Steele Thomas N, Hemal Kshipra, Browne Donald T, Balumuka Darius, Hansen Juliana E, David Lisa R
Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, N.C.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health and Science University, Portland, Ore.
Plast Reconstr Surg Glob Open. 2020 Nov 23;8(11):e3320. doi: 10.1097/GOX.0000000000003320. eCollection 2020 Nov.
The COVID-19 global pandemic has impacted plastic surgery training in the United States, requiring unprecedented measures to prepare for potential surges in critically ill patients. This study investigates how plastic surgery programs responded to this crisis, as well as how successful these changes were, through a survey of program directors and of residents at academic training programs in the United States.
Two separate anonymous online surveys were conducted via REDCap between April 16 and June 4, 2020. The first survey was distributed to program directors, and the second was distributed to plastic surgery residents. Resident responses were then subdivided for an analysis between geographic regions.
Of the 59 program director responses (43.7%), the majority of programs implemented a platoon approach for resident coverage. A minority did the same for attending coverage. In total, 92% transitioned to virtual didactics only. Plastic surgery residents covered alternative services at 25% of responding institutions, and an additional 68% had a plan in place for responding to personnel shortages. Overall, residents were satisfied with their program's response in a variety of categories. When subdivided based on geographic region, respondents in the Northeast and Northwest were less satisfied with resident wellness, personal and loved ones' safety, and program communication.
With the possibility of a "second wave," successful methods of academic programs adapting to the pandemic should be communicated to reduce the future impact. Increased frequency of communications between program directors and residents can improve mental health and wellness of the resident population.
新冠疫情全球大流行对美国的整形外科培训产生了影响，需要采取前所未有的措施为重症患者数量可能激增做好准备。本研究通过对美国学术培训项目的项目主任和住院医师进行调查，探究整形外科项目如何应对这场危机，以及这些改变的成效如何。
2020年4月16日至6月4日期间，通过REDCap开展了两项独立的匿名在线调查。第一项调查面向项目主任，第二项调查面向整形外科住院医师。住院医师的回复随后按地理区域进行细分分析。
在59份项目主任的回复中（回复率43.7%），大多数项目采用轮班制安排住院医师值班。少数项目对主治医生值班也采用同样方式。总体而言，92%的项目仅转为虚拟教学。在25%的回复机构中，整形外科住院医师承担了其他科室的工作，另有68%制定了应对人员短缺的计划。总体而言，住院医师对项目在各个方面的应对措施感到满意。按地理区域细分时，东北部和西北部的受访者对住院医师的健康状况、个人及亲人的安全以及项目沟通方面的满意度较低。
鉴于可能出现“第二波疫情”，应交流学术项目成功适应疫情的方法，以减少未来的影响。增加项目主任与住院医师之间的沟通频率，可改善住院医师群体的心理健康状况。
