Wady Heitham, Restle David, Park Juyeon, Pryor Aurora, Talamini Mark, Abdel-Misih Sherif
Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, USA.
Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, USA.
Surg Endosc. 2021 Jul;35(7):3430-3436. doi: 10.1007/s00464-020-07790-3. Epub 2020 Jul 14.
Surgeons are trained as "internists that also operate," bringing an important skillset to patient management during the current COVID-19 pandemic. A review was performed to illustrate the response of surgical staff during the pandemic with regard to patient care and residency training.
The evaluation and assessment of the changes enacted at Stony Brook Medicine's Department of Surgery is illustrated through the unique perspective of surgical residents. No IRB approval or written consent was obtained nor it was necessary for the purposes of this paper.
Hospital policy was enacted to hinder transmission of COVID-19 and included limited gatherings of people, restricted travel, quarantined symptomatic staff, and careful surveillance for disease incidence. Surgical residency transformed as residents were diverted from traditional surgical services to staff new COVID-19 ICUs. Education transitioned to an online-based platform for lectures and reviews. New skills sets were acquired such as PICC line placement and complex ventilator management.
The viral surge impacted surgical training while also providing unique lessons regarding preparedness and strategic planning for future pandemic and disaster management.
外科医生被培养成“也会做手术的内科医生”，在当前的新冠疫情期间，他们为患者管理带来了重要的技能组合。本综述旨在阐述疫情期间外科医护人员在患者护理和住院医师培训方面的应对情况。
通过外科住院医师的独特视角，阐述了对石溪医学中心外科部门所实施变革的评估。本文无需获得机构审查委员会（IRB）的批准或书面同意。
医院制定了相关政策以阻止新冠病毒的传播，包括限制人员聚集、限制出行、对出现症状的工作人员进行隔离以及密切监测疾病发病率。外科住院医师培训发生了转变，住院医师从传统外科服务岗位被调至新设立的新冠重症监护病房工作。教育教学转向了基于网络的讲座和复习平台。住院医师们掌握了诸如经外周静脉穿刺中心静脉置管（PICC）和复杂呼吸机管理等新技能。
病毒激增对外科培训产生了影响，同时也为未来大流行和灾难管理的准备工作及战略规划提供了独特的经验教训。
