Insights on Otolaryngology Residency Training during the COVID-19 Pandemic

2020 ◽  
Vol 163 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Dana L. Crosby ◽  
Arun Sharma
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Learning Strategies ◽  
Residency Training ◽  
Resident Education ◽  
Training Programs ◽  
Well Being ◽  
Office Visits ◽  
Key Indicator ◽  
Medical Crisis ◽  
The Impact

Otolaryngology residency training programs are facing a novel challenge due to severe acute respiratory syndrome coronavirus 2. The widespread impact and chronicity of this pandemic makes it unique from any crisis faced by our training programs to date. This international medical crisis has the potential to significantly alter the course of training for our current resident cohort. The decrease in clinical opportunities due to the limitations on elective surgical cases and office visits as well as potential resident redeployment could lead to a decline in overall experience as well as key indicator cases. It is important that we closely monitor the impact of this pandemic on resident education and ensure the implementation of alternative learning strategies while maintaining an emphasis on safety and well-being.

Urology Residency Training During the Pandemic: A Review of the Current Literature

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
Ioannis Glykas ◽  
Panagiotis Velissarios Stamatakos ◽  
Charalampos Fragkoulis ◽  
Mohamad Moussa ◽  
Athanasios Papatsoris ◽  
...  
Keyword(s):  
Residency Training ◽  
Training Programs ◽  
Negative Impact ◽  
Skill Training ◽  
Well Being ◽  
Current Evidence ◽  
Cochrane Library ◽  
Academic Activities ◽  
The Impact ◽  
Urology Residency

Background Since COVID–19 was declared a pandemic on March 11, 2020, health care systems worldwide have been under significant strain. Although urology is not on the frontline of care for patients with COVID-19, every practicing urologist has been affected by the global outbreak. The objective of this review is to evaluate the impact of COVID–19 pandemic on urology residency training programs. Methods We reviewed the current evidence on urology residency training during the COVID-19 pandemic. Relevant databases (MEDLINE, Scopus, Cochrane Library) were searched for articles published to June 2021 that included residents’ or directors’ opinions on their residency training programs during the COVID-19 crisis. Results The literature search identified 72 articles. Fifteen studies including more than 2500 residents were eligible for inclusion in the analysis. During the pandemic, learning activities carried out by urology residents have been extensively affected. Worldwide, operation volume has decreased, especially for procedures in which residents were directly involved. Similarly, there has been a decline in most academic activities, and many studies have reported the negative impact on residents’ mental well-being and lifestyle. On the other hand, the lockdown provided an opportunity to review the current training system and to increase the implementation of tools such as telemedicine and smart-learning surgical skill training programs. Conclusion The COVID-19 pandemic has resulted in significant changes in urology residency programs worldwide, which have had a negative impact on surgical training and academic activities. Residents’ well-being and mental health have also been put at risk. However, this unprecedented situation has also generated new online learning modalities and technological innovations in the field of training in urology.

scholarly journals The impact of COVID-19 pandemic on training and mental health of residents: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eman Alshdaifat ◽  
Amer Sindiani ◽  
Wasim Khasawneh ◽  
Omar Abu-Azzam ◽  
Aref Qarqash ◽  
...  
Keyword(s):  
Mental Health ◽  
Residency Training ◽  
Training Programs ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Surgical Residents ◽  
Tertiary Center ◽  
The Impact

Abstract Background Residency programs have been impacted by the Coronavirus disease 2019 (COVID-19) pandemic. In this study we aim to investigate and evaluate the impact of the pandemic on residents as well as residency training programs. Methods This was a cross-sectional study including a survey of 43 questions prepared on Google forms and electronically distributed among a convenience sample of residents training at a tertiary center in North Jordan during the COVID-19 pandemic. Data were collected in the period between October 30th and November 8th of 2020. The survey included questions that addressed the impact of the pandemic on residents’ health as well as training programs. The study participants included residents in training at KAUH in 2020 and were stratified according to the type of residency program (surgical residents (SRs) and non-surgical residents (NSRs)). Statistical methods included descriptive analysis, Chi-square or Fisher’s exact test, Mann Whitney U test, and Cramer’s V and r statistics as measures of effect sizes. Results Of all 430 residents, 255 (59%) responded to the survey. A total of 17 (7%) of residents reported being infected with COVID-19 and a significant difference was reported between SRs and NSRs (10% vs 4%, V = .124 “small effect” (95% CI; .017–.229), p = 0.048). Approximately, 106 (42%) reported a decrease in the number of staff working at the clinic and 164 (64%) reported limited access to personal protective equipment during the pandemic. On a 4-point Likert scale for the feeling of anxiety, the median was 2 (2–3 IQR) in the NSRs group, vs 2 (1–2 IQR) in the SRs groups, with the NSRs being more likely to feel anxious (r = 0.13 “small effect” (95% CI; 0.007–0.249), p = .044). Similarly, the proportion of residents who reported feeling anxious about an inadequacy of protective equipment in the work area was significantly greater in the NSRs group (90.3% vs 75.2%; V = .201 “small effect” (95% CI; .078–.313), p = .001), as well as the proportion of residents who reported feeling increased stress and anxiety between colleagues being also significantly higher in the NSRs group (88.1% vs 76%; V = .158 “small effect” (95% CI; .032–.279), p = .012). Conclusion The burden of the ongoing pandemic on the mental health status of residents is very alarming and so providing residents with psychological counseling and support is needed. Also, critical implications on the flow of residency training programs have been noticed. This necessitates adapting and adopting smart educational techniques to compensate for such limitations.

CONCEPT OF EMPLOYEES’ WELL-BEING AS A TOOL FOR DEVELOPING SOCIAL GUARANTEES IN RUSSIAN COMPANIES

2020 ◽  
Vol 10 (9) ◽  
pp. 2095-2103
Author(s):  
I.V. Kovalev ◽  
Keyword(s):  
Professional Growth ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Developed Countries ◽  
Social Needs ◽  
Social Programs ◽  
Office Visits ◽  
Human Needs ◽  
Collective Agreements ◽  
The Impact

The article examines the content of the current collective agreements of Russian companies. The features of social guarantees of some enterprises are described; the features associated with their activities, location, form of ownership are specified. An analysis of the differences between social guarantees of enterprises operating in the Russian Federation and in developed countries is carried out. Examples of social support for workers in American and German corporations, their features and the result of the impact of social programs on the productivity of these companies are given. The concept of the concept of employee well-being is revealed, the components of this concept are described. The article provides a general analysis of human well-being, refers to the “theory of the hierarchy of needs” by Abraham Maslow, according to which human needs form a hierarchical system, where each need has its own level of significance. As they are satisfied, they give way to other needs. Five key human needs are formulated: human physiological needs; the need for comfort and safety; social needs; the need for respect; the need for self-knowledge. Only by satisfying the last need, a person will be motivated to increase the productivity of his enterprise. An integral part of the concept of well-being for an employee of foreign companies is consultations by experts in various fields of knowledge, trainings for personal and professional growth, programs for a healthy lifestyle and proper nutrition, a free schedule of office visits, and much more. The article provides positive examples from the implementation of this concept in the social programs of foreign enterprises. In the final part of the article, conclusions are drawn and the results of a study on the occupancy rate of collective agreements in Russian companies are presented.

scholarly journals What is the impact of the COVID-19 Pandemic on Emergency Medicine Residency Training: An observational study

2020 ◽  
Author(s):  
Hsiang-Yun Lo ◽  
Shen-Che Lin ◽  
Chung-Hsien Chaou ◽  
Yu-Che Chang ◽  
Chip-Jin Ng ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Residency Training ◽  
Training Programs ◽  
Primary Objective ◽  
Clinical Exposure ◽  
Number Of Patients ◽  
Tertiary Teaching ◽  
Epidemic Period ◽  
Methods Of Learning ◽  
The Impact

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has caused reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods. Methods This was a retrospective study of EM resident physicians’ training in a tertiary teaching hospital with two branch regional hospitals in Taiwan. We retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The first confirmed COVID-19 case in Taiwan was reported on January 11, so the pandemic period in our study was defined as spanning from February 1, 2020, to April 30, 2020. The number and characteristics of patients seen by residents were recorded. We compared the data between the prepandemic and pandemic periods.Results The mean number of patients per hour (PPH) seen by EM residents in the adult ED decreased in all three hospitals during the pandemic. The average PPH of critical area of medical ED was 1.68 in the pre-epidemic period and decreased to 1.33 in the epidemic period (p value < 0.001). The average number of patients managed by residents decreased from 1.24 to 0.82 in the trauma ED (p value= 0.01) and 1.56 to 0.51 in the pediatric ED (p value=0.003) during the pandemic, respectively. The severity of patient illness did not change significantly between the periods. Conclusions The COVID-19 pandemic engendered a reduced ED volume and decreased EM residents’ clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients’ case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.

scholarly journals Who Gets Irritable Bowel Syndrome and Does Seeing a Gastroenterologist Affect Its Course?

2001 ◽  
Vol 15 (suppl b) ◽  
pp. 5B-7B
Author(s):  
Charles N Bernstein
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Utilization ◽  
Well Being ◽  
Care Utilization ◽  
Office Visits ◽  
Utilization Patterns ◽  
Irritable Bowel ◽  
The Impact

A review of studies involving patients with irritable bowel syndrome is presented. This review looks at the impact of gastroenterology consultation on health care utilization patterns and the well-being of the patient when followed up over a two-year period. A structured gastroenterological consultation between the physician and patient may decrease the number of office visits for gastrointestinal- related problems.

scholarly journals Neurosurgical education during COVID-19: challenges and lessons learned in Egypt

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Ahmed Hamdy Ashry ◽  
Hussein Mohammed Soffar ◽  
Mohamed Fathalla Alsawy
Keyword(s):  
Mental Health ◽  
Online Education ◽  
Personal Protective Equipment ◽  
Training Programs ◽  
Well Being ◽  
Lessons Learned ◽  
Protective Equipment ◽  
Primary Concern ◽  
The Impact ◽  
Neurosurgical Education

Abstract Background The coronavirus pandemic (COVID-19) has disrupted the routine neurosurgical education and practice worldwide and so more in developing countries. Continuing the neurosurgical training while maintaining the well-being of our residents should be the primary concern of leaders of training programs. Objectives The aim of this cross-sectional study was the evaluation of the impact of COVID-19 on neurosurgical residency programs and neurosurgical practice in five tertiary medical centers in our country. We also aimed at detecting the shortcomings in training programs and provide solutions. Methods An online questionnaire-based survey was prepared and sent to 73 neurosurgery residents in 5 tertiary centers in 4 governorates by social networks. The questions focused on the evaluation of clinical and surgical activities before and after the pandemic. Safety precautions, education, and residents’ mental health were also evaluated. Results Fifty residents responded to our survey. We identified a significant reduction in surgical cases, inpatient services, and working hours per week during the pandemic comparing to the pre-pandemic era. We also identified a significant increase in research hours and changes in educational methods from in-person methods to virtual ones. Seventy-four percent reported that personal protective equipment was not adequate for their duties. Sixty-eight percent experienced burnout symptoms. Unavailability of personal protective equipment, negative concerns regarding the surgical career, and financial strains significantly affected the mental health of residents. Conclusions The survey highlighted the negative impact of COVID-19 on neurosurgical practice and education. Being in a developing country, this negative effect was amplified due to financial reasons and weak infrastructure. Inadequate personal protective equipment increased the risk of infection and work-related stress among neurosurgery residents. We lacked telemedicine services in our country. Online education gained more visibility and awareness.

scholarly journals What is the Impact of the COVID-19 Pandemic on Emergency Medicine Residency Training: An Observation Study

2020 ◽  
Author(s):  
Hsiang-Yun Lo ◽  
Shen-Che Lin ◽  
Chung-Hsien Chaou ◽  
Yu-Che Chang ◽  
Chip-Jin Ng ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Residency Training ◽  
Training Programs ◽  
Working Hours ◽  
Primary Objective ◽  
Observation Study ◽  
Clinical Exposure ◽  
Number Of Patients ◽  
Methods Of Learning ◽  
The Impact

Abstract BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of the pandemic on emergency medicine (EM) residency training programs is unknown. The pandemic has engendered reduced volumes of emergency department (ED) patients, except for those with COVID-19 infections, and this may reduce the case exposure of EM residents. The primary objective of this study was to compare the clinical exposure of EM residents between the prepandemic and pandemic periods. MethodsThis was a retrospective study of EM resident physicians in Taiwan. We performed a medical record review and retrieved data regarding patients seen by EM residents in the ED between September 1, 2019, and April 30, 2020. The number and characteristics of patients seen by residents were recorded, and the training schedules, including clinical working hours, of EM residents were determined. We compared the data between the prepandemic and pandemic periods.ResultsA total of 51,337 patients were managed by 36 EM residents during the 8-month study period. The mean number of patients per hour (PPH) seen by EM residents decreased significantly during the pandemic period. The PPH seen by residents in the adult ED decreased in all three hospitals during the pandemic. The average number of patients managed by residents decreased by 50% and 70% in the trauma ED and pediatric ED during the pandemic, respectively. The severity of patient illness did not change significantly between the periods. ConclusionsThe COVID-19 pandemic engendered a reduced ED volume and decreased EM residents’ clinical exposure. All portion of EM residency training were affected by the pandemic, with pediatric EM being the most affected. The patient volume reduction may persist and in turn reduce patients’ case exposure until the pandemic subsides. Adjustment of the training programs may be necessary and ancillary methods of learning should be used to ensure adequate EM residency training.

scholarly journals Virtual Noon Conferences: Providing Resident Education and Wellness During the COVID-19 Pandemic

PRiMER ◽  
2020 ◽  
Vol 4 ◽  
Author(s):  
Thomas W. Hahn
Keyword(s):  
Resident Education ◽  
Clinical Work ◽  
Well Being ◽  
Organ System ◽  
Learning Activities ◽  
Social Connection ◽  
Perceived Knowledge ◽  
Web Based ◽  
Survey Results ◽  
The Impact

Introduction: The COVID-19 pandemic has drastically impacted graduate medical education. Family medicine residents are now doing substantial clinical work and learning from home. We continued to offer academic half-day didactics virtually, but sensed a need for daily resident education and social support, so we implemented a virtual daily noon conference to address these needs. Methods: The virtual noon conferences used web-based technology and had weekly organ system themes with consistent daily learning activities like cases and review questions. Four key components made the conferences collaborative and inclusive; they were led by residents, required minimal preparation by using available materials, were interactive, and promoted social connection with wellness activities. We evaluated the impact on resident-perceived knowledge and wellness over 6 weeks with weekly surveys for residents attending at least one conference that week and a postintervention survey. Results: Of 66 responses to the weekly surveys, 98% agreed that noon conferences helped to increase knowledge and social connection. Of 46 total residents, 35 (76%) answered the postintervention survey, and all agreed that noon conferences helped to increase knowledge, were interactive, and increased social connection. Ninety-one percent favored continuing the noon conferences. More than three-quarters of postintervention survey respondents agreed that virtual noon conferences were equally or more beneficial compared to academic half days for both their education and well-being during the pandemic. Conclusions: Virtual noon conferences have provided regular interactive learning and fostered resident well-being during the pandemic. They can supplement resident curriculum and wellness and can be easily adopted by other programs.  

scholarly journals A Comparison of the Existing Wellness Programs in Neurosurgery and Institution Champion's Perspectives

Neurosurgery ◽  
2018 ◽  
Vol 84 (5) ◽  
pp. 1149-1155 ◽  
Author(s):  
Stacey Quintero Wolfe ◽  
James L West ◽  
Matthew A Hunt ◽  
Gregory J A Murad ◽  
W Christopher Fox ◽  
...  
Keyword(s):  
Residency Training ◽  
Training Programs ◽  
Implementation Strategies ◽  
Future Generation ◽  
Well Being ◽  
Wellness Programs ◽  
Integration Process ◽  
Residency Programs ◽  
Wellness Education ◽  
Development Structure

Abstract Once the accepted norm during Harvey Cushing's time, the mantra of work to the exclusion of family and lifestyle is now recognized as deleterious to overall well-being. A number of neurosurgical residency training programs have implemented wellness programs to enhance the physical, mental, and emotional well-being of trainees and faculty. This manuscript highlights existing organized wellness education within neurosurgery residency programs in order to describe the motivations behind development, structure, and potential implementation strategies, cost of implementation, and identify successes and barriers in the integration process. This manuscript is designed to serve as a “how-to” guide for other programs who may identify a need in their own trainees and begins the discussion of how to develop wellness, leadership, grit, and resiliency within our future generation of neurosurgeons.

scholarly journals Strepsirrhine Primate Training Programs in North American Institutions: Status and Implications for Future Welfare Assessment

Animals ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 2462
Author(s):  
Gloria Fernández-Lázaro ◽  
Meg H. Dye ◽  
Christie Eddie ◽  
Gina M. Ferrie
Keyword(s):  
North American ◽  
Online Survey ◽  
Nonhuman Primates ◽  
Training Programs ◽  
Evaluation Process ◽  
Well Being ◽  
Current Status ◽  
Training Techniques ◽  
Future Assessment ◽  
The Impact

Many articles have shown the benefits of operant conditioning training techniques in the care and welfare of several species of nonhuman primates; however, the information regarding their use in strepsirrhine species is scarce. We assessed the development and current status of training programs with these species in North American institutions. An online survey was distributed through members of the Association of Zoos and Aquariums using a multiple-choice format. We collected information related to training program details; animals, behaviors, and techniques; the evaluation process; and the impact of training. Seventy-one organizations completed the survey, with the results showing that 97% of respondents trained their strepsirrhines with the main objective of husbandry and veterinary care (around 80%). Sixty-eight percent of organizations did not report any risk in training these species. The benefits reported include increases in positive human–animal interactions (97%), psychological well-being (88%), and staff awareness of animal behaviors (90%). However, a multi-dimensional approach to measure the efficacy of training could provide a deeper understanding of its impact on the welfare of strepsirrhine primates. We hope that the data offered in this survey can help in this future assessment.

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