The detrimental effect of COVID-19 on subspecialty medical education

Imielski, Bartlomiej R.

doi:10.1016/j.surg.2020.05.012

Cited by 11 publications

(14 citation statements)

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“…25 Alternatives to increase exposure to technical skills development include the use of simulation centers and cadaver laboratories, both of which had limited access during the pandemic. 7,24 It is striking that three-quarters of stage 1 ("business as usual") institutions still reported high-impact reductions, which is difficult to understand. This might be the result of the SI (as a whole) declaring itself as doing business as usual, despite the surgical programs within the institution struggling to provide clinical education.…”

Section: Discussionmentioning

confidence: 99%

“…The global COVID-19 pandemic has created unprecedented disruption to the delivery of surgical services throughout the United States ( 5 , 6 , 7 ) and internationally ( 19 ) with a profound effect on surgical training. The ACS Division of Education through the Special Committee of the ACS Academy of Master Surgeon Educators has been assessing the short- and long-term impact of COVID-19 on learners in surgery and is developing new strategies and programs to address various challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Reductions in operative experience have been noted in general surgery ( 20 ) as well as neurosurgery ( 21 , 22 ), ophthalmology ( 23 ), orthopedic surgery ( 24 ) and otolaryngology ( 25 ). Alternatives to increase exposure to technical skills development include the use of simulation centers and cadaver labs, both of which had limited access during the pandemic ( 7 , 24 ).…”

Section: Discussionmentioning

confidence: 99%

“…Some argue that learners in procedural specialties may be at greatest risk to experience deficiency in training and skills acquisition. ( 7 ) Accrediting and certifying entities have emphasized the need for continuously maintaining quality, and programs have pivoted to alternative approaches to maintain the integrity of surgical training. ( 8 , 9 ) Virtual technology has emerged as an important tool for delivering both patient care and educational curricular content.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

View full text Add to dashboard Cite

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“…It has posed a huge challenge to the medical units and teams working around the world 1 , 2 . While the front line health care workers are facing daunting tasks of handling COVID-19 patients, the other medical sub-specialties are struggling hard to manage and maintain their essential services and indispensable workflow 3 . The main aim is to minimise the effect of the COVID-19 pandemic on other patient care areas.…”

Section: Introductionmentioning

confidence: 99%

Orthopaedic Practices and Surgeries during COVID-19 in Pakistan - A Survey Based Study

Saad-Ilyas¹,

Zehra²,

Uu³

et al. 2021

Malays Orthop J

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Introduction: The study aimed to target the current practices of the orthopaedic community in outpatient (OPD), emergency (ER) and surgical services (OT) during COVID-19. Material and method: This study surveyed 303 orthopaedic surgeons from all over Pakistan. The survey had 30 questions targeting the setup of outpatient, emergency and operation services in orthopaedic departments of different hospitals in Pakistan. Result: A total of 302 surgeons were included from 53 cities all over Pakistan. Between 35-48% of the respondents reported lack of availability of standard operating procedures in OPD, ER and in OT. Majority of the respondents noted that their OPD and surgical practice had been affected to some degree and 69% of the surgeons were only doing trauma surgery. This trend was higher in younger consultants of less than 45 years of age (p<0.001). Almost two-third of the surgeons, mostly senior (p=0.03) were using surgical masks as the only protective measure during various practices of OPD, ER and OT, while most of the setups were not assessing patients even for signs and symptoms of COVID. Almost 89% of the orthopaedic community is facing definite to mild stress during this pandemic and this has significantly affected the senior surgeons (p=0.01). Conclusion: Our study highlighted that COVID-19 has resulted in marked changes to the practices of the majority of Pakistani orthopaedic surgeons. Despite a sharp upsurge in the number of cases and mortality due to COVID-19, guidelines were still lacking at most of the settings and a substantial percentage of the orthopaedic community were not following adequate safety measures while attending to patients.

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Virtual curriculum delivery in the COVID-19 era: the pediatric surgery boot camp v2.0

et al. 2022

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Purpose: We evaluated the impact of a virtual Pediatric Surgery Bootcamp curriculum on resource utilization, learner engagement, knowledge retention, and stakeholder satisfaction.Methods: A virtual curriculum was developed around Pediatric Surgery Milestones. GlobalCastMD delivered pre-recorded and live content over a single 10-hour day with a concluding social hour. Metrics of learner engagement, faculty interaction, knowledge retention, and satisfaction were collected and analyzed during and after the course.Results: Of 56 PS residencies, 31 registered (55.4%; 8/8 Canadian and 23/48 US; p=0.006), including 42 learners overall. The virtual BC budget was $15,500 (USD), 54% of the anticipated in-person course.. Preand post-tests were administered, revealing signi cant knowledge improvement (48.6% [286/589] vs 66.9% [89/133] p<0.0002). Learner surveys (n=14) suggested the virtual BC facilitated fellowship transition (85%) and strengthened peer-group camaraderie (69%), but in-person events were still favored (77%). Program Directors (PD) were surveyed, and respondents (n=22) also favored in-person events (61%). PDs not registering their learners (n=7) perceived insu cient value-added and concern for excessive participants.Conclusions: The virtual bootcamp format reduced overall expenses, interfered less with schedules, achieved more inclusive reach, and facilitated content archiving. Despite these advantages, learners and program directors still favored in-person education.

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The detrimental effect of COVID-19 on subspecialty medical education

Cited by 11 publications

References 0 publications

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

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

Orthopaedic Practices and Surgeries during COVID-19 in Pakistan - A Survey Based Study

Virtual curriculum delivery in the COVID-19 era: the pediatric surgery boot camp v2.0

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