Assessment of the Effects of the COVID-19 Pandemic on Orthopaedic Surgery Training Among Orthopaedic Residents in Southern Nigeria.

Autor:	Imediegwu KU; Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria., Ilo EC; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Dimson CJ; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Okeke KC; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Agulanna ST; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Ugwuanyi UD; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Omoleye TO; Emergency Department, Panox Hospital, Lagos, Nigeria., Igwe OP; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Onwuka PC; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria., Uku T; Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria., Onwuasoigwe CA; College of Medicine, University of Nigeria (UNN), Nsukka, Enugu, Nigeria.
Jazyk:	angličtina
Zdroj:	Journal of the West African College of Surgeons [J West Afr Coll Surg] 2024 Oct-Dec; Vol. 14 (4), pp. 380-383. Date of Electronic Publication: 2024 Jul 18.
DOI:	10.4103/jwas.jwas_125_23
Abstrakt:	Background: Surgical training is hands-on, with residents requiring optimal exposure to patients for optimal training and adequate experience. Thus, despite the increased usage of virtual, non-physical resources for medical education during the pandemic, orthopaedic surgical training still suffered adversely. Objectives: To explore the overall impact of the COVID-19 pandemic on Orthopaedic surgery training, teaching and practice amongst residents in southern Nigeria. Materials and Methods: This was a cross-sectional prospective study involving 54 senior orthopaedic surgery residents in southern Nigeria. Data were collected using a semi-structured online-based questionnaire created on the Google Forms and sent via online platforms (e.g., WhatsApp and Telegram). Descriptive and inferential analysis was done using Statistical Package for Social Sciences (SPSS). Consent was also obtained from all respondents. Results: A total of 54 orthopaedic surgery residents responded to our questionnaire. About 71.7% of the residents surveyed reported reduced exposure to surgical cases in general, and 70.3% reported reduced operative teaching exposure. About 68.5% of the respondents reported reduced opportunities for surgical skills acquisition training. More than half of respondents (63%) reported no changes in morbidity/mortality of orthopaedic cases witnessed and performed. The majority of the respondents agreed to a slight decrease in the availability of implants and courses (40.7%) whereas 44.4% affirmed an increase in the cost of training. Overall, 70.4% believed that the impact of COVID-19 on orthopaedic surgical training has been slightly negative. The average rating for experience on alternative learning methods - virtual video conferences, pre-recorded lectures, in-person small group meetings and surgical simulation activities was 2.26 on a scale of 1-4 (decreasing order of satisfaction). Conclusion: The COVID-19 pandemic caused significant changes in orthopaedic surgery training, with low cases exposure and reduction in operative teaching being the most significant changes and the resultant increase in alternative forms of training and skill acquisition. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Journal of the West African College of Surgeons.)
Databáze:	MEDLINE
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