Addressing General Surgery Residents’ Concerns in the Early Phase of the COVID-19 Pandemic

He, Katherine; Stolarski, Allan; Whang, Edward E.; Kristo, Gentian

doi:10.1016/j.jsurg.2020.04.003

Cited by 75 publications

(100 citation statements)

References 3 publications

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“…Redeployment in Intensive Care and Emergency units can further develop the lateral ways of thinking and strengthen collaboration skills and teamwork mentality [12]. Working under stress and in a different environment, using skillsets acquired during previous experience add on building up resilience [8]. Senior trainees can use this unique experience to exploit leadership and supervision skills, qualities needed to progress to consultant level.…”

Section: Non-technical Skills and Team-workmentioning

confidence: 99%

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Doing More with Less: Surgical Training in the COVID-19 Era

Doulias

Gallo

Rubio-Perez

et al. 2020

Journal of Investigative Surgery

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Background: The impact of COVID-19 in healthcare systems globally was unprecedented leading to cancelations of most planned surgical activities. Surgical trainees were redeployed to Intensive Care and Emergency units supporting urgent and unplanned care on COVID-19 patients. Theater exposure, crucial part of surgical training, was reduced to minimal since elective cases were postponed, and emergency operating was carried out by consultants only. Surgical research has also been severely hit with most of the clinical trials been postponed. Teaching activities as well as national and international congresses and surgical courses important tools for continuous professional development were canceled. Methods: The primary aim of our study was to summarize the changes in surgical training during the pandemic. This was followed by a review of the existing social media platforms, video-conferencing platforms along with the role of the social media in surgical training. The crucial role of simulation in surgical training was explored and alternative ways of training with engagement of the feedback mechanisms were proposed. The secondary aim was to highlight possible novel educational strategies for the forthcoming post-COVID-19 era. Conclusions: The "new" era forced the educational boards to reexamine training curriculums. Innovation strategies and cooperation on the part of surgical residency programs is crucial. Strong leadership is needed, on the part of the education bodies with restructuring of the surgical programmes to accommodate alternative ways of training is necessary to maintain rigorous standards of education and training.

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Section: Non-technical Skills and Team-workmentioning

confidence: 99%

“…They were redeployed to Intensive Care Units (ICU) and Emergency units supporting urgent and unplanned care. They have shown flexibility in working hours and patterns, having their timetable continuously changing to cover for sick leave and colleague's isolation [7,8].…”

Section: Introductionmentioning

confidence: 99%

Doing More with Less: Surgical Training in the COVID-19 Era

Doulias

Gallo

Rubio-Perez

et al. 2020

Journal of Investigative Surgery

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“…Also, more than half of the residents that were deployed in a workplace beyond their usual scope of work showed high levels of stress, and anxiety was reported frequently [13,18,48]. Additionally, due to the potential risk of being vectors, residents worry about a possible disease transmission to their families and patients [13,44,[49][50][51][52][53][54][55][56]. The fear of being vectors becomes more understandable, considering the other main concerns of residents, namely PPE shortage, vague instructions, limited testing capacities, frequently changing policies and the danger of mental exhaustion [54,56].…”

Section: Uncertainties and Mental Healthmentioning

confidence: 99%

“…Deployment should consider such information accordingly [46]. Additionally, a sufficient Covid-19 testing capacity for staff, PPE and feasible shift schedules are seen as viable to reduce exposure and prevent burnout [50]. One study showed that social support was negatively correlated with levels of anxiety in students [42].…”

Section: Uncertainties and Mental Healthmentioning

confidence: 99%

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

Wohlfarth

Gloor

Hautz

2020

Preprint

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Introduction: In the Covid-19 pandemic, medical students and residents find themselves in a healthcare environment with measures and policies changing by the hour. Reports regarding those in training were scarce and scattered in the early pandemic, what made an overarching insight a challenge. This review compiles and analyzes the literature addressing the preparation of students and residents in the first four months of the Covid-19 pandemic to find gaps and implications for the current pandemic as well as for future scenarios.Methods: We performed a systematic literature search and content analysis (CA) for articles available in English language that focus on the preparation of students and residents in human medicine within the first four months of the Covid-19 pandemic.Results: We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics of «faculty preparation», «uncertainty and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of «(re)deployment», «interruption of training and career», «safety issues», «transmission of disease», and «restricted social interaction» were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout.Discussion: Students and residents are willing and able to participate, when provided with appropriate deployment, thorough supervision, Personal Protective Equipment (PPE) and valid knowledge. Faculties and policymakers should be in close contact with the youngest in training to value their concerns and intrinsic creativity on the scenario. The use of new technology for interaction and knowledge provision, interviews for voluntary deployment and the provision of mental health support seem appropriate measures to support students and residents under the current pandemic.Conclusion: Our review holds thorough implications for faculties and policymakers. Not only for surge capacity, but also for the safety and the professional identity formation of those in training, it is crucial to understand their needs and concerns. Leaders should strive for a close communication with students and residents, value their intrinsic creativeness and constantly evaluate on their needs regarding knowledge aspects, safety measures, legal concerns and well-being for the construction of nation-wide homogenous policies.

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“…En diciembre del 2019 se diagnosticó en la ciudad de Wuhan, China, el primer caso de COVID-19 1,2,3,4,5,6 , desde ese momento la situación ha escalado alcanzando repercusiones a nivel mundial siendo declarada en marzo del 2020 pandemia por la OMS 3,7,8,9,10,11,12 . Esta enfermedad ha tenido un fuerte impacto sobre el sistema de salud ya que el mismo se ve sobrecargado intentando atender la mayor cantidad de pacientes posibles aún cuando los recursos materiales y el personal no son suficientes generando situaciones de gran estrés físico y emocional en el personal de la salud tanto médico como no médico 13,14 .…”

Section: Introductionunclassified

¿ Estamos operando pacientes asintomáticos pero infectados por Covid19?:análisis retrospectivo de pacientes operados en el Hospital Maciel

2020

Cir. urug

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Addressing General Surgery Residents’ Concerns in the Early Phase of the COVID-19 Pandemic

Cited by 75 publications

References 3 publications

Doing More with Less: Surgical Training in the COVID-19 Era

Doing More with Less: Surgical Training in the COVID-19 Era

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

¿ Estamos operando pacientes asintomáticos pero infectados por Covid19?:análisis retrospectivo de pacientes operados en el Hospital Maciel

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