C Hope1, J-J Reilly2, G Griffiths3, J Lund4, D Humes5,6,7. 1. Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, DE22 3NE, UK. carlahope@nhs.net. 2. Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK. 3. Ninewells Hospital, Dundee, UK. 4. Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, DE22 3NE, UK. 5. Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK. 6. Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham, Nottingham, UK. 7. National Institute for Health Research Nottingham Digestive Diseases Biomedical Research Unit, Nottingham University Hospitals NHS Trust, E Floor West Block, QMC Campus, Nottingham, NG7 2UH, UK.
Abstract
BACKGROUND: Coronavirus disease (COVID-19) has caused global disruption to health care. Non-urgent elective surgical cases have been cancelled, outpatient clinics have reduced and there has been a reduction in the number of patients presenting as an emergency. These factors will drastically affect the training opportunities of surgical trainees. The aim of this systematic review is to describe the impact of COVID-19 on surgical training globally. METHODS: The review was performed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered with the Open Science Framework (OSF). Medline, EMBASE, PubMed and the Cochrane Central Register of Controlled Trials were searched. RESULTS: The searches identified 499 articles, 29 of which were included in the review. This contained data from more than 20 countries with 5260 trainees and 339 programme directors. Redeployment to non-surgical roles varied across studies from 6% to 35.1%. According to all of the studies, operative experience has been reduced. Knowledge learning had been switched to online platforms across 17 of the studies and 7 reported trainees had increased time to devote to educational/academic activities. All of the studies reporting on mental health report negative associations with increased stress, ranging from 54.9% to 91.6% of trainees. CONCLUSIONS: The impact of COVID-19 on surgical trainees has been experienced globally and across all specialities. Negative effects are not limited to operative and clinical experience, but also the mental health and wellbeing of trainees. Delivery of surgical training will need to move away from traditional models of learning to ensure trainees are competent and well supported.
BACKGROUND: Coronavirus disease (COVID-19) has caused global disruption to health care. Non-urgent elective surgical cases have been cancelled, outpatient clinics have reduced and there has been a reduction in the number of patients presenting as an emergency. These factors will drastically affect the training opportunities of surgical trainees. The aim of this systematic review is to describe the impact of COVID-19 on surgical training globally. METHODS: The review was performed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered with the Open Science Framework (OSF). Medline, EMBASE, PubMed and the Cochrane Central Register of Controlled Trials were searched. RESULTS: The searches identified 499 articles, 29 of which were included in the review. This contained data from more than 20 countries with 5260 trainees and 339 programme directors. Redeployment to non-surgical roles varied across studies from 6% to 35.1%. According to all of the studies, operative experience has been reduced. Knowledge learning had been switched to online platforms across 17 of the studies and 7 reported trainees had increased time to devote to educational/academic activities. All of the studies reporting on mental health report negative associations with increased stress, ranging from 54.9% to 91.6% of trainees. CONCLUSIONS: The impact of COVID-19 on surgical trainees has been experienced globally and across all specialities. Negative effects are not limited to operative and clinical experience, but also the mental health and wellbeing of trainees. Delivery of surgical training will need to move away from traditional models of learning to ensure trainees are competent and well supported.
Entities:
Keywords:
COVID-19; Coronavirus 2019; Medical education; Surgery; Surgical training
Authors: Cesare Zoia; Giovanni Raffa; Teresa Somma; Giuseppe M Della Pepa; Giuseppe La Rocca; Matteo Zoli; Daniele Bongetta; Oreste De Divitiis; Marco M Fontanella Journal: Acta Neurochir (Wien) Date: 2020-06-18 Impact factor: 2.216
Authors: Jian Zheng; Mautin Hundeyin; Katherine He; Teviah Sachs; Donald T Hess; Edward Whang; Gentian Kristo Journal: Surgery Date: 2020-06-11 Impact factor: 3.982
Authors: Theresa Guo; Kimberley L Kiong; Christopher M K L Yao; Melina Windon; Denna Zebda; Yelda Jozaghi; Xiao Zhao; Amy C Hessel; Ehab Y Hanna Journal: Head Neck Date: 2020-07-15 Impact factor: 3.147
Authors: Tonya W An; Jensen K Henry; Oduche Igboechi; Pengcheng Wang; Aditya Yerrapragada; Carol A Lin; Guy D Paiement Journal: J Am Acad Orthop Surg Date: 2020-08-01 Impact factor: 3.020
Authors: M Abdessater; M Rouprêt; V Misrai; X Matillon; B Gondran-Tellier; L Freton; M Vallée; I Dominique; M Felber; Z-E Khene; E Fortier; F Lannes; C Michiels; T Grevez; N Szabla; J Boustany; F Bardet; K Kaulanjan; E Seizilles de Mazancourt; G Ploussard; U Pinar; B Pradere Journal: Prog Urol Date: 2020-04-23 Impact factor: 0.915
Authors: Gordon G Wisbach; Kathleen A Johnson; Catherine Sormalis; Amy Johnson; Jennifer Ham; Patrice G Blair; Steven Houg; Amanda R Burden; Elizabeth H Sinz; Sally A Fortner; Randolph H Steadman; Ajit K Sachdeva; Deborah M Rooney Journal: Surgery Date: 2022-07-06 Impact factor: 4.348
Authors: Catalina Ortiz; Javier Vela; Caterina Contreras; Francisca Belmar; Ivan Paul; Analia Zinco; Juan Pablo Ramos; Pablo Ottolino; Pablo Achurra; Nicolas Jarufe; Adnan Alseidi; Julian Varas Journal: Surg Endosc Date: 2022-03-02 Impact factor: 4.584