Impacts on Surgery Resident Education at a first wave COVID-19 epicenter
| Autor: | Shawn Liechty, Daniel Kleiner, Alexander Ostapenko, Samantha McPeck |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Duty hours Objective data 030230 surgery 03 medical and health sciences 0302 clinical medicine Pandemic medicine General surgery Original Research lcsh:LC8-6691 lcsh:R5-920 training lcsh:Special aspects of education business.industry Resident training COVID-19 Resident education 030220 oncology & carcinogenesis Family medicine Epicenter Preparedness Emergency medicine Observational study Surgical education lcsh:Medicine (General) business resident education |
| Zdroj: | Journal of Medical Education and Curricular Development, Vol 7 (2020) Journal of Medical Education and Curricular Development |
| DOI: | 10.1101/2020.08.16.20176073 |
| Popis: | BackgroundThis study aims to identify the effects of the COVID-19 pandemic on surgical resident training and education at Danbury Hospital.MethodsWe conducted an observational study at a Western Connecticut hospital heavily affected by the first wave of the COVID-19 pandemic to assess its effects on surgical residents, focusing on surgical education, clinical experience, and operative skills development. Objective data was available through recorded work hours, case logs, and formal didactics. In addition, we created an anonymous survey to assess resident perception of their residency experience during the pandemic.ResultsThere are 22 surgical residents at our institution; all were included in the study. Resident weekly duty hours decreased by 23.9 hours with the majority of clinical time redirected to caring for COVID-19 patients. Independent studying increased by 1.6 hours (26.2%) while weekly didactics decreased by 2.1 hours (35.6%). The operative volume per resident decreased by 65.7% from 35.0 to 12.0 cases for the period of interest, with a disproportionately high effect on junior residents, who experienced a 76.2% decrease. Unsurprisingly, 70% of residents reported a negative effect of the pandemic on their surgical skills.ConclusionsDuring the first wave of the COVID-19 pandemic, surgical residents’ usual workflows changed dramatically, as much of their time was dedicated to the critical care of patients with COVID-19. However, the consequent opportunity cost was to surgery-specific training; there was a significant decrease in operative cases and time spent in surgical didactics, along with elevated concern about overall preparedness for their intended career. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|