Please wait a minute...
Search Asian J Urol Advanced Search
Share 
Asian Journal of Urology, 2023, 10(2): 119-127    doi: 10.1016/j.ajur.2021.12.005
  本期目录 | 过刊浏览 | 高级检索 |
Daily activities and training experiences of urology residents during the coronavirus disease 2019 pandemic in Indonesia: A nationwide survey
Ponco Birowoa*(),Nur Rasyida,Chaidir A. Mochtara,Bambang S. Noegrohob,H.R. Danartoc,Besut Daryantod,Lukman Hakime,Dyandra Parikesitf,Fakhri Rahmana,S. Cahyo Ariwicaksonoa
aDepartment of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
bDepartment of Urology, Faculty of Medicine, Padjadjaran University, Hasan Sadikin Hospital, Bandung, Indonesia
cDepartment of Urology, Faculty of Medicine, Gadjah Mada University, Sardjito Hospital, Yogyakarta, Indonesia
dDepartment of Urology, Faculty of Medicine, Universitas Brawijaya, Saiful Anwar Hospital, Malang, Indonesia
eDepartment of Urology, Faculty of Medicine, Airlangga University, Soetomo Hospital, Surabaya, Indonesia
fDepartment of Urology, Faculty of Medicine, Universitas Indonesia, Universitas Indonesia Hospital, Depok, Indonesia
下载:  HTML  PDF (4635KB) 
输出:  BibTeX | EndNote (RIS)      
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
（）
作者相关文章
Abstract: 

Objective: To explore the impact of the coronavirus disease 2019 (COVID-19) pandemic on the training experiences of urology residents in Indonesia.
Methods: A cross-sectional study using a web-based questionnaire (SurveyMonkey) involved all registered urology residents in Indonesia. The questionnaire was structured in Bahasa Indonesia, composed of 28 questions, and divided into three sections: demographic characteristics, current daily activities, and opinions regarding training experiences during the COVID-19 outbreak. The survey was distributed to all respondents via chief of residents in each urology center from May 26, 2020 to Jun 2, 2020.
Results: Of the total 247 registered urology residents, 243 were eligible for the study. The response and completeness rate for this study were 243/243 (100%). The median age of respondents was 30 (range: 24-38) years old, and 92.2% of them were male. Among them, 6 (2.5%) respondents were confirmed as COVID-19 positive. A decrease in residents' involvement in clinical and surgical activities was distinguishable in endourological and open procedures. Most educational activities were switched to web-based video conferences, while others opted for the in-person method. Smart learning methods, such as joining a national or international speaker webinar or watching a recorded video, were used by 93.8% and 80.7% of the respondents, respectively. The respondents thought that educational activities using web-based video conferences and smart learning methods were effective methods of learning. Overall, the respondents felt unsure whether training experiences during the COVID-19 pandemic were comparable to the respective period before.
Conclusion: The COVID-19 pandemic negatively affected urology residents' training experiences. However, it also opened up new possibilities for incorporating new learning methodologies in the future.
Key words:  Activity    Coronavirus disease 2019    Learning method    Training    Urology resident
收稿日期:  2020-09-07      修回日期:  2021-05-27      接受日期:  2021-08-10      出版日期:  2023-04-20      发布日期:  2023-05-24      整期出版日期:  2023-04-20
引用本文:    
. [J]. Asian Journal of Urology, 2023, 10(2): 119-127.
Ponco Birowo,Nur Rasyid,Chaidir A. Mochtar,Bambang S. Noegroho,H.R. Danarto,Besut Daryanto,Lukman Hakim,Dyandra Parikesit,Fakhri Rahman,S. Cahyo Ariwicaksono. Daily activities and training experiences of urology residents during the coronavirus disease 2019 pandemic in Indonesia: A nationwide survey. Asian Journal of Urology, 2023, 10(2): 119-127.
链接本文:  
http://www.ajurology.com/CN/10.1016/j.ajur.2021.12.005  或          http://www.ajurology.com/CN/Y2023/V10/I2/119
Characteristic Value
Respondent, n 243
Age, median (IQR), year 30 (24-38)
Gender, n (%)
Male 224 (92.2)
Female 19 (7.8)
Urology center, n (%)
Jakarta 79 (32.5)
Bandung 50 (20.6)
Yogyakarta 27 (11.1)
Malang 29 (11.9)
Surabaya 58 (23.9)
Year of study, n (%)
First-year 49 (20.2)
Second-year 53 (21.8)
Third-year 42 (17.3)
Fourth-year 45 (18.5)
Fifth-year 42 (17.3)
Sixth-year and above 12 (4.9)
Current hospital placement, n (%)
Center teaching hospital 222 (91.4)
Affiliated teaching hospital 8 (3.3)
Has not entered hospital rotation yet 13 (5.3)
COVID-19 status, n (%)
Never infected or be appointed as a suspected case 172 (70.8)
Suspected case, but has not been further examined 11 (4.5)
Suspected case, but has been confirmed negative 53 (21.8)
Currently positive by rapid test 1 (0.4)
Currently positive by swab PCR test 1 (0.4)
Had been infected and was declared cured 5 (2.1)
  
Category Residency year
First Second Third Fourth Fifth Sixth and above
Resident rotation, n (%)
Pre-hospital 12 (4.9) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0)
General surgery 32 (13.2) 13 (5.3) 0 (0) 0 (0) 0 (0) 0 (0)
Urology 5 (2.1) 40 (16.5) 42 (17.3) 45 (18.5) 24 (9.9) 2 (0.8)
Board exam candidate 0 (0) 0 (0) 0 (0) 0 (0) 18 (7.4) 10 (4.1)
Competency level, n (%)
Level I (red) 49 (20.2) 45 (18.5) 8 (3.3) 0 (0) 0 (0) 0 (0)
Level II (yellow) 0 (0) 8 (3.3) 34 (14.0) 42 (17.3) 2 (0.8) 2 (0.8)
Level III (green) 0 (0) 0 (0) 0 (0) 3 (1.2) 40 (16.5) 10 (4.1)
  
  
Statement and variable Rating scale, mean (95% CI)a p-Value
Opinion on educational activity
“I preferred duty report using WVC compared to direct meeting”b,c
Overall 3.66 (3.47-3.84) N/A
Urology rotation only 3.76 (3.53-3.99)
“I preferred patient's assessment or case-based discussion using WVC compared to direct meeting”b,c
Overall 3.66 (3.48-3.84) N/A
Urology rotation only 3.74 (3.53-3.96)
“I preferred lecture or topic discussion using WVC compared to direct meeting”c
Overall 3.60 (3.42-3.78) N/A
Urology rotation only 3.71 (3.49-3.94)
“I am satisfied with theory learning during COVID-19 pandemic.”
Overall 4.19 (4.02-4.36) N/A
Urology rotation only 4.32 (4.11-4.52)
Opinion on clinical and surgical activity
“I am satisfied with the case exposure during COVID-19 pandemic”b
Overall 2.78 (2.60-2.96) 0.250d
General surgery rotation 2.93 (2.55-3.32)
Urology rotation 2.85 (2.64-3.07)
Board exam candidate 2.43 (1.93-2.93)
Level I (red) 3.08 (2.79-3.37) 0.052d
Level II (yellow) 2.65 (2.37-2.93)
Level III (green) 2.67 (2.31-3.04)
  
  
Statement and variable Rating scale, mean (95% CI)a p-Valueb
“I am more productive in doing research during COVID-19 pandemic”c
Overall 4.03 (3.87-4.20) 0.156
Pre-hospital rotation 4.58 (3.84-5.32)
General surgery rotation 3.93 (3.59-4.28)
Urology rotation 4.11 (3.91-4.32)
Level I (red) 4.05 (3.80-4.30) 0.490
Level II (yellow) 4.24 (3.99-4.49)
Level III (green) 3.85 (3.21-4.49)
“I feel that training experience during COVID-19 pandemic is not different or even better compared to before.”
Overall 3.03 (2.85-3.21) 0.433
Pre-hospital rotation 3.50 (2.40-4.60)
General surgery rotation 3.09 (2.69-3.49)
Urology rotation 3.02 (2.79-3.24)
Board exam candidate 2.79 (2.33-3.24)
Level I (red) 3.17 (2.88-3.46) 0.330
Level II (yellow) 2.93 (2.63-3.23)
Level III (green) 2.93 (2.57-3.28)
“I feel a heavier workload during COVID-19 pandemic compared to before.”
Overall 2.68 (2.53-2.83) 0.004d
Pre-hospital rotation 3.00 (2.19-3.81)
General surgery rotation 3.02 (2.72-3.33)
Urology rotation 2.63 (2.44-2.82)
Board exam candidate 2.18 (1.76-2.60)
Level I (red) 2.89 (2.64-3.14) 0.018d
Level II (yellow) 2.59 (2.37-2.81)
Level III (green) 2.40 (2.08-2.72)
“I feel a greater mental burden or stress during COVID-19 pandemic compared to before.”
Overall 3.43 (3.25-3.60) 0.724
Pre-hospital rotation 3.75 (3.08-4.42)
General surgery rotation 3.52 (3.15-3.89)
Urology rotation 3.36 (3.14-3.59)
Board examination candidate 3.36 (2.75-3.97)
Level I (red) 3.52 (3.25-3.79) 0.422
Level II (yellow) 3.26 (2.99-3.53)
Level III (green) 3.45 (3.03-3.88)
  
  
[1] Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socioeconomic implications of the coronavirus and COVID-19 pandemic: a review. Int J Surg 2020; 78:185-93.
doi: S1743-9191(20)30316-2 pmid: 32305533
[2] Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract 2020; 10:78-9.
doi: 10.1016/j.cmrp.2020.03.011
[3] WHO. WHO coronavirus disease (COVID-19) dashboard. https://covid19.who.int. [Accessed 24 May 2020].
[4] Teoh J, Ong WL, Gonzalez-Padilla D, Castellani D, Dubin J, Esperto F, et al. A global survey on the impact of COVID-19 on urological services. Eur Urol 2020; 78:265-75.
doi: 10.1016/j.eururo.2020.05.025
[5] Rasyid N, Birowo P, Parikesit D, Rahman F. Impact of the COVID-19 pandemic on urology practice in Indonesia: a nationwide survey. Urol J 2020; 17:129-31.
[6] Abdessater M, Rouprêt M, Misrai V, Matillon X, Tellier BG, Freton L, et al. COVID-19 pandemic impact on anxiety of French urologists in training: outcomes from a national survey. Prog Urol 2020; 30:448-55.
doi: S1166-7087(20)30137-8 pmid: 32376208
[7] Amparore D, Claps F, Cacciamani GE, Esperto F, Fiori C, Liguori G, et al. Impact of the COVID-19 pandemic on urology residency training in Italy. Minerva Urol Nefrol 2020; 72:505-9.
doi: 10.23736/S0393-2249.20.03868-0 pmid: 32253371
[8] Porpiglia F, Checcucci E, Amparore D, Verri P, Campi R, Claps F, et al. Slowdown of urology residents’ learning curve during COVID-19 emergency. BJU Int 2020:3-5.
[9] Kwon YS, Tabakin AL, Patel HV, Backstrand JR, Jang TL, Kim IY, et al. Adapting urology residency training in the COVID-19 era. Urology 2020; 141:15-9.
doi: S0090-4295(20)30452-0 pmid: 32339555
[10] Malhotra R, Gautam D, George J. Orthopaedic resident management during the COVID-19 pandemicdAIIMS model. J Clin Orthop Trauma 2020; 11:S307-8. https://doi.org/10.1016/j.jcot.2020.05.001.
doi: 10.1016/j.jcot.2020.05.001
[11] Ehrlich H, McKenney M, Elkbuli A. Protecting our healthcare workers during the COVID-19 pandemic. Am J Emerg Med 2020; 38:1527-8.
doi: S0735-6757(20)30252-7 pmid: 32336585
[12] Agarwal S, Sabadia S, Abou-Fayssal N, Kurzweil A, Balcer LJ, Galetta SL. Training in neurology: flexibility and adaptability of a neurology training program at the epicenter of COVID-19. Neurology 2020; 94:e2608-14. https://doi.org/10.1212/WNL.0000000000009675.
doi: 10.1212/WNL.0000000000009675
[13] Giao H, Le An P, Thi Ngoc Han N, Van Khanh T, Kim Ngan V, Van Tam V. Knowledge and attitude toward COVID-19 among healthcare workers at district 2 hospital, Ho Chi Minh City. Asian Pac J Trop Med 2020; 13:6-11.
[14] Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect 2020; 105:183-7.
doi: S0195-6701(20)30187-0 pmid: 32278701
[15] Zingaretti N, Negrini F, Tel A, Tresoldi M, Bresadola V, Parodi P. The impact of COVID-19 on plastic surgery residency training. Aesth Plast Surg 2020; 44:1381-5.
doi: 10.1007/s00266-020-01789-w
[16] Busetto GM, Del Giudice F, Mari A, Sperduti I, Longo N, Antonelli A, et al. How can the COVID-19 pandemic lead to positive changes in urology residency? Front Surg 2020; 7:1-10.
doi: 10.3389/fsurg.2020.00001
[17] Hameed BZ, Tanidir Y, Naik N, Teoh JYC, Shah M, Wroclawski ML, et al. Will “hybrid” meetings replace face-toface meetings post COVID-19 era? Perceptions and views from the urological community. Urology 2021:1-6.
[18] Chick RC, Clifton GT, Peace KM, Propper BW, Hale DF, Alseidi AA, et al. Using technology to maintain the education of residents during the COVID-19 pandemic. J Surg Educ 2020; 77:729-32.
doi: S1931-7204(20)30084-2 pmid: 32253133
[19] Coe TM, Jogerst KM, Sell NM, Cassidy DJ, Eurboonyanun C, Gee D, et al. Practical techniques to adapt surgical resident education to the COVID-19 era. Ann Surg 2020:e139-41.
No related articles found!
[1] Allen C. Gao,James L. Mohler. In honor of Dr. Donald S. Coffey - Prostate cancer biology and therapy[J]. Asian Journal of Urology, 2019, 6(1): 1 -2 .
[2] Karen S. Sfanos,Srinivasan Yegnasubramanian,William G. Nelson,Tamara L. Lotan,Ibrahim Kulac,Jessica L. Hicks,Qizhi Zheng,Charles J. Bieberich,Michael C. Haffner,Angelo M. De Marzo. If this is true, what does it imply? How end-user antibody validation facilitates insights into biology and disease[J]. Asian Journal of Urology, 2019, 6(1): 10 -25 .
[3] Pei Zhao,Yezi Zhu,Liang Cheng,Jun Luo. Detection of androgen receptor (AR) and AR-V7 in small cell prostate carcinoma: Diagnostic and therapeutic implications[J]. Asian Journal of Urology, 2019, 6(1): 109 -113 .
[4] Liqun Zhou,Kaiwei Yang,Xuesong Li,Yi Ding,Dawei Mu,Hanzhong Li,Yong Yan,Jinyi Li,Dongwen Wang,Wei Li,Yulong Cong,Jiangping Gao,Kewei Ma,Yajun Xiao,Sheng Zhang,Hongyi Jiang,Weilie Hu,Qiang Wei,Xunbo Jin,Zhichen Guan,Qingyong Liu,Danfeng Xu,Xin Gao,Yongguang Jiang,Weimin Gan,Guang Sun,Qing Wang,Yanhui Liu,Jianquan Hou,Liping Xie,Xishuang Song,Fengshuo Jin,Jiafu Feng,Ming Cai,Zhaozhao Liang,Jie Zhang,Dingwei Ye,Lin Qi,Lulin Ma,Jianzhong Shou,Yuping Dai,Jianyong Shao,Ye Tian,Shizhe Hong,Tao Xu,Chuize Kong,Zefeng Kang,Yuexin Liu,Xun Qu,Benkang Shi,Shaobin Zheng,Yi Lin,Shujie Xia,Dong Wei,Jianbo Wu,Weiling Fu,Zhiping Wang,Jianbo Liang. Application of fluorescence in situ hybridization in the detection of bladder transitional-cell carcinoma: A multi-center clinical study based on Chinese population☆(☆ Hospitals 1 and 3w53 were all in the study group of Fluorescence in situ hybridization in prenatal genetic diseases and cancer detection in clinical research of Chinese population.)[J]. Asian Journal of Urology, 2019, 6(1): 114 -121 .
[5] Liang Dong,Richard C. Zieren,Wei Xue,Theo M. de Reijke,Kenneth J. Pienta. Metastatic prostate cancer remains incurable, why?[J]. Asian Journal of Urology, 2019, 6(1): 26 -41 .
[6] William B. Isaacs,Jianfeng Xu. Current progress and questions in germline genetics of prostate cancer[J]. Asian Journal of Urology, 2019, 6(1): 3 -9 .
[7] Cameron M. Armstrong,Allen C. Gao. Current strategies for targeting the activity of androgen receptor variants[J]. Asian Journal of Urology, 2019, 6(1): 42 -49 .
[8] Michael V. Fiandalo,Daniel T. Gewirth,James L. Mohler. Potential impact of combined inhibition of 3α-oxidoreductases and 5α-reductases on prostate cancer[J]. Asian Journal of Urology, 2019, 6(1): 50 -56 .
[9] Tyler Etheridge,Shivashankar Damodaran,Adam Schultz,Kyle A. Richards,Joseph Gawdzik,Bing Yang,Vincent Cryns,David F. Jarrard. Combination therapy with androgen deprivation for hormone sensitive prostate cancer: A new frontier[J]. Asian Journal of Urology, 2019, 6(1): 57 -64 .
[10] Gina Chia-Yi Chu,Leland W.K. Chung,Murali Gururajan,Chia-Ling Hsieh,Sajni Josson,Srinivas Nandana,Shian-Ying Sung,Ruoxiang Wang,Jason Boyang Wu,Haiyen E. Zhau. Regulatory signaling network in the tumor microenvironment of prostate cancer bone and visceral organ metastases and the development of novel therapeutics[J]. Asian Journal of Urology, 2019, 6(1): 65 -81 .
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
Asian Journal of Urology, ISSN 2214-3882 (Print), ISSN 2214-3890 (Online), CN 31-2124/R
Copyright © Asian Journal of Urology Except Certain Content Provded by Third Parties
沪ICP备14033887号-1 Shanghai, China; E-mail: ajurology@smmu.edu.cn
Powered by Beijing Magtech Co. Ltd