Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
The Impact of the Pandemic on Dermatology Residency Training in Turkey: Descriptive Studies
Pandeminin Türkiye'deki Dermatoloji Uzmanlık Eğitimine Etkisi: Tanımlayıcı Araştırmalar
Çağrı TURANa, Nurcan METİNa, Ozan ERDEMb
aDepartment of Dermatology and Venereology, Health Sciences University Erzurum Regional Training and Research Hospital, Erzurum, TURKEY
bClinic of Dermatology and Venereology, Başakşehir Çam and Sakura City Hospital, İstanbul, TURKEY
Turkiye Klinikleri J Dermatol. 2021;31(3):195-206
doi: 10.5336/dermato.2021-85447
Article Language: EN
Full Text
ABSTRACT
 Objective: It has raised drastic changes in the routine flowthrough of daily life since the beginning of the coronavirus disease-2019 pandemic. One of these is also the education and training of life from the cradle to the grave. We aimed to investigate the pandemic's impact on the dermatology residents' knowledge, skill, and experience levels in this study. Material and Methods: This descriptive research was conducted on dermatology residents from Turkey. The demographic characteristics, the residency duration, teledermatology use, number of outpatients, bedside visits, diagnostic diversity among inpatients, and bed occupancy rates were recorded. Before and after the pandemic in various dermatology-related issues, self-assessment levels of competence were also questioned with the visual analogue scale. Results: A total of 88 residents, 57 (64.8%) women, were included in the study. Sixty nine (78.4%) residents have worked in a pandemic hospital, 81 (92.0%) of the participants thought the pandemic had a negative effect on residency training. Issues such as the decrease in occupancy rates of dermatology service and diagnostic diversity of the inpatients, interrupted physicians' bedside visits, markedly reduced training time, and the inability to conduct theoretical exams reinforced this negative perception (p=0.005, p=0.023, p=0.003, p=0.011, p<0.001; respectively). There was a significant decrease compared to the expected level in the issues such as biological agent therapy, phototherapy, and dermato-surgery and dermatoscopy, although it varied according to the residency duration (p<0.05). Conclusion: Our study revealed that the pandemic affects the dermatology residents more negatively in terms of practical skills and experiences rather than theoretical knowledge level.

Keywords: COVID-19; pandemic; dermatology; residency; education
ÖZET
 Amaç: Koronavirüs hastalığı-2019 pandemisi, ilk günden itibaren günlük yaşamın rutin akışında ciddi değişikliklere neden oldu. Bunlardan biri de beşikten mezara kadar olan eğitim ve öğretim hayatıdır. Bu çalışmada, pandeminin dermatoloji asistanlarının bilgi, beceri ve deneyim düzeylerine etkisini araştırmayı amaçladık. Gereç ve Yöntemler: Bu tanımlayıcı araştırma, Türkiye'deki dermatoloji asistanları üzerinde yapıldı. Demografik özellikler, asistanlık süresi, teledermatoloji kullanımı, ayaktan hasta sayısı, yatak başı vizitleri, yatan hastalar arasındaki tanı çeşitliliği ve yatak doluluk oranları kaydedildi. Pandemi öncesi ve sonrası çeşitli dermatolojik konularda yeterlilik düzeylerin kişisel değerlendirmeleri vizüel analog skala ile sorgulandı. Bulgular: Araştırmaya 57'si (%64,8) kadın olmak üzere toplam 88 asistan dâhil edildi. Altmış dokuz (%78,4) asistan bir pandemi hastanesinde çalışıyordu. Katılımcıların 81'i (%92,0) pandeminin uzmanlık eğitimini olumsuz etkilediğini düşündü. Dermatoloji servisinin doluluk oranlarının düşmesi ve yatan hastaların tanısal çeşitliliği, doktorların yatak başı vizitlerinin kesintiye uğraması, eğitim süresinin belirgin şekilde azalması, teorik sınavların yapılamaması bu olumsuz algıyı pekiştirdi (p=0,005, p=0,023, p=0,003, p=0,011, p<0,001). Biyolojik ajan tedavisi, fototerapi, dermato-cerrahi ve dermatoskopi gibi konularda asistanlık süresine göre değişmekle birlikte beklenen düzeye kıyasla anlamlı azalma vardı (p<0,05). Sonuç: Çalışmamız, pandeminin dermatoloji asistanlarını teorik bilgi düzeyinden ziyade pratik beceri ve deneyimler açısından daha olumsuz etkilediğini ortaya koydu.

Anahtar Kelimeler: COVID-19; pandemi; dermatoloji; asistanlık; eğitim
REFERENCES:
  1. The Republic of Turkey Ministry of Health [Internet]. [Cited: 06.04.2021]. COVID-19 (SARS-CoV-2 infection) guide. Available from: [Link] 
  2. Turan Ç, Metin N, Utlu Z, Öner Ü, Kotan ÖS. Change of the diagnostic distribution in applicants to dermatology after COVID-19 pandemic: what it whispers to us? Dermatol Ther. 2020;33(4):e13804. [Crossref]  [PubMed]  [PMC] 
  3. Resmî Gazete (26.04.2014, Sayı: 28983) Tıpta ve diş hekimliğinde uzmanlık eğitimi yönetmeliği; 2014. [Link] 
  4. Stewart CR, Lipner SR. Experiences of resident dermatologists during the COVID-19 pandemic: a cross-sectional survey. Dermatol Ther. 2021;34(1):e14574. [Crossref]  [PubMed]  [PMC] 
  5. Li YM, Galimberti F, Abrouk M, Kirsner RS. US dermatology resident responses about the COVID-19 pandemic: results from a nationwide survey. South Med J. 2020;113(9):462-5. [Crossref]  [PubMed]  [PMC] 
  6. Patel P, Guzman AK, McLellan B, Blasiak R. Optimizing education for dermatology residents during the COVID-19 pandemic. J Am Acad Dermatol. 2020;83(4):e319-e20. [Crossref]  [PubMed]  [PMC] 
  7. Martin A, Lang E, Ramsauer B, Gröning T, Bedin GL, Frank J. Continuing medical and student education in dermatology during the coronavirus pandemic-a major challenge. J Dtsch Dermatol Ges. 2020;18(8):835-40. [Crossref]  [PubMed] 
  8. Bari AU. Dermatology residency training in COVID-19 pandemic: transition from traditional to online teaching. J Coll Physicians Surg Pak. 2020;30(6):63-6. [Crossref]  [PubMed] 
  9. Rana T, Hackett C, Quezada T, Chaturvedi A, Bakalov V, Leonardo J, et al. Medicine and surgery residents' perspectives on the impact of COVID-19 on graduate medical education. Med Educ Online. 2020;25(1):1818439. [Crossref]  [PubMed]  [PMC] 
  10. Yılmaz S, Akkaya VB. Dermatoloji uzmanlık eğitiminde sorunlar ve çözüm önerileri: asistan görüşlerinin değerlendirilmesi [Problems and proposals of their solutions in dermatology residency training: a survey of residents' opinions in Turkey]. Turkderm. 2009;43(1):10-4. [Link] 
  11. Svoboda SA, Swigert A, Murina A, Motaparthi K. Teaching dermatology to the millennial learner. Clin Dermatol. 2021;39(2):304-8. [Crossref]  [PubMed] 
  12. Emanuel EJ. The inevitable reimagining of medical education. JAMA. 2020;323(12):1127-8. [Crossref]  [PubMed] 
  13. Mufti A, Maliyar K, Sachdeva M, Doiron P. Modifications to dermatology residency education during the COVID-19 pandemic. J Am Acad Dermatol. 2020;83(3):e235-e6. [Crossref]  [PubMed]  [PMC] 
  14. Ashrafzadeh S, Imadojemu SE, Vleugels RA, Buzney EA. Strategies for effective medical student education in dermatology during the COVID-19 pandemic. J Am Acad Dermatol. 2021;84(1):e33-e4. [Crossref]  [PubMed]  [PMC] 
  15. Turan Ç, Utlu Z. Investigating the factors enabling the accurate implementation of the patient-assisted teledermatology model during the pandemic in Turkey: a pilot study. Dermatol Ther. 2021;34(2):e14741. [Crossref]  [PubMed] 
  16. Guraya SY, Abdalla ME. Determining the effectiveness of peer-assisted learning in medical education: a systematic review and meta-analysis. J Taibah Univ Med Sci. 2020; 15(3):177-84. [Crossref]  [PubMed]  [PMC] 
  17. Huang J, Licatino LK, Long TR. Methods of orienting new anesthesiology residents to the operating room environment: a national survey of residency program directors. J Educ Perioper Med. 2020;22(3):E645. [PubMed]  [PMC] 
  18. Sloychuk J, Szafran O, Duerksen K, Babenko O. Association between family medicine residents' mindsets and in-training exam scores. PRiMER. 2020;4:33. [Crossref]  [PubMed]  [PMC] 
  19. Hall AK, Nousiainen MT, Campisi P, Dagnone JD, Frank JR, Kroeker KI, et al. Training disrupted: practical tips for supporting competency-based medical education during the COVID-19 pandemic. Med Teach. 2020; 42(7):756-61. [Crossref]  [PubMed] 
  20. Meretoja R, Isoaho H, Leino-Kilpi H. Nurse competence scale: development and psychometric testing. J Adv Nurs. 2004;47(2):124-33. [Crossref]  [PubMed] 
  21. Kajander-Unkuri S, Meretoja R, Katajisto J, Saarikoski M, Salminen L, Suhonen R, et al. Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Educ Today. 2014;34(5):795-801. [Crossref]  [PubMed] 

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