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Article: COVID-19: an opportunity to restructure surgical education.

Juanz-González, Abelardo / Barreras-Espinoza, Jorge Arturo / Soualhi, Ahmed / Leyva-Moraga, Eduardo / Leyva-Moraga, Francisco Alberto / Leyva-Moraga, Fernando / Serrato-Félix, Marcos José / Ibarra-Celaya, Jesús Martín / Castillo-Ortega, Graciano

European surgery : ACA : Acta chirurgica Austriaca

2020 Volume 52, Issue 5, Page(s) 243–244

Keywords	covid19
Language	English
Publishing date	2020-07-09
Publishing country	Austria
Document type	Journal Article
ZDB-ID	2073941-2
ISSN	1682-4016 ; 1682-8631 ; 1682-1769
ISSN (online)	1682-4016
ISSN	1682-8631 ; 1682-1769
DOI	10.1007/s10353-020-00651-2
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Article: COVID-19: an opportunity to restructure surgical education

Eur Surg

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #636555
Database	COVID19

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Article ; Online: COVID-19

European Surgery

an opportunity to restructure surgical education

2020 Volume 52, Issue 5, Page(s) 243–244

Keywords	Surgery ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	2073941-2
ISSN	1682-4016 ; 1682-8631 ; 1682-1769
ISSN (online)	1682-4016
ISSN	1682-8631 ; 1682-1769
DOI	10.1007/s10353-020-00651-2
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Is Surgical Training Prepared for the "Second Wave" of COVID-19? A Collaborative Perspective.

Rajgor, Harshadkumar Dhirajlal / Rajgor, Amarkumar Dhirajlal / Sidhu, Manpreet Singh / Khan, Shehzaad Aziz / Hossain, Fahad / Moores, Thomas Steven

Annals of surgery open : perspectives of surgical history, education, and clinical approaches

2021 Volume 2, Issue 1, Page(s) e045

Abstract: Restructuring of surgical services during the 'first wave' of the coronavirus-disease 2019 pandemic ... led to significant disruption in surgical learning opportunities provided to junior surgeons. Recent ... challenges faced by trainees have never been faced before. These include disruption to surgical opportunities ...

Abstract	Restructuring of surgical services during the 'first wave' of the coronavirus-disease 2019 pandemic led to significant disruption in surgical learning opportunities provided to junior surgeons. Recent challenges faced by trainees have never been faced before. These include disruption to surgical opportunities available, completing assessments and attending educational events. With a 'second wave' now upon the United Kingdom it is vitally important we reflect upon the 'first wave' to ensure junior surgeons are able to achieve appropriate surgical case numbers, complete assessments and progress to the next stage of training. Alternate assessment methods in the United Kingdom need to be considered should the pandemic continue and clear information should be provided to surgical trainees regarding career progression. These are difficult times for surgical training and we need to endeavor that trainees are provided with opportunities similar to their predecessors albeit in difficult circumstances. This is to ensure the future standard of surgical patient care remains of the highest standard.
Language	English
Publishing date	2021-02-10
Publishing country	United States
Document type	Journal Article
ISSN	2691-3593
ISSN (online)	2691-3593
DOI	10.1097/AS9.0000000000000045
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Adaptations to general surgery resident education in response to COVID-19.

Ma, Vivian / Scott, Tracy / Ott, Michael / Karimuddin, Ahmer

Canadian journal of surgery. Journal canadien de chirurgie

2021 Volume 64, Issue 5, Page(s) E543–E549

Abstract: ... to all general surgery program directors to assess various domains in surgical education and modifications made ... Background: The COVID-19 pandemic led to many new provincial public health measures to reallocate ... training programs in response to the COVID-19 pandemic.: Method: A mixed-methods survey was sent ...

Abstract	Background: The COVID-19 pandemic led to many new provincial public health measures to reallocate resources in response to an impending surge of cases. These necessary decisions had several downstream effects on general surgery training. We surveyed the actions taken by Canadian general surgery training programs in response to the COVID-19 pandemic. Method: A mixed-methods survey was sent to all general surgery program directors to assess various domains in surgical education and modifications made because of the pandemic. Responses were quantified as proportions or qualitative narratives describing those changes. Results: Most programs (13/15) recalled residents from planned rotations and redistributed them to rotations considered as core required services, including acute care surgery, trauma surgery and intensive care. Many programs also restructured their acute care surgery models to allow for a group of "reserve" residents to replace trainees who became infected with SARS-CoV-2. In terms of clinical experience, there was a reduction in both clinical and operative exposure among trainees. The reduction in clinical exposure disproportionately affected junior residents, whose involvement in COVID-19 cases was restricted. Formal educational sessions were maintained, but delivered virtually. Many programs instituted a program of increased frequency of communication with trainees. Conclusion: Many programs embraced using virtual platforms for teaching. The demonstrated utility of virtual teaching may lead to rethinking how training programs deliver didactic teaching and expand teaching opportunities. However, many programs also perceived a decrease in clinical and procedural exposure, primarily affecting junior residents. More information is needed to quantify the deficit in learning incurred as a result of the pandemic as well as its long-term effects on resident competency.
MeSH term(s)	COVID-19 ; Canada ; Education, Distance ; General Surgery/education ; Humans ; Internship and Residency/organization & administration ; Pandemics ; Surveys and Questionnaires
Language	English
Publishing date	2021-09-01
Publishing country	Canada
Document type	Journal Article
ZDB-ID	410651-9
ISSN	1488-2310 ; 0008-428X
ISSN (online)	1488-2310
ISSN	0008-428X
DOI	10.1503/cjs.023320
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Article ; Online: Neurosurgery in COVID-19 Ground Zero: The Weill Cornell Medicine Experience.

Winston, Graham M / Garton, Andrew L A / Chae, John K / Odigie, Eseosa R / Sehgal, Ryka R / Rivera, Maricruz / Goldberg, Jacob L / Hussain, Ibrahim / Juthani, Rupa G / Virk, Michael / Pannullo, Susan C

World neurosurgery

2021 Volume 148, Page(s) 263–268

Abstract: ... us an opportunity to simultaneously contribute to a history of New York City's reaction to COVID-19 and commemorate ... of the coronavirus disease 2019 (COVID-19) pandemic in New York City was swift and left little time for reflection ... in care and education paradigms to meet patient care demands and public health needs. As the number ...

Abstract	The mobilization of subspecialty departments in reaction to the unique demands of the onset of the coronavirus disease 2019 (COVID-19) pandemic in New York City was swift and left little time for reflection and commemoration. The early days of the pandemic brought unprecedented stressors on the medical system that necessitated a restructuring of hospitals, reallocation of health care workers, and a shift in care and education paradigms to meet patient care demands and public health needs. As the number of cases, intensive care unit patients, and deaths skyrocketed in New York City, many struggled with a somewhat paradoxical difficulty in perceiving the human value of what these numbers mean. Easily lost in the statistics are the stories and experiences of the physicians and trainees who were counted on to halt their own clinical practices and adapt their skillsets to tackle the pandemic. In this article, we present 10 brief narratives from the student members of the Neurosurgery Publication Group at Weill Cornell Medical College and members of the Weill Cornell Medicine Neurological Surgery Residency Program and Department of Neurological Surgery faculty. Reflecting on these individual experiences gives us an opportunity to simultaneously contribute to a history of New York City's reaction to COVID-19 and commemorate the individuals who were impacted by or succumbed to this disease.
MeSH term(s)	Academic Medical Centers ; COVID-19 ; Humans ; Internship and Residency ; Neurosurgeons ; Neurosurgery/education ; New York City ; SARS-CoV-2 ; Students, Medical
Language	English
Publishing date	2021-03-23
Publishing country	United States
Document type	Journal Article ; Personal Narrative
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2020.10.174
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Article ; Online: The Impact of COVID-19 on Trainees: Lessons Learned and Unanticipated Opportunities.

Pinyavat, Teeda / Lynch, Lisa R / Jaconia, Giselle D / Miller, Lydia K / Hines, Roberta L

Journal of neurosurgical anesthesiology

2021 Volume 34, Issue 1, Page(s) 158–162

Abstract: ... at Columbia University Department of Anesthesiology's Papper Symposium was the "The Impact of the COVID-19 ... restructured to keep up with patient care demands. Educational programs adapted their curricula and trainees ... lost valuable clinical and academic opportunities. The innovative educational responses, including ...

Abstract	Dr. Emanuel Martin Papper was a Professor and Department Chair at Columbia University whose top passion was training the next generation of anesthesiologists. As such, a fitting topic for discussion at Columbia University Department of Anesthesiology's Papper Symposium was the "The Impact of the COVID-19 Pandemic on Trainees: Lessons Learned and Unanticipated Opportunities," presented by Dr. Roberta L. Hines, Nicholas M. Greene Professor of Anesthesiology and Department Chair and Chief of Anesthesiology at Yale-New Haven Hospital. The pandemic led to abrupt changes at the national, hospital, and training program levels, all of which impacted trainees in anesthesiology and other disciplines. Nationally, there were sweeping regulatory changes that helped to shape the coronavirus disease-2019 response by medical front line workers. At each individual hospital, coronavirus disease-2019 units were created and teams were restructured to keep up with patient care demands. Educational programs adapted their curricula and trainees lost valuable clinical and academic opportunities. The innovative educational responses, including a pivot to virtual learning and virtual recruitment, provided a silver lining to the health care crisis. Another bright spot was that anesthesiology as a specialty rose to the forefront of patient care. Anesthesiologists displayed impactful leadership during the pandemic, paving the way for future growth and broadened reach of our specialty.
MeSH term(s)	Anesthesiologists ; Anesthesiology ; COVID-19 ; Humans ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-12-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	1018119-2
ISSN	1537-1921 ; 0898-4921
ISSN (online)	1537-1921
ISSN	0898-4921
DOI	10.1097/ANA.0000000000000810
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Article ; Online: Strategies to overcome limitations in Otolaryngology residency training during the COVID-19 pandemic.

Bandi, Francesco / Karligkiotis, Apostolos / Mellia, Jessica / Gallo, Stefania / Turri-Zanoni, Mario / Battaglia, Paolo / Castelnuovo, Paolo

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

2020 Volume 277, Issue 12, Page(s) 3503–3506

Abstract: ... and surgical activities have reduced the learning opportunity for residents and fellows. We believe ... of the residency program to provide an adequate trainee education for the future surgeons. ... Purpose: The COVID-19 pandemic has produced an unequaled human crisis forcing a radical ...

Abstract	Purpose: The COVID-19 pandemic has produced an unequaled human crisis forcing a radical reorganization in the healthcare system. Otolaryngologists are at high risk of exposure, and changes in medical and surgical activities have reduced the learning opportunity for residents and fellows. We believe that even during COVID-19 crisis it is mandatory to guarantee an optimal training, and here, we propose some strategies, based on our experience, to further increase our trainees' learning curve. Methods: We asked our trainees to fill out an electronic survey about several aspect of their training: a first section focused on the reduction of clinical activities and the perceived impact of the pandemic on residents' skills; the second part outlined the type of attended training activity and the perceived benefit. Results: Surgical training has been reported by our residents as the activity perceived to be the most contracted during the pandemic. According to residents' opinion the most useful activities were dissection (n = 8, 53.4% residents) and online journal clubs/webinars (n = 7, 46.6% of residents). Residents' suggestions included actively participating to tracheostomy procedures on SARS-CoV-2 positive patients, attending lessons held by senior consultants on basic ENT topics and promoting collegial discussion of inpatient clinical cases. Conclusion: Building on this dramatic experience, we must be ready for a global restructuring of the residency program to provide an adequate trainee education for the future surgeons.
MeSH term(s)	Adult ; Betacoronavirus ; COVID-19 ; Clinical Competence ; Coronavirus Infections ; Humans ; Internship and Residency ; Learning Curve ; Otolaryngology/education ; Pandemics/prevention & control ; Pneumonia, Viral ; SARS-CoV-2 ; Surgeons ; Surveys and Questionnaires
Keywords	covid19
Language	English
Publishing date	2020-07-23
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1017359-6
ISSN	1434-4726 ; 0937-4477
ISSN (online)	1434-4726
ISSN	0937-4477
DOI	10.1007/s00405-020-06228-9
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Article ; Online: The role of the orthopaedic surgeon in the COVID-19 era

Luca Ambrosio / Gianluca Vadalà / Fabrizio Russo / Rocco Papalia / Vincenzo Denaro

Journal of Experimental Orthopaedics, Vol 7, Iss 1, Pp 1-

cautions and perspectives

2020 Volume 9

Abstract: Abstract The current coronavirus disease 2019 (COVID-19) pandemic has revolutionized global ... to provide the best care to COVID-19 patients while adopting preventive strategies not to spread ... several providers have been recruited in COVID-19 departments despite their original occupation, resulting ...

Abstract	Abstract The current coronavirus disease 2019 (COVID-19) pandemic has revolutionized global healthcare in an unprecedented way and with unimaginable repercussions. Resource reallocation, socioeconomic confinement and reorganization of production activities are current challenges being faced both at the national and international levels, in a frame of uncertainty and fear. Hospitals have been restructured to provide the best care to COVID-19 patients while adopting preventive strategies not to spread the infection among healthcare providers and patients affected by other diseases. As a consequence, the concept of urgency and indications for elective treatments have been profoundly reshaped. In addition, several providers have been recruited in COVID-19 departments despite their original occupation, resulting in a profound rearrangement of both inpatient and outpatient care. Orthopaedic daily practice has been significantly affected by the pandemic. Surgical indications have been reformulated, with elective cases being promptly postponed and urgent interventions requiring exceptional attention, especially in suspected or COVID-19+ patients. This has made a strong impact on inpatient management, with the need of a dedicated staff, patient isolation and restrictive visiting hour policies. On the other hand, outpatient visits have been limited to reduce contacts between patients and the hospital personnel, with considerable consequences on post-operative quality of care and the human side of medical practice. In this review, we aim to analyze the effect of the COVID-19 pandemic on the orthopaedic practice. Particular attention will be dedicated to opportune surgical indication, perioperative care and safe management of both inpatients and outpatients, also considering repercussions of the pandemic on resident education and ethical implications.
Keywords	Orthopaedic surgery ; COVID-19 ; SARS-CoV-2 ; Coronavirus ; Surgical indication ; PPE ; Orthopedic surgery ; RD701-811 ; covid19
Subject code	360
Language	English
Publishing date	2020-05-01T00:00:00Z
Publisher	SpringerOpen
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Strategies to overcome limitations in Otolaryngology residency training during the COVID-19 pandemic

Bandi, Francesco / Karligkiotis, Apostolos / Mellia, Jessica / Gallo, Stefania / Turri-Zanoni, Mario / Battaglia, Paolo / Castelnuovo, Paolo

Eur Arch Otorhinolaryngol

Abstract: ... and surgical activities have reduced the learning opportunity for residents and fellows. We believe ... of the residency program to provide an adequate trainee education for the future surgeons. ... PURPOSE: The COVID-19 pandemic has produced an unequaled human crisis forcing a radical ...

Abstract	PURPOSE: The COVID-19 pandemic has produced an unequaled human crisis forcing a radical reorganization in the healthcare system. Otolaryngologists are at high risk of exposure, and changes in medical and surgical activities have reduced the learning opportunity for residents and fellows. We believe that even during COVID-19 crisis it is mandatory to guarantee an optimal training, and here, we propose some strategies, based on our experience, to further increase our trainees' learning curve. METHODS: We asked our trainees to fill out an electronic survey about several aspect of their training: a first section focused on the reduction of clinical activities and the perceived impact of the pandemic on residents' skills; the second part outlined the type of attended training activity and the perceived benefit. RESULTS: Surgical training has been reported by our residents as the activity perceived to be the most contracted during the pandemic. According to residents' opinion the most useful activities were dissection (n = 8, 53.4% residents) and online journal clubs/webinars (n = 7, 46.6% of residents). Residents' suggestions included actively participating to tracheostomy procedures on SARS-CoV-2 positive patients, attending lessons held by senior consultants on basic ENT topics and promoting collegial discussion of inpatient clinical cases. CONCLUSION: Building on this dramatic experience, we must be ready for a global restructuring of the residency program to provide an adequate trainee education for the future surgeons.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #669831
Database	COVID19

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