Surgical Education in the Time of COVID: Understanding the Early Response of Surgical Training Programs to the Novel Coronavirus Pandemic.
Identifieur interne : 000259 ( Main/Exploration ); précédent : 000258; suivant : 000260Surgical Education in the Time of COVID: Understanding the Early Response of Surgical Training Programs to the Novel Coronavirus Pandemic.
Auteurs : Erin M. White [États-Unis] ; Matthew P. Shaughnessy [États-Unis] ; Andrew C. Esposito [États-Unis] ; Martin D. Slade [États-Unis] ; Maria Korah [États-Unis] ; Peter S. Yoo [États-Unis]Source :
- Journal of surgical education [ 1878-7452 ] ; 2020.
Abstract
OBJECTIVE
Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide.
DESIGN
A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and bivariate analyses.
PARTICIPANTS
Eighty-four residency programs (33.6% response rate) with representation across US geographic regions, program affiliations, and sizes.
RESULTS
Widespread changes were observed in the surgical training environment. One hundred percent of programs reduced the number of residents on rounds and 95.2% reduced the size of their in-hospital resident workforce; on average, daytime staffing decreased by nearly half. With telehealth clinics (90.5%) and remote inpatient consults (26.2%), both clinical care and resident didactics (86.9%) were increasingly virtual, with similar impact across all program demographics. Conversely, availability of some wellness initiatives was significantly higher among university programs than independent programs, including childcare (51.2% vs 6.7%), housing (41.9% vs 13.3%), and virtual mental health services (83.7% vs 53.3%).
CONCLUSIONS
Changes in clinical care delivery dramatically reduced in face-to-face learning opportunities for surgical trainees during the COVID-19 pandemic. While this effect had equal impact across all program types, sizes, and geographies, the same cannot be said for wellness initiatives. Though all programs initiated some strategies to protect resident health, the disparity between university programs and independent programs may be cause for action.
DOI: 10.1016/j.jsurg.2020.07.036
PubMed: 32768380
PubMed Central: PMC7381939
Affiliations:
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White</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Yale University, New Haven, Connecticut.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Department of Surgery, Yale University, New Haven</wicri:cityArea></affiliation></author><author><name sortKey="Shaughnessy, Matthew P" sort="Shaughnessy, Matthew P" uniqKey="Shaughnessy M" first="Matthew P" last="Shaughnessy">Matthew P. Shaughnessy</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Yale University, New Haven, Connecticut.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Department of Surgery, Yale University, New Haven</wicri:cityArea></affiliation></author><author><name sortKey="Esposito, Andrew C" sort="Esposito, Andrew C" uniqKey="Esposito A" first="Andrew C" last="Esposito">Andrew C. Esposito</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Yale University, New Haven, Connecticut.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Department of Surgery, Yale University, New Haven</wicri:cityArea></affiliation></author><author><name sortKey="Slade, Martin D" sort="Slade, Martin D" uniqKey="Slade M" first="Martin D" last="Slade">Martin D. Slade</name><affiliation wicri:level="2"><nlm:affiliation>Occupational Health & Environmental Medicine, Yale University, New Haven, Connecticut.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Occupational Health & Environmental Medicine, Yale University, New Haven</wicri:cityArea></affiliation></author><author><name sortKey="Korah, Maria" sort="Korah, Maria" uniqKey="Korah M" first="Maria" last="Korah">Maria Korah</name><affiliation wicri:level="2"><nlm:affiliation>School of Medicine, Yale University, New Haven, Connecticut; Department of Surgery, Stanford University, Stanford, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>School of Medicine, Yale University, New Haven, Connecticut; Department of Surgery, Stanford University, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Yoo, Peter S" sort="Yoo, Peter S" uniqKey="Yoo P" first="Peter S" last="Yoo">Peter S. Yoo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Yale University, New Haven, Connecticut. Electronic address: peter.yoo@yale.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Department of Surgery, Yale University, New Haven</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of surgical education</title><idno type="eISSN">1878-7452</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and bivariate analyses.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Eighty-four residency programs (33.6% response rate) with representation across US geographic regions, program affiliations, and sizes.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Widespread changes were observed in the surgical training environment. One hundred percent of programs reduced the number of residents on rounds and 95.2% reduced the size of their in-hospital resident workforce; on average, daytime staffing decreased by nearly half. With telehealth clinics (90.5%) and remote inpatient consults (26.2%), both clinical care and resident didactics (86.9%) were increasingly virtual, with similar impact across all program demographics. Conversely, availability of some wellness initiatives was significantly higher among university programs than independent programs, including childcare (51.2% vs 6.7%), housing (41.9% vs 13.3%), and virtual mental health services (83.7% vs 53.3%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Changes in clinical care delivery dramatically reduced in face-to-face learning opportunities for surgical trainees during the COVID-19 pandemic. While this effect had equal impact across all program types, sizes, and geographies, the same cannot be said for wellness initiatives. Though all programs initiated some strategies to protect resident health, the disparity between university programs and independent programs may be cause for action.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32768380</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jul</Month><Day>25</Day></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Surgical Education in the Time of COVID: Understanding the Early Response of Surgical Training Programs to the Novel Coronavirus Pandemic.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S1931-7204(20)30270-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2020.07.036</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and bivariate analyses.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Eighty-four residency programs (33.6% response rate) with representation across US geographic regions, program affiliations, and sizes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Widespread changes were observed in the surgical training environment. One hundred percent of programs reduced the number of residents on rounds and 95.2% reduced the size of their in-hospital resident workforce; on average, daytime staffing decreased by nearly half. With telehealth clinics (90.5%) and remote inpatient consults (26.2%), both clinical care and resident didactics (86.9%) were increasingly virtual, with similar impact across all program demographics. Conversely, availability of some wellness initiatives was significantly higher among university programs than independent programs, including childcare (51.2% vs 6.7%), housing (41.9% vs 13.3%), and virtual mental health services (83.7% vs 53.3%).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Changes in clinical care delivery dramatically reduced in face-to-face learning opportunities for surgical trainees during the COVID-19 pandemic. While this effect had equal impact across all program types, sizes, and geographies, the same cannot be said for wellness initiatives. Though all programs initiated some strategies to protect resident health, the disparity between university programs and independent programs may be cause for action.</AbstractText><CopyrightInformation>Copyright © 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. 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White</name></region><name sortKey="Esposito, Andrew C" sort="Esposito, Andrew C" uniqKey="Esposito A" first="Andrew C" last="Esposito">Andrew C. Esposito</name><name sortKey="Korah, Maria" sort="Korah, Maria" uniqKey="Korah M" first="Maria" last="Korah">Maria Korah</name><name sortKey="Shaughnessy, Matthew P" sort="Shaughnessy, Matthew P" uniqKey="Shaughnessy M" first="Matthew P" last="Shaughnessy">Matthew P. Shaughnessy</name><name sortKey="Slade, Martin D" sort="Slade, Martin D" uniqKey="Slade M" first="Martin D" last="Slade">Martin D. Slade</name><name sortKey="Yoo, Peter S" sort="Yoo, Peter S" uniqKey="Yoo P" first="Peter S" last="Yoo">Peter S. Yoo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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