal surgical care.

scholarly journals Impact of Delays on Cost of Construction Project- A Cross Sectional Study of Pakistani Construction Industry

2020 ◽  
Vol 39 (4) ◽  
pp. 815-825
Author(s):  
Raza Ali Khan ◽  
Muhammad Umer
Keyword(s):  
Linear Regression ◽  
Construction Industry ◽  
Construction Projects ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Cross Sectional ◽  
Degree Of Association ◽  
Causes Of Delays ◽  
The Impact ◽  
Cost Of Construction

It is widely believed that construction sector helps developing aggregate economy and reducing unemployment. Currently, Pakistan is experiencing a major transformational phase in the back drop of China-Pakistan Economic Corridor (CPEC). CPEC is valued at US$ 62 Billion. The present study is undertaken to ascertain the impact of time overrun of projects on their cost, the correlation between stakeholders and to predict the effect of delays on cost overruns. Causes of delays are identified by stakeholders of the construction industry of Pakistan. Two models for projects that had delay less and greater than 100 days are developed. Structured questionnaires and personal interviews are carried out to extract primary data for the study. Relative Importance Index (RII) was utilized for ranking of delay causes, and Pearson’s correlation to formulate correlation between causes of delays and cost of construction projects from the perspective of client, contractors and consultants. For predicting the impact of delays on cost of projects Linear Regression technique has been used. The results reveal that the causes of delay related to design, procurement and on-site has significant impact on delays. Pearson’s result indicates strong covenant between client and contractor. Whereas, there is a weak degree of association between consultant and contractor. Results from linear regression concluded that there is a significant effect of delay on cost of the project.

scholarly journals The Influence of Organizational Climate and Public Service Motivation on the Performance of Nurses at the Haji Hospital in South Sulawesi Province

2021 ◽  
Vol 2 (4) ◽  
pp. 70-81
Author(s):  
Andi Eka Safitri ◽  
Alimin Maidin ◽  
Syamsuddin Syamsuddin
Keyword(s):  
Organizational Climate ◽  
Public Service ◽  
Group Discussion ◽  
Hospital Management ◽  
Cross Sectional Study ◽  
Public Service Motivation ◽  
Climate Variable ◽  
Cross Sectional ◽  
South Sulawesi ◽  
And Training

This research is a quantitative study using an observational study with a cross-sectional study design on the influence of organizational climate, Public Service Motivation and nurse performance from 182 samples of nurse respondents at Haji Hospital, South Sulawesi Province, Indonesia. The aim is to identify the current organizational climate of the Haji Hospital, increase awareness of the mission of the Haji Hospital and identify motivational factors. The results showed that the influence of organizational climate on nurse performance was (0.000). The results showed that there was an effect of Public Service Motivation on Nurse Performance of (0.000). The results showed that the organizational climate variable had the most influence on the performance of nurses at the Haji Hospital, South Sulawesi Province. It is recommended to the management of the Hajj Hospital to improve teamwork by immediately resolving conflicts such as achieving the goals set by the Hajj Hospital Management. Hajj Hospital management seems to have to include flexibility; for example, team convenience might come with more flexible policies such as conducting tutoring and training via online video. It is recommended that after watching the video, nurses then write solutions to resolve conflicts in the organizational climate. Their papers will be reviewed and given written instructions by the leadership to nurses. Following the group discussion and later each nurse presented their views. The Hajj Hospital management provides appropriate incentives and praise for the successful performance of nurses.

scholarly journals COVID-19 outbreak–related psychological distress among healthcare trainees: a cross-sectional study in China

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e041671
Author(s):  
Yue Wang ◽  
Yuchen Li ◽  
Jingwen Jiang ◽  
Yuying Feng ◽  
Donghao Lu ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Medical Technology ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Event Scale ◽  
Medical Trainees ◽  
Distress Scale ◽  
The Impact ◽  
And Training

ObjectivesThe COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak.Design, setting and participantsA cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7–13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency).Main outcomesCOVID-19–related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale–Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression.ResultsSignificant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed.ConclusionsMedical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.

scholarly journals Aerobic and Anaerobic Speed Predicts 800-m Running Performance in Young Recreational Runners

2021 ◽  
Vol 12 ◽  
Author(s):  
Øyvind Støren ◽  
Jan Helgerud ◽  
Jan-Michael Johansen ◽  
Lars-Erik Gjerløw ◽  
Aanund Aamlid ◽  
...  
Keyword(s):  
Maximal Oxygen Consumption ◽  
Relative Difference ◽  
Cross Sectional Study ◽  
Time To Exhaustion ◽  
Cross Sectional ◽  
Time Performance ◽  
Maximal Aerobic Speed ◽  
Recreational Runners ◽  
The Impact ◽  
And Training

The main aim was to investigate the impact of maximal aerobic speed (MAS), maximal anaerobic speed (MANS), and time to exhaustion (TTE) at 130% MAS, on 800-m running time performance (800TT). A second aim was to investigate the impact of anaerobic speed reserve (ASR), i.e., the relative difference between MAS and MANS, on TTE. A total of 22 healthy students classified as recreational runners participated in a cross-sectional study. They were tested for maximal oxygen consumption (VO2max), oxygen cost of running (CR), time performance at 100 m (100TT), time performance at 800 m (800TT), and TTE. MAS was calculated as VO2max × CR–1, and MANS was calculated as 100TT velocity. Both MAS and MANS correlated individually with 800TT (r = –0.74 and –0.67, respectively, p < 0.01), and the product of MAS and MANS correlated strongly (r = –0.82, p < 0.01) with 800TT. TTE did not correlate with 800TT. Both ASR and % MANS correlated strongly with TTE (r = 0.90 and –0.90, respectively, p < 0.01). These results showed that 800TT was first and foremost dependent on MAS and MANS, and with no impact from TTE. It seemed that TTE was merely a product of each runner’s individual ASR. We suggest a simplified model of testing and training for 800TT, namely, by focusing on VO2max, CR, and short sprint velocity, i.e., MAS and MANS.

scholarly journals SP10.2.4 COVID-19 impact on Surgical Training and Recovery Planning (COVID-STAR) - A Cross-Sectional Observational Study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Weighted Average ◽  
Cross Sectional Study ◽  
Training Experience ◽  
Surgical Trainee ◽  
Surgical Specialty ◽  
Cross Sectional ◽  
Surgical Workforce ◽  
The Impact

Abstract Aims The COVID-19 pandemic has led to changes in the delivery of surgical services which impact on surgical training. This study aimed to investigate the qualitative impact of COVID-19 on surgical training in the United Kingdom (UK) & Republic of Ireland (ROI) Methods A national, collaborative, cross-sectional study involving 13 surgical trainee associations distributed a pan-surgical specialty questionnaire on the impact of COVID-19 on surgical training (11th May - 8th June 2020). Various aspects of training were assessed. This study was reported according to STROBE guidelines. Results 810 completed responses were analysed (M:401/F:390) from all deaneries and training grades. A significant negative impact of the pandemic on surgical training experience was observed. (Weighted average = 8.66). 41% of respondents (n = 301) were redeployed. Complete loss of training was reported in elective operating (69.5%), outpatient activity (67.3%) and endoscopy (69.5%). A reduction of > 50% was reported in emergency operating (48%) and completion of work-based assessments (WBAs) (46%). 3.3% (n = 17) of respondents reported plans to leave medicine altogether. Cancellations in study leave and regional teaching programmes without rescheduling were reported in 72% and 60% of the cohort respectively. Elective operative exposure and WBAs completion were the primary reported factors affecting potential trainee progression. Overall, > 50% of trainees (n = 377) felt they would not meet the competencies required for that training period. Conclusions COVID-19 has had a negative impact on surgical training across all grades and specialties, with implications for trainee progression, recruitment and retention of the surgical workforce.

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Invasive Treatment ◽  
Cross Sectional ◽  
Hospital Outcomes ◽  
Vascular Intervention ◽  
Medical Specialties ◽  
Team Decision ◽  
The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

The impact of the use of a footrest on the quality of chest compressions. A prospective, randomized, cross-sectional study

2018 ◽  
Vol 31 (3) ◽  
Author(s):  
Jolanta Majer ◽  
Sandra Pyda ◽  
Jerzy Robert Ladny ◽  
Antonio Rodriguez-Nunez ◽  
Lukasz Szarpak
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Chest Compressions ◽  
Cross Sectional ◽  
The Impact
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