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Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia

OBJECTIVES: To assess the impact of the COVID-19 pandemic on the academic and clinical processes of pediatric emergency medicine (PEM) fellowship training held by the Saudi Commission for Health Specialties (SCHS). METHODS: A cross-sectional, nationwide, survey-based study was conducted between June...

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Autores principales: Khobrani, Ahmad, Kentab, Osama, Algarni, Abdulaziz, Ibrahim, Ahmad AAl, Bhat, Javid Ahmad, Abdulmajeed, Ammar, Homaida, Wafa, Basheer, Sara El, Akkam, Abdullah, Aljahany, Muna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463877/
https://www.ncbi.nlm.nih.gov/pubmed/37641088
http://dx.doi.org/10.1186/s12245-023-00518-9
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author Khobrani, Ahmad
Kentab, Osama
Algarni, Abdulaziz
Ibrahim, Ahmad AAl
Bhat, Javid Ahmad
Abdulmajeed, Ammar
Homaida, Wafa
Basheer, Sara El
Akkam, Abdullah
Aljahany, Muna
author_facet Khobrani, Ahmad
Kentab, Osama
Algarni, Abdulaziz
Ibrahim, Ahmad AAl
Bhat, Javid Ahmad
Abdulmajeed, Ammar
Homaida, Wafa
Basheer, Sara El
Akkam, Abdullah
Aljahany, Muna
author_sort Khobrani, Ahmad
collection PubMed
description OBJECTIVES: To assess the impact of the COVID-19 pandemic on the academic and clinical processes of pediatric emergency medicine (PEM) fellowship training held by the Saudi Commission for Health Specialties (SCHS). METHODS: A cross-sectional, nationwide, survey-based study was conducted between June and December 2020. PEM program directors as well as fellowship trainees were eligible. The collected data were under the following domains: (1) sociodemographic and work-related characteristics; (2) impact of the COVID-19 pandemic on patient flow and PEM procedures; (3) impact on emergency skills and competence; (4) impact on academic performance; and (5) attitudes toward PEM practice and potential solutions. Monthly reports of PEM visits and procedures were also collected from program directors. RESULTS: A total of 11 PEM program directors and 42 fellows responded. During the pandemic, the number of total ED visits decreased by 70.1%, ED inpatient admissions fell by 57.3%, and the number of intraosseous need insertion and lumbar puncture procedures fell by 76.7% and 62.3%, respectively; the temporal differences in the median frequencies were statistically significant. The pandemic has influenced the knowledge acquisition and leadership skills of one-third of program directors (36.4% and 27.3%, respectively) and the skills and competence of fellows (31.0%). The majority of directors and fellows showed that online classes/webinars were useful (100% and 95.2%, respectively), and there was no need to extend the current fellowship training to compensate for learning deficits (62.7% and 78.6%, respectively). The importance of dedicated modalities to fill in the training gap increased by 62.5% of program directors and 35.7% of fellows. CONCLUSION: The COVID-19 pandemic had significant effects on clinical procedures and academic activities in the PEM fellowship program. The impact was consistently perceived across PEM program directors and fellows. Technology-driven solutions are warranted to mitigate the expected learning and clinical deficits due to reduced clinical exposure.
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spelling pubmed-104638772023-08-30 Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia Khobrani, Ahmad Kentab, Osama Algarni, Abdulaziz Ibrahim, Ahmad AAl Bhat, Javid Ahmad Abdulmajeed, Ammar Homaida, Wafa Basheer, Sara El Akkam, Abdullah Aljahany, Muna Int J Emerg Med Educational Advances in Emergency Medicine OBJECTIVES: To assess the impact of the COVID-19 pandemic on the academic and clinical processes of pediatric emergency medicine (PEM) fellowship training held by the Saudi Commission for Health Specialties (SCHS). METHODS: A cross-sectional, nationwide, survey-based study was conducted between June and December 2020. PEM program directors as well as fellowship trainees were eligible. The collected data were under the following domains: (1) sociodemographic and work-related characteristics; (2) impact of the COVID-19 pandemic on patient flow and PEM procedures; (3) impact on emergency skills and competence; (4) impact on academic performance; and (5) attitudes toward PEM practice and potential solutions. Monthly reports of PEM visits and procedures were also collected from program directors. RESULTS: A total of 11 PEM program directors and 42 fellows responded. During the pandemic, the number of total ED visits decreased by 70.1%, ED inpatient admissions fell by 57.3%, and the number of intraosseous need insertion and lumbar puncture procedures fell by 76.7% and 62.3%, respectively; the temporal differences in the median frequencies were statistically significant. The pandemic has influenced the knowledge acquisition and leadership skills of one-third of program directors (36.4% and 27.3%, respectively) and the skills and competence of fellows (31.0%). The majority of directors and fellows showed that online classes/webinars were useful (100% and 95.2%, respectively), and there was no need to extend the current fellowship training to compensate for learning deficits (62.7% and 78.6%, respectively). The importance of dedicated modalities to fill in the training gap increased by 62.5% of program directors and 35.7% of fellows. CONCLUSION: The COVID-19 pandemic had significant effects on clinical procedures and academic activities in the PEM fellowship program. The impact was consistently perceived across PEM program directors and fellows. Technology-driven solutions are warranted to mitigate the expected learning and clinical deficits due to reduced clinical exposure. Springer Berlin Heidelberg 2023-08-28 /pmc/articles/PMC10463877/ /pubmed/37641088 http://dx.doi.org/10.1186/s12245-023-00518-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Educational Advances in Emergency Medicine
Khobrani, Ahmad
Kentab, Osama
Algarni, Abdulaziz
Ibrahim, Ahmad AAl
Bhat, Javid Ahmad
Abdulmajeed, Ammar
Homaida, Wafa
Basheer, Sara El
Akkam, Abdullah
Aljahany, Muna
Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title_full Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title_fullStr Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title_full_unstemmed Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title_short Impact of COVID-19 on pediatric emergency fellowship training in Saudi Arabia
title_sort impact of covid-19 on pediatric emergency fellowship training in saudi arabia
topic Educational Advances in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463877/
https://www.ncbi.nlm.nih.gov/pubmed/37641088
http://dx.doi.org/10.1186/s12245-023-00518-9
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