Surgeons in training in the face of COVID-19 pandemic in the eastern province of Saudi Arabia: A cross sectional study tackling capabilities, opportunities, and motivation
Maryam Mozafarinia1, Nikki Ow2, Kedar K. V. Mate3, Magdalena Cordoba4, Haider Alyaseen5, Layla Ajasim5, Carlos Cordoba6
1 Division of Experimental Medicine, Faculty of Medicine, McGill University; Centre for Outcome Research and Evaluation (CORE), McGill University Health Centre Research Institute, Montreal, Canada
2 Centre for Outcome Research and Evaluation (CORE), McGill University Health Centre Research Institute; School of Physical and Occupational Therapy, McGill University, Montreal, Canada
3 Centre for Outcome Research and Evaluation (CORE), McGill University Health Centre Research Institute; Chronic Viral Illness Service, Division of Infectious Diseases, Family Medicine, McGill University, Montreal, Canada
4 School of Physical and Occupational Therapy, McGill University, Montreal, Canada
5 Department of Surgery, Almoosa Specialist Hospital, Eastern Province, Kingdom of Saudi Arabia
6 Department of Plastic Surgery, Almoosa Specialist Hospital, Eastern Province, Kingdom of Saudi Arabia
Ms. Maryam Mozafarinia
Division of Experimental Medicine, Faculty of Medicine, McGill University and Centre for Outcome Research and Evaluation, McGill University Health Centre Research Institute, 5252 De Maisonneuve, H4A 3S5 Montréal
Source of Support: None, Conflict of Interest: None
Background: Urgent safety measures and management protocols of COVID-19 are continuously being updated. Surgical residents, amongst other health-care professionals, need to modify their clinical practice both in and out of the operating room. Understanding and applying the communicated guidelines are crucial to limit the spread of the virus.
Objective: To estimate the extent of association between clinical behaviors and the recommended practice guidelines, issued by national and international health agencies, during the COVID-19 pandemic among surgical residents in the Eastern Province of Saudi Arabia.
Methods: A descriptive, cross-sectional study was conducted with 52 surgical residents training in affiliated teaching public and private hospitals. Correlations were conducted to estimate the associations between knowledge, perception, motivation, and surgical residents' clinical behavior. Further cluster analysis was conducted to identify groups of people with similar patterns of clinical behavior.
Results: The response rate was 52%. Surgical residents' behavior and their adherence to practice guidelines were varied and individualized. Nearly 50% lacked some fundamental bio-medical and disease specific knowledge. Despite demonstrating a fair knowledge on the transmission aspect of the disease, less than 60% agreed on ways of infection control and usefulness of personal protective equipment and nearly 50% did not endorse the use of facemasks and gloves. High levels of stress with respect to COVID-19 was reported by 63%; 58% were confident with their personal safety techniques, and 80% needed more information about the COVID-19.
Conclusion: The results suggest a collective action is needed at both the personal and institutional level to increase compliance with the recommended guidelines.