Hamidian Jahromi Alireza, Arnautovic Alisa, Konofaos Petros
Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN, United States.
Department of Plastic Surgery, Rush University Medical Center, Chicago, IL, United States.
JMIR Med Educ. 2020 Nov 17;6(2):e22045. doi: 10.2196/22045.
The current COVID-19 pandemic has vastly impacted the health care system in the United States, and it is continuing to dictate its unprecedented influence on the education systems, especially the residency and fellowship training programs. The impact of COVID-19 on these training programs has not been uniform across the board, with plastic surgery residency and fellowship programs among the hardest hit specialties. Implementation of social distancing regulations has affected departmental educational activities, including preoperative, morbidity and mortality conferences and journal clubs; operating room educational activities; as well as the overall education of plastic surgery trainees in the United States. Almost all elective and semielective surgeries across the United States were suspended for a few months during the COVID-19 pandemic; this constitutes a significant portion of plastic surgery cases. Considering the current staged reopening policies, it may be a long time, if ever, before restrictions are completely lifted. In this paper, we review the multidimensional impact of the current COVID-19 pandemic on the training programs of plastic surgery residents and fellows in the United States and worldwide, along with some potential solutions on how to address existing challenges.
当前的新冠疫情对美国的医疗保健系统产生了巨大影响，并且它仍在对教育系统，尤其是住院医师培训和专科医师培训项目施加前所未有的影响。新冠疫情对这些培训项目的影响并非全面一致，整形外科住院医师培训和专科医师培训项目是受影响最严重的专业领域之一。社交距离规定的实施影响了科室的教育活动，包括术前、发病率和死亡率研讨会以及期刊俱乐部；手术室教育活动；以及美国整形外科住院医师的整体教育。在新冠疫情期间，美国几乎所有的择期和半择期手术都暂停了几个月；这占整形外科病例的很大一部分。考虑到当前分阶段的重新开放政策，限制措施完全解除可能需要很长时间，甚至可能永远无法完全解除。在本文中，我们回顾了当前新冠疫情对美国及全球整形外科住院医师和专科医师培训项目的多方面影响，以及一些应对现有挑战的潜在解决方案。
