The COVID‐19 crisis: reflections on cardiothoracic surgery training

Fudulu, Daniel; Angelini, Gianni D

doi:10.1111/jocs.14769

Cited by 9 publications

(34 citation statements)

References 3 publications

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“…Any pause in their training would potentially be intimidating 34 . The impact on the motivation of these cardiothoracic surgery trainees would be massive 34 …”

Section: Methodsmentioning

confidence: 99%

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Exploring the impact of the COVID‐19 pandemic on cardiac surgical services: A scoping review

Shah

Zafar

Yasmin

et al. 2021

Journal of Cardiac Surgery

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Cardiac surgery was severely affected by the COVID‐19 pandemic. Reallocation of resources, conversion of surgical intensive care units and wards to COVID‐19 facilities, increased risk of nosocomial transmission to cardiac surgery patients, lead to reduced accessibility, quality, and affordability of health care facilities to cardiac surgery patients. Increasing the mortality and morbidity rate among such patients. Cardiac patients are at an increased risk to develop a severe illness if infected by COVID‐19 and are associated with a high mortality rate. Therefore, measures had to be taken to reduce the spread of the virus. Various approaches such as the hubs and the spokes centers, or parallel system were enforced. Elective surgeries were postponed while urgent surgeries were prioritized. Use of personal protective equipments and surgeries performed by only senior surgeons became necessary. Surgical trainees were also affected as limited training opportunities deprived them of the experience required to complete their fellowship. Some of the trainees were reallocated to COVID‐19 wards, while others invested their time in research opportunities. Online platforms were used for teaching, meetings, and workshops across the globe. Although some efforts have been made to reduce the impact of the pandemic, more research and innovation is required.

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“…Any pause in their training would potentially be intimidating 34 . The impact on the motivation of these cardiothoracic surgery trainees would be massive 34 …”

Section: Methodsmentioning

confidence: 99%

“…Few of the trainees collected data for research being conducted internationally that helped explain COVID‐19 outcomes. However, this came at a high price as one cardiac surgical trainee, unfortunately, died due to COVID‐19 34 …”

Section: Methodsmentioning

confidence: 99%

Exploring the impact of the COVID‐19 pandemic on cardiac surgical services: A scoping review

Shah

Zafar

Yasmin

et al. 2021

Journal of Cardiac Surgery

View full text Add to dashboard Cite

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“…Of those directly caring for patients with COVID-19, efforts were at times thwarted by critical supply shortages leading to inadequate testing and PPE, further complicated by, at times, tepid institutional support (12)(13)(14)(15)(16)(17). The impact of the COVID 19 pandemic on subgroups of health care providers has recently been reported (18,19), but cardiologists' and oncologists' opinions and needs throughout this global health crisis have not been formally evaluated. Such data are important to foster a better understanding of the impact and future preparedness of healthcare crises.…”

Section: Introductionmentioning

confidence: 99%

The COVID-19 Pandemic Impact on Cardio-Oncology: Results From the COVID-19 International Collaborative Network Survey.

Sadler

DeCara

Herrmann

et al. 2020

Preprint

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BackgroundRe-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated.ObjectivesTo assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners.MethodsAn electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology , American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty.Results1,415 providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p=0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p=<0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p=0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1,097) (p=<0.001). 95% of all groups supported more active leadership from medical professional societies.ConclusionsThese results support initiatives to promote expanded coverage for telemedicine, increased access to PPE, better testing availability and involvement of medical professional societies to help with preparedness for future health care crisis.Appendix: Link to the Survey: https://www.surveymonkey.com/r/C8ZDYNW

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“… 6 The significant reduction in surgical training is also due to other factors, such as institutional policies that canceled training rotations in fields necessary for the comprehensive training of surgeons, the need to recruit surgical residents for the care of patients with COVID-19 in other non-surgical hospital areas. 7 Added to this is the reduction in the participation of physicians-in-training in the surgeries of patients with SARS-CoV-2 due to the shortage of PPE and also to reduce the risks of infection of healthcare workers. 8 , 9 In this regard, the residents most affected by the stoppage due to the pandemic have been years 4 and 5 MIR, as they usually have a greater supervised surgical activity.…”

mentioning

confidence: 99%

Teaching in times of crisis: Virtual classroom AEC. Influence of COVID-19 on surgeons of the future

Santos

Morales-Conde

Rodríguez

2021

Cirugía Española (English Edition)

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The COVID‐19 crisis: reflections on cardiothoracic surgery training

Cited by 9 publications

References 3 publications

Exploring the impact of the COVID‐19 pandemic on cardiac surgical services: A scoping review

Exploring the impact of the COVID‐19 pandemic on cardiac surgical services: A scoping review

The COVID-19 Pandemic Impact on Cardio-Oncology: Results From the COVID-19 International Collaborative Network Survey.

Teaching in times of crisis: Virtual classroom AEC. Influence of COVID-19 on surgeons of the future

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