AI Article Synopsis
- The study evaluated how the COVID-19 pandemic impacted pediatric emergency medicine (PEM) fellowship training in Saudi Arabia, focusing on various aspects such as patient flow, procedures, and academic performance.
- Findings showed a dramatic decrease in emergency department visits and key medical procedures, indicating a significant disruption in both clinical practice and learning opportunities for fellows.
- Despite challenges, both program directors and fellows found online learning beneficial and agreed that extending the fellowship training period was unnecessary, though many recognized a need for additional training resources to address gaps caused by the pandemic.
Article Abstract
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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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463877 | PMC |
| http://dx.doi.org/10.1186/s12245-023-00518-9 | DOI Listing |
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