Impact of COVID-19 pandemic on paediatric surgical training across Europe

Zambaiti, Elisa; Cascio, Salvatore; Pelizzo, Glória; Hinojosa, Alexander Siles; Asensio, Juan C de Augustin; Fortmann, Caroline; Lacher, Martin; Malowiecka, Maria; Czauderna, Piotr; Arneitz, Christoph; Till, Holger; Glenisson, Mathilde; Bonnard, Arnaud; Hoel, Anders Telle; Björnland, Kristin; Hukkinen, Maria; Demetrios, Godosis; Zavras, Nick; Reusens, Helena; Steyaert, Henri; Pevere, Andrea; Aubert, Ophelia; Pio, Luca

doi:10.1093/bjs/znac306

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…In France, residents who had fellowships planned locally or abroad were unable to attend and hospital rotations have been postponed (15). The data on the reduction of residents' training capacity in Europe is consistent taking among different medical speciality, such as neurology, otorhinolaryngology, pediatric surgery, plastic surgery (16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 78%

Impact of the COVID pandemic on mental health and training opportunities of Public Health Residents from 4 European countries: A cross-sectional study

Failla

Caminiti²,

Chen-Xu³

et al. 2023

Front. Public Health

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ObjectivesThere is little evidence on the impact of the COVID-19 pandemic on Public Health Residents' (PHR) mental health (MH). This study aims at assessing prevalence and risk factors for depression, anxiety and stress in European PHR during the COVID-19 pandemic.MethodsBetween March and April 2021, an online survey was administered to PHR from France, Italy, Portugal and Spain. The survey assessed COVID-19 related changes in working conditions, training opportunities and evaluated MH outcomes using the Depression Anxiety Stress Scales-21. Multivariable logistic regressions were applied to identify risk factors.ResultsAmong the 443 respondents, many showed symptoms of depression (60.5%), anxiety (43.1%) and stress (61.2%). The main outcome predictors were: female gender for depression (adjOR = 1.59, 95%CI [1.05–2.42]), anxiety (adjOR = 2.03, 95%CI [1.33–3.08]), and stress (adjOR = 2.35, 95%CI [1.53–3.61]); loss of research opportunities for anxiety (adjOR = 1.94, 95%CI [1.28–2.93]) and stress (adjOR = 1.98, 95%CI [1.26–3.11]); and COVID-19 impact on training (adjOR = 1.78, 95%CI [1.12–2.80]) for depression.ConclusionsThe pandemic had a significant impact on PHR in terms of depression, anxiety and stress, especially for women and who lost work-related opportunities. Training programs should offer PHR appropriate MH support and training opportunities.

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Section: Introductionmentioning

confidence: 78%

Impact of the COVID pandemic on mental health and training opportunities of Public Health Residents from 4 European countries: A cross-sectional study

Failla

Caminiti²,

Chen-Xu³

et al. 2023

Front. Public Health

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“…The COVID-19 pandemic has forced scientific communities to accelerate the necessary shift toward virtual formats, to guarantee a continuous global scientific exchange in a period of massive social restrictions and decreased on-site clinical and surgical learning opportunities. 5 Fig. 4 Potential advantages of virtual meetings (87 respondents, percentages).…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Pediatric Surgical Scientific Formats: An ERNICA Survey on Challenges and Future Directions

et al. 2023

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Introduction The aims of this survey were to assess the experiences of the transition from in-person to virtual meetings among European pediatric surgeons since the beginning of the coronavirus disease 2019 (COVID-19) pandemic and to identify preferences for future formats. Materials and Methods An online questionnaire was circulated among members of the European Reference Network for rare Inherited and Congenital Anomalies Network (ERNICA) in 2022. Two time periods were compared (3 years before the COVID-19 pandemic vs. the year 2021). Results A total of 87 pediatric surgeons from 16 countries completed the survey. In addition, 27% of respondents were trainees/residents and 73% consultants/lead surgeons. Consultants participated in significantly more in-person congresses prior to the COVID-19 pandemic compared with trainees (5.2 vs. 1.9; p < 0.001). A significant increase in attendance of virtual meeting was reported during 2021 compared with pre-COVID-19 (1.4 vs. 6.7; p < 0.001). Consultants had experienced significantly less absenteeism thanks to virtual meetings compared with trainees (42/61 vs. 8/23; p < 0.05). Most surgeons considered virtual meetings more economic (82%), practical (78%), and family-friendly (66%). However, a majority reported missing social events (78%). The communication among attendees or between attendees and speakers or scientific faculty was deemed worse. A minority (14%) experienced equalized representation of trainees and consultants at virtual meetings. Most respondents (58%) agreed that future meeting strategies should focus on offering virtual formats. Regarding future congresses, respondents prefer hybrid (62%) over in-person (33%) or virtual (6%) formats. Conclusion According to European pediatric surgeons, virtual learning formats hold multiple advantages and should be continued. Improved technology must meet the challenges, particularly to enhance communication, equal representation, and networking between attendees.

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“…Furthermore, a recent emphasis has been placed on the inadequate exposure to MIS among European pediatric surgery trainees [17]. Moreover, in recent years, the SARS-COVID-19 pandemic highlighted the need for structured training programs [20]. Given these challenges, the present study stands out as a unique endeavor that comprehensively analyzes both the implementation of ERAS and training aspects within pediatric MIS.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery after Surgery Applied to Pediatric Laparoscopic Cholecystectomy for Simple Cholelithiasis: Feasibility and Teaching Insights

Pio,

Tulelli,

Ali

et al. 2023

Children

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Background: Same-day discharge after a cholecystectomy is a common practice in the adult population and has been demonstrated as safe and viable for children as well. However, there is a lack of comprehensive teaching models for pediatric cholecystectomy. Drawing inspiration from standardized outpatient procedures, this study aimed to assess the clinical outcomes and feasibility of teaching programs and an Enhanced Recovery After Surgery (ERAS) protocol following ambulatory laparoscopic cholecystectomy in pediatric patients. Methods: In 2015, an ERAS pathway for laparoscopic cholecystectomy (LC) was implemented, focusing on admission procedures, surgery timing, anesthetic choices, analgesia, postoperative feeding, mobilization, and pain assessment. Day-case surgery was not applicable for acute cholecystitis, choledochal lithiasis, sickle cell disease, and hereditary spherocytosis cases. The protocol was employed for a group of attending surgeons and fellows, as well as a group of residents under the supervision of experienced surgeons. A retrospective analysis was conducted to evaluate the feasibility and effectiveness of ambulatory cholecystectomy in children and its utilization in training pediatric surgical trainees. Results: Between 2015 and 2020, a total of 33 patients were included from a cohort of 162 children who underwent LC, with 15 children operated on by senior surgeons and 18 by young surgeons. The primary diagnoses were symptomatic gallbladder lithiasis (n = 32) and biliary dyskinesia (n = 1). The median age at the time of surgery was 11.3 years (interquartile range (IQR) 4.9–18), and the median duration of surgery was 54 min (IQR 13–145). One intraoperative complication occurred, involving gallbladder rupture and the dissemination of lithiasis into the peritoneal cavity. Three patients (9%) required an overnight stay, while no postoperative complications or readmissions within 30 days were observed. ERAS was successfully implemented in 30 patients (91%). No significant differences in surgical outcomes were noted between senior and young surgeons. At an average follow-up of 55 months, no long-term sequelae were identified. Conclusions: These findings align with the current trend of increasing use of outpatient laparoscopic cholecystectomy and underscore its feasibility in the pediatric population. The application of a structured ERAS protocol appears viable and practical for training the next generation of pediatric surgeons. Level of Evidence: Level III.

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Impact of COVID-19 pandemic on paediatric surgical training across Europe

Cited by 3 publications

References 5 publications

Impact of the COVID pandemic on mental health and training opportunities of Public Health Residents from 4 European countries: A cross-sectional study

Impact of the COVID pandemic on mental health and training opportunities of Public Health Residents from 4 European countries: A cross-sectional study

Impact of the COVID-19 Pandemic on Pediatric Surgical Scientific Formats: An ERNICA Survey on Challenges and Future Directions

Enhanced Recovery after Surgery Applied to Pediatric Laparoscopic Cholecystectomy for Simple Cholelithiasis: Feasibility and Teaching Insights

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