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CC BY 4.0 · Rev Bras Ginecol Obstet 2023; 45(07): e377-e383
DOI: 10.1055/s-0043-1772181
Original Article
Covid-19

A Study of the Current Scenario of the Obstetrics and Gynecology Residency during the COVID-19 Pandemic

Um estudo do cenário atual da residência em obstetrícia e ginecologia durante a pandemia de COVID-19
Marina Martinelli Sonnenfeld 
1   Centro Universitário Faculdade de Medicina do ABC, Santo André, SP, Brazil
,
Alexandre Massao Nozaki 
2   Centro de Referência da Saúde da Mulher, Hospital Pérola Byington, São Paulo, SP, Brazil
,
Anelise Silva de Genova 
3   Associação Lar São Francisco de Assis na Providência de Deus, Hospital Regional de Presidente Prudente, Presidente Prudente, SP, Brazil
,
José Ricardo Weitz Ristow 
2   Centro de Referência da Saúde da Mulher, Hospital Pérola Byington, São Paulo, SP, Brazil
,
Tamiris Ferreira de Moura 
4   Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil
,
Rayanne Pereira Cabral 
5   Universidade Estadual Paulista “Júlio de Mesquita Filho,” Botucatu, SP, Brazil
,
João Victor Almeida Garcia 
6   Hospital Maternidade Leonor Mendes de Barros, São Paulo, SP, Brazil
,
Camila Abdias Guimarães 
7   Hospital Municipal Doutor José de Carvalho Florence, São José dos Campos, SP, Brazil
,
André Luiz Malavasi Longo de Oliveira 
2   Centro de Referência da Saúde da Mulher, Hospital Pérola Byington, São Paulo, SP, Brazil
,
Rossana Pulcineli Vieira Francisco 
8   Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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Abstract

Objective To analyze the impact of the COVID-19 pandemic on the residency of gynecology and obstetrics in São Paulo.

Methods Cross-sectional study developed by representatives of residents of the Association of Gynecology and Obstetrics of the State of São Paulo (SOGESP, in the Portuguese acronym). Data were collected from questionnaires applied to gynecology and obstetrics residents registered on the SOGESP website in February 2022. The interviewees answered about the repercussions of the pandemic on medical residency and whether they had technical and psychological support during the period.

Results A total of 247 questionnaires were collected from residents of gynecology and obstetrics. The residents had an age of 28.3 ± 3 years old, and most of them were female (88.4%). The displacement to COVID care was reported by 62.34% of the students, but only 35.6% reported completely adequate personal protective equipment and only 7.7% reported complete theoretical and technical instruction to support these patients. Almost all of the interviewees stated that the gynecology sector was the most affected. The majority of the interviewees considered that the second-year residents had the greatest loss, and more than half of the residents in the 1st and 2nd year said they wished to give up their residency during the pandemic. More than 80% of the residents reported online theoretical classes and/or presentation of articles, reinforcing the fact that virtual activities gained a greater space within the medical residency.

Conclusion The pandemic impacted the residency in greater proportion in outpatient clinics and gynecological surgeries, also interfering with the physician's desire to continue with the program.

Resumo

Objetivo Analisar o impacto pandemia de COVID-19 sobre a residência de ginecologia e obstetrícia do Estado de São Paulo.

Métodos Estudo transversal desenvolvido por representantes dos residentes da Associação de Ginecologia e Obstetrícia do Estado de São Paulo (SOGESP). Foram coletados dados de questionários aplicados aos residentes de ginecologia e obstetrícia cadastrados no site da SOGESP em fevereiro de 2022. Os entrevistados responderam sobre repercussões da pandemia sobre a residência médica e se tiveram suporte técnico e psicológico durante o período.

Resultados Foram levantados 247 questionários de residentes de ginecologia e obstetrícia. Os residentes apresentaram idade de 28,3 ± 3 anos, sendo a maioria do sexo feminino (88,4%). O deslocamento para “covidários” foi referido por 62,34% dos avaliados, porém somente 35,6% referiram equipamento de proteção individual completamente adequado e apenas 7,7% referiram instrução completa teórica e técnica para o suporte destes pacientes. Quase a totalidade dos entrevistados afirmou que o setor de ginecologia foi o mais afetado. A maioria dos entrevistados considerou que o os residentes do segundo ano foram os que tiveram maior prejuízo, sendo que mais da metade dos residentes do 1° e 2° ano afirmou ter desejado desistir da residência durante a pandemia. Mais de 80% dos residentes referiram aulas teóricas e/ou apresentação de artigos online, reforçando o fato de que as atividades virtuais ganharam um espaço maior dentro da residência médica.

Conclusão A pandemia impactou nas residências em maior proporção nos ambulatórios e cirurgias ginecológicas, interferindo também sobre o desejo do médico de seguir com o programa.

Keywords

internship and residency - gynecology - COVID-19 - medical education

Palavras-chave

residência médica - ginecologia - COVID-19 - educação médica

Contributors

All authors contributed to the design of the study and were involved in the data collection, data analysis and/or interpretation. All authors also contributed to manuscript writing/substantive editing and review and approved the final draft of the manuscript.




Publication History

Received: 27 November 2022

Accepted: 30 March 2023

Article published online:
18 August 2023

© 2023. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Scheffer M. et al. Demografia Médica no Brasil 2020. São Paulo, SP: : FMUSP, CFM, 2020. . 312 p. ISBN: 978–65–00–12370–8
    Google Scholar
  • 2 Resolução N° 3, DE 8 DE ABRIL DE 2019. Diário Oficial da União, Imprensa Nacional, Brasil. Publicado em: 11/04/ 2019 ; Edição: 70, Seção: 1, Página: 192
    PubMedGoogle Scholar
  • 3 Paesano N, Santomil F, Tobia I. Impact of COVID-19 Pandemic on Ibero-American Urology Residents: Perspective of American Confederation of Urology (CAU). Int Braz J Urol 2020; 46 (Suppl. 01) 165-169 DOI: 10.1590/S1677-5538.IBJU.2020.S120.
    CrossrefPubMedGoogle Scholar
  • 4 Weygandt PL, Jordan J, Caretta-Weyer H, Osborne A, Grabow Moore K. Impact of the COVID-19 pandemic on emergency medicine education: Insights from faculty and residents. AEM Educ Train 2021; 5 (03) e10603 DOI: 10.1002/aet2.10603.
    CrossrefPubMedGoogle Scholar
  • 5 Gunasekera A, Berg L, Sekar H, Patra-Das S, Clarke S, Yoong W. Did the COVID-19 pandemic affect mental health, training progression, and fertility planning of obstetrics and gynecology trainees? A survey of London trainees. J Obstet Gynaecol Res 2022; 48 (04) 1026-1032 DOI: 10.1111/jog.15164.
    CrossrefPubMedGoogle Scholar
  • 6 Bitonti G, Palumbo AR, Gallo C, Rania E, Saccone G, De Vivo V. et al. Being an obstetrics and gynaecology resident during the COVID-19: Impact of the pandemic on the residency training program. Eur J Obstet Gynecol Reprod Biol 2020; 253: 48-51
    CrossrefPubMedGoogle Scholar
  • 7 Makam A, Mallappa Saroja CS, Edwards G. Do women seeking care from obstetrician-gynaecologists prefer to see a female or a male doctor?. Arch Gynecol Obstet 2010; 281 (03) 443-447 DOI: 10.1007/s00404-009-1199-5.
    CrossrefPubMedGoogle Scholar
  • 8 Wanderley MDS, Sobral DT. Ob-Gyn Gender Preferences of Gynecology Ambulatory Patients and Students' Choice of the Specialty. Rev Bras Ginecol Obstet 2017; 39 (12) 645-646 DOI: 10.1055/s-0037-1606840.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Scheffer MC, Cassenote AJF. A feminização da medicina no Brasil. Rev Bioet 2013; 21 (02) 268-277 Available at https://www.scielo.br/j/bioet/a/XtCnKjggnr6gFR3bTRckCxs/?format=pdf&lang=pt
    PubMedGoogle Scholar
  • 10 Azevedo e Silva G, Jardim BC, Lotufo PA. Mortalidade por COVID-19 padronizada por idade nas capitais das diferentes regiões do Brasil. Cad Saude Publica 2021; 37 (06) 1-9
    PubMedGoogle Scholar
  • 11 Pavlidis ET, K EC, Symeonidis NG, Stavrati KE, Shulga IN, Psarras KK. et al. The Impact of COVID-19 on the Training of Surgical Residents in Greece: Results of a Survey Conducted One Year after the Onset of the Pandemic. Chirurgia (Bucur) 2022; 117 (01) 61-68 DOI: 10.21614/chirurgia.2578.
    CrossrefPubMedGoogle Scholar
  • 12 Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ 2020; 369: m1642
    CrossrefPubMedGoogle Scholar
  • 13 Styra R, Hawryluck L, Robinson S, Kasapinovic S, Fones C, Gold WL. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J Psychosom Res 2008; 64 (02) 177-183 DOI: 10.1016/j.jpsychores.2007.07.015.
    CrossrefPubMedGoogle Scholar
  • 14 Tang L, Pan L, Yuan L, Zha L. Prevalence and related factors of post-traumatic stress disorder among medical staff members exposed to H7N9 patients. Int J Nurs Sci 2016; 4 (01) 63-67
    PubMedGoogle Scholar
  • 15 Burrows J, Coolen J. Future Career Plans and Practice Patterns of Canadian Obstetrics and Gynaecology Residents in 2011. J Obstet Gynaecol Can 2016; 38 (01) 67-74 DOI: 10.1016/j.jogc.2015.10.012.
    CrossrefPubMedGoogle Scholar
  • 16 Sociedade Brasileira de Direito Médico e Bioética – ANADEM - (31) 3324–2474 - Av. Francisco Sá, 787, sala 610, BH/MG. - www.anadem.org.br
    PubMed