The Changing Face of Orthopaedic Education: Searching for the New Reality After COVID-19

Plancher, Kevin D.; Shanmugam, Jaya Prasad; Petterson, Stephanie C.

doi:10.1016/j.asmr.2020.04.007

Cited by 77 publications

(81 citation statements)

References 10 publications

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“…Ten studies detailed the impact of the COVD-19 pandemic on residency training in their respective institutions. 1 , 3 , 4 , 7 , 13 , 14 , 18 , 22 , 31 , 33 Firstly, the decrease in elective surgeries performed and reduced outpatient clinic attendance resulted in diminished clinical exposure for residents. Studies by Foong et al.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies 1 , 3 , 4 , 7 , 13 , 14 , 18 , 31 , 33 described some form of shift in terms of teaching modalities for residents, due to the restrictions imposed by the pandemic situation. Required learning hours for residents were still maintained, for the most part, due to the shift of teaching sessions to online platforms, virtual reality (VR) based surgical simulators, 31 and other novel modalities of teaching. Residents were able to receive adequate theory-based teaching through online lectures, journal clubs and various webinars and online symposiums.…”

Section: Resultsmentioning

confidence: 99%

“… 3 , 7 , 13 , 14 , 18 , 33 Moreover, due to the decreased surgical exposure, some institutions made VR surgical simulators accessible to residents, allowing them to continue to develop their psychomotor skills required for surgery. 1 , 31 Other institutions offered their residents novel means of learning, such as a “virtual” bootcamp, 4 involving an online training program with accompanying take-home kits for residents to practice an array of surgical techniques from their homes.…”

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of SARS CoV-2 on orthopedic services

Cheong

Chin

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background The COVID-19 pandemic profoundly impacted healthcare institutions worldwide. Particularly, orthopedic departments had to adapt their operational models. Purpose This review aimed to quantify the reduction in surgical and outpatient caseloads, identify other significant trends and ascertain the impact of these trends on orthopedic residency training programs. Methods Medline and Embase were searched for articles describing case load for surgeries, outpatient clinic attendance, or emergency department (ED) visits. Statistical analysis of quantitative data was performed after a Freeman-Tukey double arcsine transformation. Results were pooled with random effects by DerSimonian and Laird model. When insufficient data was available, a systematic approach was used to present the results instead. Results A total of 23 studies were included in this study. The number of elective surgeries, trauma procedures and outpatient attendance decreased by 80% (2013/17400, 0.20, CI: 0.12 to 0.29), 47% (3887/17561, 0.53, CI: 0.37 to 0.69) and 63% (84174/123967, 0.37, CI: 0.24 to 0.51) respectively. During the pandemic, domestic injuries and polytrauma increased. Residency training was disrupted due to diminished clinical exposure and changing teaching methodologies. Additionally, residents had more duties which contributed to a lower quality of life. Conclusions The COVID-19 pandemic has made an unprecedented impact on orthopedics departments worldwide. The slow return of orthopedic departments to normalcy and the compromised training of residents due to the pandemic points to an uncertain future for healthcare institutions worldwide, wherein the impact of this pandemic may yet still be felt far in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A look at the global impact of SARS CoV-2 on orthopedic services

Cheong

Chin

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…It has to be noted though only a few surgical procedures can be learnt using simulation techniques. 16 To prevent the spread of COVID-19 and following the norms of social distancing, the number of personnel in OT has to be kept to minimum and may thus influence their participation in all the surgical procedures. Similar recommendations have also been provided by other authors.…”

Section: Impact On Pg Training and Dissertationmentioning

confidence: 99%

Impact of COVID-19 on post-graduate orthopaedic training in Delhi-NCR

Upadhyaya

Jain

Iyengar

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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Purpose of the study: The Coronavirus disease 2019 (COVID-19) pandemic has had profound effects on healthcare system including medical training and education in India. The study was aimed to evaluate the impact of COVID-19 on postgraduate teaching and learning amongst candidates pursuing higher qualification in orthopaedics, in the Delhi-National Capital Region in India. Design: An online cross-sectional survey of 29 questions was circulated amongst postgraduate students pursuing higher orthopaedics degree to evaluate (i) Impact on PG teaching (ii) Impact on surgical training (iii) Impact on Dissertation (iv) Future implications on PG training programme (v) Mental wellbeing. Results: 138 (77.5) PG trainees contributed in the survey, and 65.1% of them stated that no clinical classes are being held presently. The majority (94%) confirmed that COVID-19 has affected their surgical and clinical training. A large number (71.6%) had problems in completing their dissertations and 96% had concerns about mental health. Conclusion: COVID-19 pandemic has severely disrupted the education and training of the Orthopaedic PG students, in Delhi-NCR region and perhaps elsewhere similarly too. The Government and Teaching organisations should take serious consideration of the plights of PGs and devise satisfactory mechanisms to overcome their problems and provide reasonable solutions also.

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“…When surgical volumes are down, some programs have supplemented surgical training with simulation-based training or virtual training. 38 Because of the nature of surgical rotations, it is likely that each resident will be deficient in a single area (arthroplasty). This needs to be taken into account when planning future rotations; there may be a resident who missed out on joint arthroplasty and will need a future arthroplasty rotation to compensate.…”

Section: Resident Case Volumesmentioning

confidence: 99%

Adapting Orthopaedic Surgery Training Programs During the COVID-19 Pandemic and Future Directions

Zhang¹,

Myers²,

Kee³

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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The COVID-19 pandemic swept across the world, altering the structure and existence of graduate medical education programs across all disciplines. Orthopaedic residency programs can adapt during these unprecedented times to continue providing meaningful education to trainees and to continue providing high-quality patient care, all while keeping both residents and patients safe from disease. The purpose of this review was to evaluate the literature and describe evidence-based changes that can be made in an orthopaedic residency program to ensure patient and resident safety while sustaining the principles of graduate medical education during the COVID-19 pandemic. We describe measures that can be enacted now or during future pandemics, including workforce and occupational modifications, personal protective equipment, telemedicine, online didactic education, resident wellness, return to elective surgery, and factors affecting medical students and fellows. After a review of these strategies, programs can make changes for sustainable improvements and adapt to be ready for second-wave events or future pandemics. Level of Evidence: Level V.

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The Changing Face of Orthopaedic Education: Searching for the New Reality After COVID-19

Cited by 77 publications

References 10 publications

A look at the global impact of SARS CoV-2 on orthopedic services

A look at the global impact of SARS CoV-2 on orthopedic services

Impact of COVID-19 on post-graduate orthopaedic training in Delhi-NCR

Adapting Orthopaedic Surgery Training Programs During the COVID-19 Pandemic and Future Directions

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