JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v3i1.2208 jpsim.v3i1.2208 Original Research Impact of Covid-19 on Training of House Officers and Post-Graduate Residents During 3rd & 4th Wave of Covid-19 Pandemic in a Tertiary Care Hospital Khan Ali Asad asad.kemcolian@yahoo.com * Ali Anam Sulehria Sohail Bashir Yousaf Muhammad Kamran Qayyum Sadiq AbaidUllah Sajid King Edward Medical University University of Child Health Sciences, Lahore Akhtar Saeed Trust Hospital, Lahore *Correspondence: Ali Asad Khan (asad.kemcolian@yahoo.com) 15 03 2022 2022 3 1 41 44 07 11 2021 13 01 2022 Copyright © 2022 The Author(s) 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To study the impact of covid-19 on training of house officers and post-graduate residents during 3rd & 4th

wave of covid-19 pandemic in a tertiary care hospital.

 Methodology

A cross-sectional study was conducted with a sample of 82 participants. Participants included post-graduate

residents and house officers working in tertiary care hospitals during the 3rd and 4th wave of Covid-19 pandemic. The

participants were interviewed through a preset questionnaire and the responses were recorded for all the categories. The

data was analysed using SPSS version 22.

 Results

Out of 82 participants, 34.1% of the house officers (n = 50) and post-graduate residents (n = 32) reported one face

to face class per week with lack of online classes by 76.8% of the doctors. Majority of the doctors (63.4%) recorded loss of

regular face to face training and (67.1%) decrease in teaching sessions in addition to a predominant shift (79.3%) towards

self-directed learning than supervised. Majority of the doctors in this study reported disruption to rotas (73.2%), increased

number of on-call duties (62.2%) and increasingly busy shifts (63.4%).

 Conclusion

The training programs have been impacted by the on-going Covid-19 pandemic due to a lack of traditional

training and teaching methods in effect. This however, has been replaced by virtual training modules using social media

platforms bringing more emphasis on self-learning. There is a need of integration of traditional and virtual learning

methods to combat the forced circumstances during Covid-19 pandemic.

 Keywords COVID-19 pandemic Post-graduate residents House officers Residency training References Dong E, Du H, Gardner L. An Interactive web-based dashboard to track Covid-19 in real time. The Lancet Inf Dis. 2020;20(5):533-4. Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med.2020;172:577-82. Dawood FS, Ricks P, Njie GJ, Daugherty M, Davis W, Fuller JA, et al. Observations of the global epidemiology of COVID-19 from the prepandemic period using web-based surveillance: a cross-sectional analysis. The Lancet Inf Dis. 2020:20(11);1255-62. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506. Paules CI, Marston HD, Fauci AS. Coronavirus infections — more than just the common cold. JAMA 2020;323:707-8. Kimball A, Hatfield KM, Arons M, et al. Asymptomatic and presymptomatic SARS-CoV-2 infections in residents of a long-term care skilled nursing facility — King County, Washington, March 2020. MMWR Morb Mortal Wkly Rep 2020;69:377-81. Wölfel R, Corman VM, Guggemos W, et al. Virological assessment of hospitalized patients with COVID-2019. Nature 2020;581:465-69. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323:1061-69. Servin-Rojas M, Olivas-Martinez A, Dithurbide-Hernandez M, Chavez-Vela J, Petricevich VL, Garcia-Juarez I, et al. Impact of the COVID-19 pandemic on the clinical training of last year medical students in Mexico: a cross-sectional nationwide study. BMC Med Educ. 2022;22:24-30. Patil A, Ranjan R, Kumar P, Narang H. Impact of COVID-19 Pandemic on Post-Graduate Medical Education and Training in India: Lessons Learned and Opportunities Offered. Adv Med Educ Pract. 2021;12:809-16. Yuen J, Xie F. Medical education during the COVID-19 pandemic: perspectives from UK trainees. Postgraduate Medical Journal. 2020;96:432-33. Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open 2020;10:e042378. Sebbani M, Adarmouch L, Mansouri A, Mansoury O, Michaud S, Rhassane ElAdib A, et al. Implementation of Online Teaching in Medical Education: Lessons Learned from Students’ Perspectives during the Health Crisis in Marrakesh, Morocco. Edu Research Intl. 2021. 5547821.244-52. Shetty, S., Shilpa, C., Dey, D. et al. Academic Crisis During COVID 19: Online Classes, a Panacea for Imminent Doctors. Indian J Otolaryngol Head Neck Surg.2022;74:45–9. Gupta S, Dabas A, Swarnim S, Mishra D. Medical education during COVID-19 associated lockdown: Faculty and students' perspective. Med J Armed Forces India. 2021;77(Suppl 1):79-84. Giordano L, Cipollaro L, Migliorini F, Maffulli N. Impact of Covid-19 on undergraduate and residency training. Surgeon. 2021;19(5):199-206. Gottenborg, E., Yu, A., Naderi, R. et al. COVID-19’s impact on faculty and staff at a School of Medicine in the US: what is the blueprint for the future?. BMC Health Serv Res.2021.21:395-98 Razu SR, Yasmin T, Arif TB, Islam MS, Islam SMS, Gesesew HS et al. Challenges Faced by Healthcare Professionals During the COVID-19 Pandemic: A Qualitative Inquiry From Bangladesh. Front. Public Health. 2021;9:784-90. Patil A, Ranjan R, Kumar P, Narang H. Impact of COVID-19 Pandemic on Post-Graduate Medical Education and Training in India: Lessons Learned and Opportunities Offered. Adv Med Educ Pract. 2021;12:809-16