COVID-19 – Considerations and Implications for Surgical Learners

Daodu, Oluwatomilayo; Panda, Nikhil; Lopushinsky, Steven R.; Varghese, Thomas K.; Brindle, Mary

doi:10.1097/sla.0000000000003927

Cited by 74 publications

(83 citation statements)

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“…Despite the short time course of the COVID-19 pandemic in the United States, some perspective articles and preliminary studies have been published detailing initial challenges encountered with surgical education during the COVID-19 pandemic. [16][17][18] The authors posit initial suggestions for adapting surgical learning to the new socially distanced landscape, including pooling of educational resources across institutions and free access to online surgical video libraries. 18 But there has been little investigation or quantification of the emotional toll that these pragmatic but abrupt changes have generated among surgical trainees.…”

Section: Discussionmentioning

confidence: 99%

Stress and the Surgical Resident in the COVID-19 Pandemic

Collins

Mahuron

Bongiovanni

et al. 2021

Journal of Surgical Education

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free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Section: Discussionmentioning

confidence: 99%

Stress and the Surgical Resident in the COVID-19 Pandemic

Collins

Mahuron

Bongiovanni

et al. 2021

Journal of Surgical Education

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“…An overwhelming majority of the respondents, 188, 88.4%, also reported that training/academic programmes in their institutions were currently being conducted virtually. It is recommended that training programmes should invest in virtual and digital platforms for the education and training of trainees [ 27 , 28 ]. Simulations or hands-on technical skills training are difficult to conduct virtually though [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is recommended that training programmes should invest in virtual and digital platforms for the education and training of trainees [ 27 , 28 ]. Simulations or hands-on technical skills training are difficult to conduct virtually though [ 27 ]. This was corroborated by findings in our study, as academic seminars and journal club meetings were the most common virtual programmes reported (172, 83.1% and 66, 31.9%, respectively).…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID‐19 Pandemic on Surgical Residency Training: Perspective from a Low‐Middle Income Country

et al. 2020

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Background The COVID-19 pandemic has drastically impacted postgraduate training programmes worldwide. This study aims to evaluate the Nigerian situation with respect to surgical training, with a view to identifying gaps and proffering solutions. Methods A cross-sectional survey of surgical residents in Nigeria was conducted between 27 July 2020 and 14 August 2020. A structured questionnaire designed using the free software Google Forms ® was utilised for the study. The questionnaire was electronically distributed randomly to 250 surgical residents via emails and social media platforms including WhatsApp and Telegram. The data obtained was analysed by Google Forms ® . Ethical approval for the study was obtained from the ethics and research unit of the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun State, Nigeria. Results At the end of the study period, 207 surgical residents completed and submitted the questionnaire, giving a response rate of 82.8%. The majority of respondents reported a reduction (164, 79.2%) or cancellation (11, 5.3%) of postgraduate programmes in their institutions. Of those who had academic programmes, meetings were done using virtual technology in all instances. The majority of respondents reported seeing fewer patients in the outpatient clinics (173, 83.6%), as well as a reduction in the number of emergency and elective operations (58.5% and 90.8%, respectively). About a third of the respondents (70, 33.8%) were contemplating emigrating from the country. Conclusion The COVID-19 pandemic has significantly affected the clinical, research and teaching components of surgical training in Nigeria. It has, however, led to increased adoption of digital technology which should be further explored in the face of current realities.

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“…8,9 Virtual technology has emerged as an important tool for delivering both patient care and educational curricular content. 10 Individual programs have shared strategies and practical tips focused on innovative education and training, the promotion of resident wellness, 11,12 and creative interventions and flexibility necessary to successfully transition medical students and surgical residents to the next phase of their training. 13,14 In response to the extensive and far-reaching challenges imposed on training programs and surgical educators during the COVID-19 pandemic, the American College of Surgeons' (ACS) Division of Education, through the ACS Academy of Master Surgeon Educators (the Academy), appointed a Special Committee that would examine the impact of, and response to, the pandemic in domains of educational leadership, swift identification and communication of innovations in surgical education, and dissemination of best practices emerging from the disruption caused by the pandemic.…”

mentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Surgical Training and Learner Well-Being: Report of a Survey of General Surgery and Other Surgical Specialty Educators

Ellison

Spanknebel

Stain

et al. 2020

Journal of the American College of Surgeons

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BACKGROUND: The COVID-19 pandemic disrupted the delivery of surgical services. The purpose of this communication was to report the impact of the pandemic on surgical training and learner well-being and to document adaptations made by surgery departments. STUDY DESIGN: A 37-item survey was distributed to educational leaders in general surgery and other surgical specialty training programs. It included both closed-and open-ended questions and the self-reported stages of GME during the COVID-19 pandemic, as defined by the ACGME. Statistical associations for items with stage were assessed using categorical analysis. RESULTS: The response rate was 21% (472 of 2,196). US stage distribution (n ¼ 447) was as follows: stage 1, 22%; stage 2, 48%; and stage 3, 30%. Impact on clinical education significantly increased by stage, with severe reductions in nonemergency operations (73% and 86% vs 98%) and emergency operations (8% and 16% vs 34%). Variable effects were reported on minimal expected case numbers across all stages. Reductions were reported in outpatient experience (83%), in-hospital experience (70%), and outside rotations (57%). Increases in ICU rotations were reported with advancing stage (7% and 13% vs 37%). Severity of impact on didactic education increased with stage (14% and 30% vs 46%). Virtual conferences were adopted by 97% across all stages. Severity of impact on learner well-being increased by stagedphysical safety (6% and 9% vs 31%), physical health (0% and 7% vs 17%), and emotional health (11% and 24% vs 42%). Regardless of stage, most but not all made adaptations to support trainees' well-being. CONCLUSIONS: The pandemic adversely impacted surgical training and the well-being of learners across all surgical specialties proportional to increasing ACGME stage. There is a need to develop education disaster plans to support technical competency and learner well-being. Careful Disclosure Information: Nothing to disclose. Disclosure outside the scope of this work: Dr Ellison receives royalty payments for original contributions from McGraw-Hill Medical and Wolters Kluwer. All other authors have nothing to disclose.

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COVID-19 – Considerations and Implications for Surgical Learners

Cited by 74 publications

References 0 publications

Stress and the Surgical Resident in the COVID-19 Pandemic

Stress and the Surgical Resident in the COVID-19 Pandemic

Impact of the COVID‐19 Pandemic on Surgical Residency Training: Perspective from a Low‐Middle Income Country

Impact of the COVID-19 Pandemic on Surgical Training and Learner Well-Being: Report of a Survey of General Surgery and Other Surgical Specialty Educators

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