Alternative surgical training approaches during COVID-19 pandemic

Tuma, Faiz; Kamel, Mohamed; Shebrain, Saad; Ghanem, Maher; Blebea, John

doi:10.1016/j.amsu.2021.01.057

Cited by 20 publications

(19 citation statements)

References 23 publications

(15 reference statements)

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“…The impact of burnout and deterioration in QoL can lead to reduced motivation, errors made in patient care, and chronic fatigue in trainees than can further the vicious cycle 23 . Creating programs to facilitate residents' education through virtual platforms and develop systems of support can ameliorate residents' concerns 24 . Educational institutions have a particular responsibility to maintain training program standards.…”

Section: Discussionmentioning

confidence: 99%

Psychological Outcomes of Surgery Trainees in the Era of COVID-19 at a Tertiary Care Hospital of Karachi, Pakistan: A Cross-Sectional Study

Lakhani

Bajwa

Zahid

et al. 2022

Preprint

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Objectives: The COVID-19 pandemic has resulted in interruptions in training for surgical residents in particular. This has been compounded by burnout and mental health concerns among surgical trainees across the world. We aim to determine the impact of the COVID-19 pandemic on psychological outcomes of surgical trainees in a tertiary-care hospital in Pakistan. Setting: A cross-sectional, online survey-based study was conducted at a private tertiary care hospital of Karachi, Pakistan. Participants: All the surgery trainees including; residents, fellows and instructors acquiring training at a private tertiary care hospital of Karachi, Pakistan were included in the study. Outcome measures: The participants were assessed for their perceptions, and concerns regarding the COVID-19 pandemic, impact on their quality of life and generalized anxiety disorder (GAD). Results: A majority (85%) of surgical trainees were concerned regarding contracting COVID-19 infections. Residents were more concerned with fellow residents developing burnout and anxiety as compared to their own psychological concerns. A strong, significant positive correlation (r=0.66, p <0.001) was noted between negative impact on QoL scores and developing GAD in surgical residents. On multivariable analysis, significant associations with GAD remained for family system, and negative impact of COVID-19 on QoL. The increased working hours for junior trainees showed more likelihood of developing GAD as compared to senior trainees. Conclusion: Our investigation on QoL and psychological outcomes of surgical residents showed significant rates of burnout and GAD, which were attributed to concerns with the COVID-19 pandemic. We showed the impact this had on surgical trainees perception regarding their training and concerns with infecting others. This calls for structural interventions to address mental health concerns and provide psychological and educational support to surgical residents.

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Section: Discussionmentioning

confidence: 99%

Psychological Outcomes of Surgery Trainees in the Era of COVID-19 at a Tertiary Care Hospital of Karachi, Pakistan: A Cross-Sectional Study

Lakhani

Bajwa

Zahid

et al. 2022

Preprint

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“…As such, having access to these models after hours, or during times that are more conducive to a resident's schedule, should be emphasized. Alternate learning activities were also proposed by Tuma et al, 33 which include writing clinical questions, recording and reviewing surgical skills with preceptors, and developing online surgical education platforms like the Surgical Council on Resident Education (SCORE) portal. While these strategies may require a longer upfront investment by surgeon educators, developing these tools could serve to benefit all resident learners at all levels, even on the global scale.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Restrictions Presented Opportunities and Challenges for Plastic Surgery Residents

et al. 2021

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Background: Restrictions placed during the COVID-19 pandemic to prevent viral spread led to substantial changes in surgical resident education. The aim of this study was to assess the positive and negative impact of COVID-19 on plastic surgery education and training and provide recommendations for continued competency. Methods: A cross-sectional online survey of plastic surgery residents across Canada was used to evaluate the impact of COVID-19 on clinical exposure, experience with virtual education, and long-term impact of COVID-19 on surgical training. Results: This study included 61 plastic surgery residents (40% participation rate). Common educational modalities used during COVID-19 included online seminars (95%) and workshops (58%). Teaching sessions were effective if structured around patient cases (72%), recorded (66%), and limited to 1 hour (64%). There were mixed reactions towards online education sessions; residents reported feeling grateful (54%), motivated (38%), enthusiastic (28%), overwhelmed (41%), pressured to participate (23%), and anxious (13%). There were significantly less residents who felt that their clinical exposure was sufficient during (21%) versus before (72%) pandemic restrictions ( P < .001). Overall, 87% of residents felt that the pandemic had a negative impact on their training, surgical skill development, fellowship plans, and job prospects. Conclusions: During the initial wave of COVID-19, residents faced altered educational opportunities, which elicited positive and negative emotions with concern regarding surgical skill development and impact on future career plans. Characterizing early educational impact on residency training to identify opportunities for change is worthwhile as the overall effect of the pandemic is ongoing and remains uncertain.

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“…Both undergraduate and graduate medical education were also heavily impacted by the pandemic. 30 Many medical school programs worldwide completed clinicals in a telesimulation and virtual environment in the spring of 2020. 31 E-learning modules, virtual conferencing, and surgical and other skills simulation training were used in place of, rather than to augment, traditional educational methods.…”

Section: Transition To Online Learningmentioning

confidence: 99%

The Role of Technology in Health Professions Education During the COVID-19 Pandemic

et al. 2022

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The COVID-19 pandemic has sparked radical shifts in the ways that both health care and health professions education are delivered. Before the pandemic, some degree programs were offered fully online or in a hybrid format, but in-person learning was considered essential to the education and training of health professionals. Similarly, even as the use of telehealth was slowly expanding, most health care visits were conducted in-person. The need to maintain a safe physical distance during the pandemic rapidly increased the online provision of health care and health professions education, accelerating technology adoption in both academic and professional health care settings. Many health care professionals, educators, and patients have had to adapt to new communication modalities, often with little or no preparation. Before the pandemic, the need for cost-effective, robust methodologies to enable teaching across distances electronically was recognized. During the pandemic, online learning and simulation became essential and were often the only means available for continuity of education and clinical training. This paper reviews the transition to online health professions education and delivery during the COVID-19 pandemic and provides recommendations for moving forward.

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Alternative surgical training approaches during COVID-19 pandemic

Cited by 20 publications

References 23 publications

Psychological Outcomes of Surgery Trainees in the Era of COVID-19 at a Tertiary Care Hospital of Karachi, Pakistan: A Cross-Sectional Study

Psychological Outcomes of Surgery Trainees in the Era of COVID-19 at a Tertiary Care Hospital of Karachi, Pakistan: A Cross-Sectional Study

COVID-19 Restrictions Presented Opportunities and Challenges for Plastic Surgery Residents

The Role of Technology in Health Professions Education During the COVID-19 Pandemic

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