Impact of COVID-19 in spanish urology residents: Recommendations and perspective/ El impacto del COVID-19 en la residencia en urologia en Espana: perspectivas y recomendaciones

The COVID-19 pandemic has seriously disrupted the day-to-day running of hospitals, affecting the activity of all medical and surgical departments It has also affected urology residents, depriving them of training at their usual workplaces and forcing them to support COVID units This has implied not only the loss of daily activities, but also the uncertainty of job opportunities for the final year residents In addition, the cancellation of numerous events such as congresses, exams,or courses has affected the annual planning of the specialty A review of the current literature on the impact of the COVID-19 pandemic, as well as the de-escalation process, on resident training has been carried out using web search and PubMed The situation of the residents has been analyzed, both through the information generated by recent literature and by the personal experience of the authors, from different areas: evaluation systems, educational and surgical aspects, as well as healthcare work As a result of this review, the negative impact of the crisison urology resident training can be observed, especially in the surgical field, but new learning opportunities or new forms of communication with the patient can also be observed These educational and healthcare resources invite the urology resident in particular, and the medical society in general, to reinvent themselves The aim of this article is to analyse the training of the urology resident in the de-escalation phase Similarly, the emerging educational resources during the pandemic are synthesized, inviting the reader, and especially the urology resident, to continue their training and learningin these times of uncertainty La pandemia por COVID-19 ha irrumpido gravemente en el dia a dia de los hospitales, afectando a la actividad de todos los servicios medicos y quirurgicos Del mismo modo ha afectado a los residentes de urologia, privandoles a los mismos de seguir la formacion en sus puestos de trabajo habituales y viendose obligados a dar apoyo a las unidades COVID Esto ha implicado, no solamente la perdida de las actividades diarias, si no tambien la incertidumbre en oportunidades laborales de los residentes de ultimo ano Ademas, la cancelacion de numerosos eventos como congresos, examenes o cursos, ha afectado a la planificacion anual de la especialidad Se ha realizado una revision de la literatura actual sobre el impacto de la pandemia por COVID-19, asi como el proceso de desescalada, en la formacion de los residentes mediante busqueda web y en PubMed Se ha analizado la situacion de los residentes, tanto atraves de la informacion generada por la reciente literatura, como por la experiencia personal de los autores, desde distintos ambitos: sistemas de evaluacion, aspectos docentes y quirurgicos, asi como labor asistencial Como resultado de esta revision, se observa el impacto negativo de la crisis en la formacion del residente en urologia, especialmente, en el ambito quirurgico, pero tambien se observan nuevas oportunidades de aprendizaje o formas de comunicacion con el paciente Estos recursos educativos y asistenciales invitan al residente de urologia en concreto, y a la sociedad medica en general, a reinventarse El objetivo del presente articulo es analizar la formacion del residente en urologia en la fase de desescalada Del mismo modo, se sintetizan los recursos educativosemergentes durante la pandemia, invitando al lector y, de manera especial al residente de urologia, a continuar su formacion y aprendizaje ante estos tiempos de incertidumbre