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Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents

Prezotti, José Antonio ; Henriques, João Victor T ; Favorito, Luciano A ; Canalini, Alfredo F ; Machado, Marcos G ; Brandão, Thulio B V ; Barbosa, Akemi M V ; Moromizato, Julyana K M ; Anzolch, Karin M J ; Fernandes, Roni de C ; Rodrigues, Fransber R A ; Bellucci, Carlos H S ; Silva, Caroline S ; Pompeo, Antonio Carlos L ; de Bessa, Jr, Jose ; Gomes, Cristiano M

International Brazilian Journal of Urology, 2021-07, Vol.47 (4), p.753-776 [Periódico revisado por pares]

Brazil: Sociedade Brasileira de Urologia

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  • Título:
    Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents
  • Autor: Prezotti, José Antonio ; Henriques, João Victor T ; Favorito, Luciano A ; Canalini, Alfredo F ; Machado, Marcos G ; Brandão, Thulio B V ; Barbosa, Akemi M V ; Moromizato, Julyana K M ; Anzolch, Karin M J ; Fernandes, Roni de C ; Rodrigues, Fransber R A ; Bellucci, Carlos H S ; Silva, Caroline S ; Pompeo, Antonio Carlos L ; de Bessa, Jr, Jose ; Gomes, Cristiano M
  • Assuntos: Brazil ; COVID-19 ; Education, Medical ; Health Education ; Humans ; Internship and Residency ; Life Style ; Original ; SARS-CoV-2 ; Surveys and Questionnaires ; Urology - education
  • É parte de: International Brazilian Journal of Urology, 2021-07, Vol.47 (4), p.753-776
  • Notas: Cristiano M. Gomes
    Lectures: Astellas, Boston Scientific, Zodiac, Apsen
    Other authors have no conflict of interest
    CONFLICT OF INTEREST
    Grant/Research study: Ipsen; Consultancy: Astellas Pharma, Boston Scientifics, Coloplast, Medtronic
  • Descrição: To evaluate the impact of COVID-19 on clinical and surgical practice, educational activities, health and lifestyle behavior of Brazilian urology residents. A web-based survey was sent to 468 Brazilian urology residents from postgraduate years (PGY) 3 to 5 to collect data on clinical practice and training after 4 months of COVID-19. We also assessed health-related and behavior changes, rate of infection by SARS-CoV-2, deployment to the front line of COVID-19, residents' concerns, and access to personal protective equipment (PPE). Massive reductions in elective and emergency patient consultations, diagnostic procedures and surgeries were reported across the country, affecting PGY 3 to 5 alike. Most in-person educational activities were abolished. The median damage to the urological training expected for 2020 was 6.0 [3.4 -7.7], on a scale from 0 to 10, with senior residents estimating a greater damage (P < 0.001). Educational interventions developed included online case-based discussions, subspeciality conferences and lectures, and grand rounds. Most senior residents favored extending residency to compensate for training loss and most younger residents favored no additional training (p< 0.001). Modifications in health and lifestyle included weight gain (43.8%), reduced physical activity (68.6%), increased alcoholic intake (44.9%) and cigarette consumption (53.6%), worsening of sexual life (25.2%) and feelings of sadness or depression (48,2%). Almost half were summoned to work on the COVID-19 front-line and 24.4% had COVID-19. Most residents had inadequate training to deal with COVID-19 patients and most reported a shortage of PPE. Residents' concerns included the risk of contaminating family members, being away from residency program, developing severe COVID-19 and overloading colleagues. COVID-19 had a massive impact in Brazilian urology residents´ training, health and lifestyle behavior, which may reflect what happened in other medical specialties. Studies should confirm these findings to help developing strategies to mitigate residents' losses.
  • Editor: Brazil: Sociedade Brasileira de Urologia
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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