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RESEARCH ARTICLE
personnel, facilities, and funds. Changes were made to reduce the
spread and to ensure social distancing norms. Outpatient services
were restricted, elective surgeries were canceled, and leading to a
decrease in the spectrum and volume of patients.
9–11
Delhi, being
the capital and well-connected internationally, was particularly hit
by this pandemic.
12, 13
The spike in the number of COVID-19 cases overburdened
the internists, intensivists, and emergency physicians who were
involved in the care of these patients.
14
To address this challenge,
many teaching hospitals deployed residents across their specialty
boundaries in COVID-19 care and transitioned to virtual academic
activities.
13
These transitions had a wide-ranging impact on the
I NTRODUCTION
Postgraduate (PG) residents receive most of their training in the
hospital, commonly referred to as “on-the-job training.”
1
The
main goal of this training is to achieve sufficient competence so
as to deliver effective and safe patient care.
2
The Association of
American Medical Colleges (AAMC), specify that residents are
above all learners, and their educational needs should, thus, be
the cardinal determinant of any patient care service.
3
The success
of any adult education program, however, depends on the quality
of the education environment, which includes several factors
like workload, ability to provide continuity of care, perception of
autonomy, defined duty hours, perceptions of teaching, and social
support. Several standardized questionnaires have been used in
the past to assess the perception of postgraduate residents of their
training programs.
4
In December 2019, the first few cases of a novel coronavirus
were reported from Wuhan. This virus was subsequently sequenced
and identified as severe acute respiratory syndrome coronavirus
2 or COVID-19. The virus spread rapidly across the globe within a
period of a few months. The World Health Organization declared
COVID-19 as a pandemic on 11
th
March 2020.
5
With a sharp rise in COVID-19 cases, both developed and
developing countries faced a healthcare crisis.
6
In India, for adequate
preparedness and consolidation of resources, the government
announced a nationwide lockdown on 25
th
March 2020.
7 , 8
Also,
COVID-19 became the prime focus of the Indian healthcare
system. This led to the reallocation of resources, that is, materials,
1,3
Department of Pathology, University College of Medical Sciences
(UCMS), Delhi, India
2
Department of Radiology, University College of Medical Sciences
(UCMS), Delhi, India
Corresponding Author: Saloni Dagar, Department of Radiology,
University College of Medical Sciences (UCMS), Delhi, India, Phone:
+919899065397, e-mail: dagar.saloni@gmail.com
How to cite this article: Jha T, Dagar S, Diwaker P. Impact of Coronavirus
Disease 2019 on Postgraduate Training: Comparison of Dedicated and
Nondedicated Coronavirus Disease 2019 Centers. J Postgrad Med Edu
Res 2023;57(2):70–78.
Source of support: Nil
Conflict of interest: None
Impact of Coronavirus Disease 2019 on Postgraduate Training:
Comparison of Dedicated and Nondedicated Coronavirus
Disease 2019 Centers
Tanvi Jha
1
, Saloni Dagar
2
, Preeti Diwaker
3
Received on: 13 December 2021; Accepted on: 14 November 2022; Published on: 31 May 2023
A BSTRACT
Background: Postgraduate (PG) residents receive most of their training “on the job.” As coronavirus disease 2019 (COVID-19) became the
singular focus, changes were made in healthcare delivery that had a wide-ranging impact on the education of PG residents. In this study, we
aimed to evaluate and compare the perception of PG residents of dedicated and nondedicated COVID-19 care centers towards the effects of
the COVID-19 pandemic on their own educational environment.
Methods: A 13-item, pretested questionnaire was used. A total of 267 PG residents from two dedicated and two nondedicated government
COVID-19 centers voluntarily participated in the study. Data were analyzed using Statistical Package for the Social Sciences (SPSS) v23.
Results: Out of 267 residents, 96.6% felt that the pandemic had affected their training and this perception was significantly higher (p = 0.018)
amongst those working in dedicated COVID-19 facilities. Decreased motivation, poorer attention span, fewer learning opportunities relevant to
their branch, irregular online teaching, absence of practical training, increased workload, and inability to learn from and interact with their seniors
and faculty are some of the other problems identified. Only 6% of residents believed that they were adequately trained for their professional
career postresidency and about 66.7% of residents felt the need to repeat their residency as they felt undertrained.
Conclusion: In view of the protracted nature of the pandemic, there is an urgent need to address the concerns of PG residents and come up
with innovative solutions to problems identified in their training so as to ensure a timely well-prepared batch of PG without lowering the
standard of medical education.
Keywords: Coronavirus disease 2019, Medical education, Novel coronavirus, Pandemic, Postgraduate training.
Journal of Postgraduate Medicine, Education and Research (2023): 10.5005/jp-journals-10028-1611