Surgical training during the COVID-19 pandemic – the cloud with a silver lining?

English, William; Vulliamy, Paul; Banerjee, Shubhabrata; Arya, Shobhit

doi:10.1002/bjs.11801

Cited by 11 publications

(8 citation statements)

References 3 publications

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“…Cancellation of elective services has jeopardized competency attainment and progression in time-based training programmes in the UK, USA and Canada 19 which are dependent upon exposure to and performance of indicative numbers. Additionally, while operative experience is only one aspect of surgical training, other areas of training have also been affected, including outpatient experience 20 , completion of courses and examinations and teaching 21 , 22 . The resultant impact on trainees’ mental health and wellbeing has also been significant 23 , 24 .…”

Section: Discussionmentioning

confidence: 99%

The quantitative impact of COVID-19 on surgical training in the United Kingdom

et al. 2021

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Background COVID-19 has had a global impact on all aspects of healthcare including surgical training. This study aimed to quantify the impact of COVID-19 on operative case numbers recorded by surgeons in training, and annual review of competency progression (ARCP) outcomes in the UK. Methods Anonymized operative logbook numbers were collated from electronic logbook and ARCP outcome data from the Intercollegiate Surgical Curriculum Programme database for trainees in the 10 surgical specialty training specialties. Operative logbook numbers and awarded ARCP outcomes were compared between predefined dates. Effect sizes are reported as incident rate ratios (IRR) with 95 per cent confidence intervals. Results Some 5599 surgical trainees in 2019, and 5310 in surgical specialty training in 2020 were included. The IRR was reduced across all specialties as a result of the COVID-19 pandemic (0.62; 95 per cent c.i. 0.60 to 0.64). Elective surgery (0.53; 95 per cent c.i. 0.50 to 0.56) was affected more than emergency surgery (0.85; 95 per cent c.i. 0.84 to 0.87). Regional variation indicating reduced operative activity was demonstrated across all specialties. More than 1 in 8 trainees in the final year of training have had their training extended and more than a quarter of trainees entering their final year of training are behind their expected training trajectory. Conclusion The COVID-19 pandemic has had a major effect on surgical training in the UK. Urgent, coordinated action is required to minimize the impacts from the reduction in training in 2020.

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Section: Discussionmentioning

confidence: 99%

The quantitative impact of COVID-19 on surgical training in the United Kingdom

et al. 2021

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“…Inevitably, research and training were expected to take a back seat in times of crisis to prioritise activities with high impact on morbidity and mortality but this would be short sighted in the context of a prolonged pandemic as we have experienced with COVID-19. A pragmatic outlook on continuing to build the body of knowledge and clinical skill through remote learning is imperative and possible [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Silver linings: a qualitative study of desirable changes to cancer care during the COVID-19 pandemic

Lombe¹,

Sullivan²,

Caduff³

et al. 2021

ecancer

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Introduction: Public health emergencies and crises such as the current COVID-19 pandemic can accelerate innovation and place renewed focus on the value of health interventions. Capturing important lessons learnt, both positive and negative, is vital. We aimed to document the perceived positive changes (silver linings) in cancer care that emerged during the COVID-19 pandemic and identify challenges that may limit their long-term adoption. Methods: This study employed a qualitative design. Semi-structured interviews (n = 20) were conducted with key opinion leaders from 14 countries. The participants were predominantly members of the International COVID-19 and Cancer Taskforce, who convened in March 2020 to address delivery of cancer care in the context of the pandemic. The Framework Method was employed to analyse the positive changes of the pandemic with corresponding challenges to their maintenance post-pandemic. Results: Ten themes of positive changes were identified which included: value in cancer care, digital communication, convenience, inclusivity and cooperation, decentralisation of cancer care, acceleration of policy change, human interactions, hygiene practices, health awareness and promotion and systems improvement. Impediments to the scale-up of these positive changes included resource disparities and variation in legal frameworks across regions. Barriers were largely attributed to behaviours and attitudes of stakeholders. Conclusion: The COVID-19 pandemic has led to important value-based innovations and changes for better cancer care across different health systems. The challenges to Policy

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“…13 Also, in a similar way, many residents described not having adequate training for this kind of work, which is a worrisome fact. Some authors have, however, described potential benefits in surgical training during the pandemic, especially in general surgery, with the increase in open procedures and more opportunities for emergency surgeries being some of them, 14,15 but these advantages do not apply to all specialties, which, in some cases, are mainly based on elective operations, like head and neck surgery.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Head and Neck Surgery Training: A Brazilian National Survey

Leite

Matos

Cernea

et al. 2021

Int Arch Otorhinolaryngol

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Introduction The COVID-19 pandemic has had a high impact on surgical training around the world due to required measures regarding the suspension of elective procedures and the dismissal of nonessential personnel. Objectives To understand the impact the pandemic had on head and neck surgery training in Brazil. Methods We conducted a 29-question online survey with head and neck surgery residents in Brazil, assessing the impact the pandemic had on their training. Results Forty-six residents responded to the survey, and 91.3% of them reported that their residency was affected by the pandemic, but most residents were not assigned to work directly with patients infected with the new coronavirus (71.4%). All residents reported decrease in clinic visits and in surgical procedures, mostly an important reduction of ∼ 75%. A total of 56.5% of the residents described that the pandemic has had a negative impact on their mental, health and only 4 (8.7%) do not have any symptoms of burnout. The majority (78.3%) of the residents reported that educational activities were successfully adapted to online platforms, and 37% were personally infected with the virus. Conclusion Most surgical residencies were greatly affected by the pandemic, and residents had an important decrease in surgical training. Educational activities were successfully adapted to online modalities, but the residency programs should search for ways of trying to compensate for the loss of practical activities.

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Surgical training during the COVID-19 pandemic – the cloud with a silver lining?

Cited by 11 publications

References 3 publications

The quantitative impact of COVID-19 on surgical training in the United Kingdom

The quantitative impact of COVID-19 on surgical training in the United Kingdom

Silver linings: a qualitative study of desirable changes to cancer care during the COVID-19 pandemic

The Impact of the COVID-19 Pandemic on Head and Neck Surgery Training: A Brazilian National Survey

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