First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, 1 Rimini Street, 12462, Haidari, Athens, Greece.
Department of Orthopaedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Int Orthop. 2020 Sep;44(9):1611-1619. doi: 10.1007/s00264-020-04742-3. Epub 2020 Jul 21.
This study aimed to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopaedic and trauma surgery training in Europe by conducting an online survey among orthopaedic trainees.
The survey was conducted among members of the Federation of Orthopaedic and Trauma Trainees in Europe (FORTE). It consisted of 24 questions (single-answer, multiple-answer, Likert scales). Orthopaedic trainees' demographic data (six questions), clinical role changes (four questions), institutional changes due to the COVID-19 pandemic (nine questions), and personal considerations (five questions) were examined.
Three hundred and twenty-seven trainees from 23 European countries completed the survey. Most trainees retained their customary clinical role (59.8%), but a significant number was redeployed to COVID-19 units (20.9%). A drastic workload decrease during the pandemic was reported at most institutions. Only essential activities were performed at 57.1% of institutions and drastic disruptions were reported at 36.0%. Of the respondents, 52.1% stated that faculty-led education was restricted and 46.3% pursued self-guided learning, while 58.6% stated that surgical training was significantly impaired. Concerns about the achievement of annual training goals were expressed by 58.2% of the participants, while 25.0% anticipated the need for an additional year of training.
The SARS-CoV-2 pandemic significantly affected orthopaedic and trauma training in Europe. Most trainees felt the decrease in clinical, surgical, and educational activities would have a detrimental effect on their training. Many of them consulted remote learning options to compensate training impairment, stating that after the COVID-19 pandemic electronic educational approaches may become more relevant in future.
本研究旨在通过对欧洲骨科和创伤外科培训学员进行在线调查，评估 2019 年冠状病毒病（COVID-19）大流行对欧洲骨科和创伤外科培训的影响。
该调查是在欧洲骨科和创伤外科培训师联合会（FORTE）的成员中进行的。它由 24 个问题（单项、多项、李克特量表）组成。检查了骨科学员的人口统计学数据（6 个问题）、临床角色变化（4 个问题）、因 COVID-19 大流行而导致的机构变化（9 个问题）和个人考虑因素（5 个问题）。
来自 23 个欧洲国家的 327 名学员完成了调查。大多数学员保留了他们惯用的临床角色（59.8%），但相当一部分人被重新部署到 COVID-19 病房（20.9%）。大多数机构报告疫情期间工作量大幅减少。只有 57.1%的机构开展了必要活动，36.0%的机构报告了严重中断。52.1%的受访者表示，以教师为主导的教育受到限制，46.3%的人则进行自主学习，同时 58.6%的人表示手术培训受到严重影响。58.2%的参与者对实现年度培训目标表示担忧，而 25.0%的参与者预计需要额外一年的培训。
SARS-CoV-2 大流行对欧洲的骨科和创伤培训产生了重大影响。大多数学员认为临床、手术和教育活动的减少将对他们的培训产生不利影响。他们中的许多人咨询了远程学习选择，以弥补培训的不足，并表示在 COVID-19 大流行之后，电子教育方法在未来可能会变得更加重要。
