Medical education versus exposure to SARS COV-2: how is the achievement of doctor resident competence in the field of urogynecology?


  • Eighty Mardiyan Kurniawati Urogynecology Reconstructive Division, Department of Obstetrics and Gynecology, Universitas Airlangga, Surabaya, INDONESIA
  • Nur Anisah Rahmawati Faculty of Public Health, Universitas Airlangga, Surabaya, INDONESIA (E-mail: nur.anisah.rahmawati-


The spread of SARS CoV-2 impacts medical education. Patients with urogynecological cases are mostly elderly patients who are at risk of exposure to the virus. This paper aims to review resident education in the urogynecology field during the pandemic and how residents can achieve appropriate competence. This study examines the views of several previous research articles and then compiled them in a narrative review. New recommendations such as services at health facilities, as well as scheduled visits or virtual services, have an impact on reducing the number of cases, limited contact with patients, virus exposure from practice locations, online learning, and the involvement of resident doctors in handling SARS CoV-2 case for other units. Resident doctors need to achieve competence to become professionals in their fields. What needs to be realized is that direct practice with patients, conducting examinations, making diagnoses, and providing therapy with real cases cannot be replaced with online learning. Medical education for residents must ensure safety in obtaining education and practice in the hospital to fulfill the task of caring for patients, access to mental health in a pandemic, and simulation-based training. All of these interventions are designed to ensure that the competence of graduates achieved before or during COVID-19 is the same: doctors who are professional and competent intheir fields. Keywords: Resident doctors, Medical education, Competence, Urogynecology, SARS CoV-2


Sahi PK, Mishra D, Singh T. Medical Education Amid the COVID-19 Pandemic. Indian Pediatr. 2020;57(7):652-657

S Khan and A Mian. Medical education: COVID-19 and surgery. Br J Surg. 2020; 107(8): e269

Ahmed H, Allaf M, Elghazaly H. COVID-19, and medical education [published correction appears in Lancet Infect Dis. 2020;20(5):e79]. Lancet Infect Dis. 2020;20(7):777-778.

Rhim HC, Han H. Teaching online: foundational concepts of online learning and practical guidelines. Korean J Med Educ. 2020;32(3):175-183.

Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, Ashwieb A, Ghula M, Ben Hasan H, Abudabuos S, Alameen H, Abokhdhir T, Anaiba M, Nagib T, Shuwayyah A, Benothman R, Arrefae G, Alkhwayildi A, Alhadi A, Zaid A, Elhadi M. Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020;15(11):e0242905.

Okhunov Z, Safiullah S, Patel R, Juncal S, Garland H, Khajeh NR, Martin J, Capretz T, Cottone C, Jordan ML, McDougall E, Clayman RV, Landman J. Evaluation of Urology Residency Training and Perceived Resident Abilities in the United States. J Surg Educ. 2019;76(4):936-948.

Drutz H, Riss P, Halaska M, Hanzal E, Khullar V, Kölbl H, Vervest H. IUGA Guidelines forTraining in Urogynecology and Reconstructive Pelvic Surgery (URPS). International urogynecology journal and pelvic floor dysfunction 2002;386(95).

Casiano ER, Wendel GD Jr, Congleton MJ, Wai CY. Urogynecology training and practice patterns after residency. J Surg Educ. 2012;69(1):77-83

RSUD Dr. Soetomo. Rekam Medis Pasien Uroginekologi. 2020

Rosen GH, Murray KS, Greene KL, Pruthi RS, Richstone L, Mirza M. Effect of COVID- 19 on Urology Residency Training: A Nationwide Survey of Program Directors by the Society of Academic Urologists. J Urol. 2020; 204(5):1039-1045.

Amparore D, Claps F, Cacciamani GE, Esperto F, Fiori C, Liguori G, Serni S, Trombetta C, Carini M, Porpiglia F, Checcucci E, Campi R. Impact of the COVID-19 pandemic on urology residency training in Italy. Minerva Urol Nefrol. 2020;72(4):505-509

Aziz H, James T, Remulla D, Sher L, Genyk Y, Sullivan ME, Sheikh MR. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ. 2021;78(2):431-439

Odedra D, Chahal BS, Patlas MN. Impact of COVID-19 on Canadian Radiology Residency Training Programs. Can Assoc Radiol J. 2020;71(4):482-489.

Pertile D, Gallo G, Barra F, Pasculli A, Batistotti P, Sparavigna M, Vizzielli G, Soriero D, Graziano G, Di Saverio S, Meniconi RL, Guaitoli E, Mazzarri A; SPIGC Working Group. The impact of COVID-19 pandemic on surgical residency programs in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg. 2020;72(2):269-280

WHO. increasing-the-burden-of-illness-and-health-costs-globally

IUGA. Guidance for the management of urogynecological conditions during the Coronavirus (COVID-19) pandemic. 2020. Accessed from guidance-for-urogynecological-conditions

Ka Yu Tse, Efren J. Domingo, Hiralal Konar, Suresh Kumarasamy, Jitendra Pariyar, Brahmana A. Tjokroprawiro, Kimio Ushijima, Perapong Inthasorn, Ai Ling Tan, and Sarikapan Wilailak, The Oncology Committee, Asia and Oceania Federation of Obstetrics and Gynecology. COVID-19 and gynecological cancers: Asia and OceaniaFederation of Obstetrics and Gynecology oncology committee opinion. J. Obstet. Gynaecol. Res. 2021.

Loganathan, J., Doumouchtsis, S.K. & CHORUS: An International Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women’s Health. Impact of COVID-19 on the management of urogynaecology patients: a rapid review of the literature. Int Urogynecol J.2021

Liang ZC, Ooi SBS, Wang W. Pandemics and Their Impact on Medical Training: Lessons From Singapore. Acad Med. 2020;95(9):1359-1361

Chick RC, Clifton GT, Peace KM, et al. Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic. J Surg Educ. 2020;77(4):729-732.

Rana T, Hackett C, Quezada T, Chaturvedi A, Bakalov V, Leonardo J, Rana S. Medicine and surgery residents' perspectives on the impact of COVID-19 on graduate medical education. Med Educ Online. 2020;5(1):1818439

Shah S, Diwan S, Kohan L, Rosenblum D, Gharibo C, Soin A, Sulindro A, Nguyen Q, Provenzano DA. The Technological Impact of COVID-19 on the Future of Education and Health Care Delivery. Pain Physician. 2020;23(4S):S367-S380

Al-Balas M, Al-Balas HI, Jaber HM, Obeidat K, Al-Balas H, Aborajooh EA, Al-Taher R, Al-Balas B. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ. 2020;20(1):341.

Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical studentstowards online teaching during the COVID-19 pandemic: a national cross- sectional survey of 2721 UK medical students. BMJ Open. 2020;10(11):e042378

Loda T, Löffler T, Erschens R, Zipfel S, Herrmann-Werner A. Medical education in times of COVID-19: German students' expectations - A cross-sectional study. PLoS One. 2020;15(11):e0241660.

Ibrahim NK, Al Raddadi R, AlDarmasi M, Al Ghamdi A, Gaddoury M, AlBar HM, Ramadan IK. Medical students' acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdulaziz University, Jeddah. J Infect Public Health. 2021;14(1):17-23.

Napoe GS, Adjei NN, Cooper AC, Raker CA, Korbly NB. Postpartum urinary retention: a survey of obstetrics and gynecology residents in the United States. J Obstet Gynaecol. 2020;40(8):1118-1121

Kandadai P, Mcvay S, Larrieux JR, OʼDell K. Knowledge and Comfort With Pessary Use:A Survey of US Obstetrics and Gynecology Residents. Female Pelvic Med Reconstr Surg. 2016;22(6):491-496

Valant R, Grigorescu B, Benerofe S, Lazarou G. Improved Understanding of Female Pelvic Medicine and Reconstructive Surgery Concepts Through Targeted Case-Based Educational Intervention: A Pilot Study. Female Pelvic Med Reconstr Surg. 2020;26(12):723-725.

Smith TM, Trowbridge ER, Pastore LM, Smith SC, Brennan MC, Dooley Y, Matthews CA, Ozel B, Sutkin G, Hullfish KL. The multicenter urogynecology study on education: associations between educational outcomes and clerkship center characteristics. Female Pelvic Med Reconstr Surg. 2011;17(3):134-8

Schimpf, M., Feldman, D., O'Sullivan, D., LaSala, C. Resident education and training in urogynecology and pelvic reconstructive surgery: A survey. International urogynecology journal and pelvic floor dysfunction. 2007.

Khusid JA, Weinstein CS, Becerra AZ, Kashani M, Robins DJ, Fink LE, Smith MT Jr, Weiss JP. Well-being and education of urology residents during the COVID-19 pandemic: Results of an American National Survey. Int J Clin Pract. 2020;74(9):e13559

Mishra D, Nair AG, Gandhi RA, Gogate PJ, Mathur S, Bhushan P, Srivastav T, Singh H, Sinha BP, Singh MK. The impact of COVID-19 related lockdown on ophthalmology training programs in India - Outcomes of a survey. Indian J Ophthalmol. 2020;68(6):999- 1004






Themes and Debates