Kapila Ayush K, Schettino Michela, Farid Yasser, Ortiz Socorro, Hamdi Moustapha
Department of Plastic and Reconstructive Surgery, University Hospital (UZ) Brussels, Brussels, Belgium.
Department of Plastic and Reconstructive Surgery, Erasme Hospital Brussels, Brussels, Belgium.
Plast Reconstr Surg Glob Open. 2020 Jul 1;8(7):e3054. doi: 10.1097/GOX.0000000000003054. eCollection 2020 Jul.
The coronavirus disease 2019 (COVID-19) pandemic has led to marked changes in surgical training, including that of plastic surgery residents. We performed a survey to gain an insight into the self-reported current and future impact of COVID-19 on plastic surgery residents.
A 20-point questionnaire was designed by a panel of surgical trainees and trainers, which was filled in by Belgian plastic surgery residents and their international network of peers between 19 and 26 April 2020-week 6 of stringent Belgian lockdown measures. Questions covered the impact of COVID-19 on surgical activity, surgical training, and the future of training.
Thirty-five of 38 plastic surgery residents in Belgium filled in the questionnaire, as did 51 of their international peers from 9 other countries. Decreased surgical activity of >75% was reported by 86% of Belgian trainees and by 73% of international colleagues. All consultations were stopped for 26% of Belgian trainees and 37% of international peers. Forty-six percents of Belgian trainees and 27% of international peers were reassigned to different departments. Eighty-five percent of all trainees felt surgical training had suffered, yet 54% of Belgian residents and 39% of international peers felt training should not be prolonged. Anxiety regarding the pandemic was present in 54% of Belgian residents and 69% of international colleagues.
This is the first report, expressing the voice of a representative group of plastic surgery residents, showing a significant impact of COVID-19 on training and activity. A joint effort is needed to provide continued forms of education by virtual education and skills-based learning.
2019年冠状病毒病（COVID-19）大流行导致外科培训发生显著变化，包括整形外科住院医师的培训。我们进行了一项调查，以深入了解COVID-19对整形外科住院医师当前和未来的自我报告影响。
由一组外科实习医生和培训师设计了一份20分的问卷，2020年4月19日至26日（比利时严格封锁措施的第6周）期间，比利时整形外科住院医师及其国际同行网络填写了该问卷。问题涵盖了COVID-19对外科手术活动、外科培训以及培训未来的影响。
比利时38名整形外科住院医师中有35名填写了问卷，来自其他9个国家的51名国际同行也填写了问卷。86%的比利时实习生和73%的国际同行报告手术活动减少超过75%。26%的比利时实习生和37%的国际同行停止了所有会诊。46%的比利时实习生和27%的国际同行被重新分配到不同科室。85%的实习生认为外科培训受到了影响，但54%的比利时住院医师和39%的国际同行认为培训不应延长。54%的比利时住院医师和69%的国际同行对大流行感到焦虑。
这是第一份表达整形外科住院医师代表群体声音的报告，显示了COVID-19对培训和活动的重大影响。需要共同努力通过虚拟教育和基于技能的学习提供持续的教育形式。
