scholarly journals SP4.1.1 The impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: a global survey and a proposed framework for recovery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Marina Yiasemidou ◽  
James Tomlinson ◽  
Ian Chetter ◽  
Chandra Shekhar Biyani ◽  
REINS Collaborative
Keyword(s):  
Surgical Training ◽  
Teaching Methods ◽  
Steering Committee ◽  
Cross Sectional ◽  
Web Based ◽  
Global Survey ◽  
Surgical Services ◽  
Direct Training ◽  
Training Resources ◽  
The Impact

Abstract Background The SARS-Cov-2 pandemic had a profound impact on surgical services, potentially causing a detrimental impact on training opportunities. The aim of this global survey was to assess the impact of the COVID-19 crisis on surgical training and develop a framework for recovery. Methods A cross-sectional, web-based survey was conducted. This was designed by a steering committee of medical educationalists and validated by a group of trainees prior to dissemination. Results 608 responses were obtained from 34 countries and 15 specialties. The results demonstrated major disruptions in all aspects of training. The impact was highest for conferences (525/608) and hands-on courses (517/608), but less for in-patient care related training (268/608). European trainees were significantly more likely to experience direct training disruption than trainees in Asia (O.R 0.148, 95% C.I -2.443, -1.378) or Australia (O.R 0.097, -2.981, -1.678) (c2= 87.162 p < 0.001). Alternative training resources (webinars: 359/608, educational videos: 234/608) have emerged, although trainees expressed some dissatisfaction with them. The collective responses generated a five-pillar framework for training recovery: that involved; prioritisation of trainee and public safety; guidance from training stakeholders with the involvement of trainees; prioritisation of training especially the roles of senior surgeons/trainers; provision of access to alternative/new teaching methods and measures to address trainee anxiety. Conclusions Training has been greatly affected. The introduction of new teaching methods and focus on training after the pandemic are imperative.

scholarly journals Impact of the SARS-CoV-2 (COVID-19) crisis on surgical training: global survey and a proposed framework for recovery

BJS Open ◽  
2021 ◽  
Vol 5 (2) ◽  
Author(s):  
◽  
M Yiasemidou ◽  
J Tomlinson ◽  
I Chetter ◽  
Biyani C Shenkar
Keyword(s):  
Surgical Training ◽  
Teaching Methods ◽  
Steering Committee ◽  
Cross Sectional ◽  
Web Based ◽  
Global Survey ◽  
Direct Training ◽  
Major Disruption ◽  
Training Resources ◽  
The Impact

Abstract Background The SARS-CoV-2 pandemic had a profound impact on surgical services, potentially having a detrimental impact on training opportunities. The aim of this global survey was to assess the impact of the COVID-19 crisis on surgical training and to develop a framework for recovery. Methods A cross-sectional, web-based survey was conducted. This was designed by a steering committee of medical educationalists and validated by a group of trainees before dissemination. Results A total of 608 responses were obtained from 34 countries and 15 specialties. The results demonstrated major disruption in all aspects of training. The impact was greatest for conferences (525 of 608) and hands-on courses (517 of 608), but less for inpatient care-related training (268 of 608). European trainees were significantly more likely to experience direct training disruption than trainees in Asia (odds ratio 0.15) or Australia (OR 0.10) (χ2 = 87.162, P < 0.001). Alternative training resources (webinars, 359 of 608; educational videos, 234 of 608) have emerged, although trainees expressed some dissatisfaction with them. The collective responses generated a four-pillar framework for training recovery that involved: guidance from training stakeholders with the involvement of trainees; prioritization of training, especially the roles of senior surgeons/trainers; provision of access to alternative/new teaching methods; and measures to address trainee anxiety. Conclusion Training has been greatly affected by the COVID-19 pandemic. The introduction of new teaching methods and a focus on training after the pandemic are imperative.

scholarly journals Riding the waves: the ongoing impact of COVID-19 on a national surgical training cohort

2021 ◽  
Author(s):  
Orla Hennessy ◽  
Amy Lee Fowler ◽  
Conor Hennessy ◽  
David Brinkman ◽  
Aisling Hogan ◽  
...  
Keyword(s):  
Surgical Training ◽  
World Health Organisation ◽  
World Health ◽  
Training Methods ◽  
Viral Spread ◽  
Surgical Services ◽  
Global Pandemic ◽  
Surgical Trainees ◽  
Secondary Survey ◽  
The Impact

Abstract Background The World Health Organisation declared a global pandemic on the 11 March 2020 resulting in implementation of methods to contain viral spread, including curtailment of all elective and non-emergent interventions. Many institutions have experienced changes in rostering practices and redeployment of trainees to non-surgical services. Examinations, study days, courses, and conferences have been cancelled. These changes have the potential to significantly impact the education and training of surgical trainees. Aim To investigate the impact of the COVID-19 pandemic on training, educational, and operative experiences of Irish surgical trainees. Methods Surgical trainees were surveyed anonymously regarding changes in working and educational practices since the declaration of the COVID-19 pandemic on 11 March 2020. The survey was circulated in May 2020 to both core and higher RCSI surgical trainees, when restrictions were at level five. Questions included previous and current access to operative sessions as well as operative cases, previous and current educational activities, access to senior-led training, and access to simulation-/practical-based training methods. A repeat survey was carried out in October 2020 when restrictions were at level two. Results Overall, primary and secondary survey response rates were 29% (n = 98/340) and 19.1% (n = 65/340), respectively. At the time of circulation of the second survey, the number of operative sessions attended and cases performed had significantly improved to numbers experienced pre-pandemic (p < 0.0001). Exposure to formal teaching and education sessions returned to pre-COVID levels (p < 0.0001). Initially, 23% of trainees had an examination cancelled; 53% of these trainees have subsequently sat these examinations. Of note 27.7% had courses cancelled, and 97% of these had not been rescheduled. Conclusion Surgical training and education have been significantly impacted in light of COVID-19. This is likely to continue to fluctuate in line with subsequent waves. Significant efforts have to be made to enable trainees to meet educational and operative targets.

scholarly journals The Impact of the COVID-19 Pandemic on Breast Reconstruction: A Canadian Perspective

2021 ◽  
pp. 229255032110300
Author(s):  
Caroline F. Illmann ◽  
Christopher Doherty ◽  
Margaret Wheelock ◽  
Joshua Vorstenbosch ◽  
Joan E. Lipa ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Care Delivery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Reconstructive Procedures ◽  
Surgical Access ◽  
Canadian Perspective ◽  
Canadian Provinces ◽  
The Impact

Background: The COVID-19 pandemic has led to unprecedented challenges and restrictions in surgical access across Canada, including for breast reconstructive services which are an integral component of comprehensive breast cancer care. We sought to determine how breast reconstructive services are being restricted, and what strategies may be employed to optimize the provision of breast reconstruction through a pan-Canadian evaluation from the providers’ perspective. Methods: This was a cross-sectional survey of Canadian plastic and reconstructive surgeons who perform breast reconstruction. The 33-item web-based questionnaire was developed by a pan-Canadian working group of breast reconstruction experts and disseminated via email to members of the Canadian Society of Plastic Surgery. The questionnaire queried respondents on the impact of the COVID-19 pandemic and associated restrictions on surgeons’ breast reconstruction practice patterns and opinions on strategies for resource utilization. Results: Responses were received from 49 surgeons, who reported practicing in 8 of 10 Canadian provinces. Restrictions on the provision of breast reconstructive procedures were most limited during the First Wave of the COVID-19 pandemic, where all respondents reported at least some reduction in capacity and more than a quarter reporting complete cessation. Average reported reduction in capacity ranged from 31% to 78% across all 3 waves. Autologous, delayed, and prophylactic reconstructions were most commonly restricted. Conclusion: This study provides a pan-Canadian impact assessment on breast reconstructive services during the COVID-19 pandemic from the providers’ perspective. To uphold the standards of patient-centred care, a unified approach to strategically reorganize health care delivery now and in the future is needed.

scholarly journals The Impact of COVID-19 on Surgical Training: the Past, the Present and the Future

2021 ◽  
Author(s):  
Marina Yiasemidou
Keyword(s):  
Infection Control ◽  
Surgical Training ◽  
New Technologies ◽  
Negative Impact ◽  
Elective Surgery ◽  
Control Measures ◽  
Negative Consequences ◽  
Surgical Services ◽  
The World ◽  
The Impact

AbstractThe COVID-19 pandemic and infection control measures had an unavoidable impact on surgical services. During the first wave of the pandemic, elective surgery, endoscopy, and ‘face-to-face’ clinics were discontinued after recommendations from professional bodies. In addition, training courses, examinations, conferences, and training rotations were postponed or cancelled. Inadvertently, infection control and prevention measures, both within and outside hospitals, have caused a significant negative impact on training. At the same time, they have given space to new technologies, like telemedicine and platforms for webinars, to blossom. While the recovery phase is well underway in some parts of the world, most surgical services are not operating at full capacity. Unfortunately, some countries are still battling a second or third wave of the pandemic with severely negative consequences on surgical services. Several studies have looked into the impact of COVID-19 on surgical training. Here, an objective overview of studies from different parts of the world is presented. Also, evidence-based solutions are suggested for future surgical training interventions.

scholarly journals Teachers Understanding Towards COVID-19: A Case of Dhankuta Multiple Campus, Dhankuta, Nepal

2020 ◽  
Vol 4 (1) ◽  
pp. 82-99
Author(s):  
Kewal Ram Parajuli ◽  
Tika Ram Linkha
Keyword(s):  
Teacher Educators ◽  
Public Awareness ◽  
Academic Environment ◽  
Economic Sectors ◽  
Cross Sectional ◽  
Web Based ◽  
Academic Challenges ◽  
Academic Activities ◽  
Teaching Learning ◽  
The Impact

Teacher educators are playing a significant role in managing pandemic situation at various ways. Their role is important to raise public awareness about epidemic and pandemic diseases, like COVID-19. It is mainly due to education and educators are to be considered as an initiator of changes at community level. Their preparedness, understanding, practices and participation can be reliable way to measure the impact of COVID-19 in Dhankuta district. In this context, the focus of this paper is to estimate teachers' knowledge, understanding and practices to preventive measures of COVID-19. In addition, the paper has also intended to analyze the opportunities and challenges that lockdown has bought in their academic environment. For this purpose, 51 teachers were chosen from Dhankuta Multiple Campus using proportionate stratified random sampling (SRS) method with covering gender and faculties. Web based cross sectional research design was applied and some of the variables, like knowledge about COVID-19, adoptive practices, challenges faced in academic environment and reduction strategy were considered to collect and analyze data. The findings of this paper indicate that the mean score of overall knowledge and practices are 6.90 and 6.4 respectively and 94.1 % faces academic challenges. Meantime, the respondent reported that hotels and markets were more vulnerable places as compared to other economic sectors. Their responses ranked such as use of mask, sanitizer, distance maintain, lockdown, and quarantine were some of the ways to prevent COVID-19. However, 70.6 % teachers were involved in online classes, e-library and continuing their academic activities. This paper concludes that the pandemic of COVID-19 has also created a new environment in teaching-learning with the application of ICT in pedagogy in changing situation.

scholarly journals Heated tobacco product use and hypertensive disorders of pregnancy and low birth weight: analysis of a cross-sectional, web-based survey in Japan

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e052976
Author(s):  
Masayoshi Zaitsu ◽  
Yoshihiko Hosokawa ◽  
Sumiyo Okawa ◽  
Ai Hori ◽  
Gen Kobashi ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Tobacco Product ◽  
Secondary Outcome ◽  
Hypertensive Disorders Of Pregnancy ◽  
Cross Sectional ◽  
Web Based ◽  
Hypertensive Disorders ◽  
The Impact

ObjectivesKnowledge on the impact of heated tobacco product (HTP) use in pregnant women with associated maternal and neonatal risks for hypertensive disorders of pregnancy (HDP) and low birth weight (LBW) is limited. We aimed to assess the status of HTP use among pregnant women in Japan and explore the association of HTP use with HDP and LBW.DesignCross-sectional study.SettingData from the Japan ‘COVID-19 and Society’ Internet Survey study, a web-based nationwide survey.ParticipantsWe investigated 558 postdelivery and 365 currently pregnant women in October 2020.Primary and secondary outcome measuresInformation on HDP and LBW was collected from the postdelivery women’s Maternal and Child Health Handbooks (maternal and newborn records). We estimated the age-adjusted ORs and 95% CIs of ever HTP smokers for HDP and LBW and compared them with those of never HTP smokers in a logistic regression analysis.ResultsThe prevalence of ever and current HTP use were 11.7% and 2.7% in postdelivery women and 12.6% and 1.1% in currently pregnant women, respectively. Among currently pregnant women who were former combustible cigarette smokers, 4.4% (4/91) were current HTP smokers. Among postdelivery women, ever HTP smokers had a higher HDP incidence (13.8% vs 6.5%, p=0.03; age-adjusted OR=2.48, 95% CI 1.11 to 5.53) and higher LBW incidence (18.5% vs 8.9%, p=0.02; age-adjusted OR=2.36, 95% CI 1.16 to 4.87).ConclusionsIn Japan, the incidence of ever HTP use exceeded 10% among pregnant women, and HTP smoking may be associated with maternal and neonatal risks.

scholarly journals 1227 The Impact of COVID-19 on the Wellbeing of Surgical Junior Doctors in a Tertiary Referral and Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F Griffin ◽  
M Heelan ◽  
M Kumar
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Junior Doctors ◽  
Cross Sectional ◽  
Web Based ◽  
Near Misses ◽  
Regulatory Bodies ◽  
The Impact

Abstract Introduction Protecting the wellbeing of staff in the NHS is becoming ever more critical as we progress through this pandemic. We sought to identify the impact of the pandemic and changes in working pattern on wellbeing of doctors in training in a teaching hospital. Method Cross sectional study, with primary data collection using a web-based survey. Questionnaire was designed to identify issues relating to the personal wellbeing before and since the onset of the pandemic (Nov 2019-Feb 2020 vs March 2020- June 2020). Trainees in all surgical specialities were invited to participate. Results Thirty-six doctors responded. Across the timepoints there was a marked increase in reports of the following: constant fatigue (+500%), headaches (250%), loss of motivation (+500%), loss of interest in hobbies/friends (+566%), anger (+500%), loss of focus (+320%) and heightened emotional state (+700%). Almost 70% reported difficulty sleeping in the preceding month, with only 50% feeling they received adequate rest between shifts. Feelings of ‘too tired to drive’ increased by 216% with accidents or near misses increasing by 500%. Use of alcohol as coping mechanism increased by 500%, and comfort eating rose by 244%. 50% considered leaving their post. Conclusions These findings are significant and point to a dangerous trend if left unchecked. The causes of these outcomes are multi-factorial; changes to working patterns, cancellation of leave, redeployment, and anxieties around career progression were noted. The long-term health implications on the workforce should not be overlooked. This requires a collective response and action by employers, training and regulatory bodies and government.

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