From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL (Nolte and Kogan), the Department of Orthopaedic Surgery, Boston University School of Medicine, Boston, MA (Tornetta), the Department of Orthopaedic Surgery, Penn Medicine, Philadelphia, PA (Mehta), the University of Alabama at Birmingham, Birmingham, AL (Ponce), University of South Carolina Orthopaedics Center-Prisma Health Midlands, Columbia, SC (Grabowski and Spitnale), and the Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN (Turner).
J Am Acad Orthop Surg. 2021 May 15;29(10):407-413. doi: 10.5435/JAAOS-D-20-01372.
The COVID-19 pandemic has influenced the resident workforce to a particularly powerful and unexpected extent. Given the drastic changes to resident roles, expectations, and responsibilities, many valuable lessons regarding resident concerns and wellness can be garnered from this unique experience.
A voluntary survey was sent to 179 Accreditation Council for Graduate Medical Education-accredited orthopaedic surgery residency program directors to distribute to their residents. Questions focused on issues that may have occurred, program's responses, and expectations of programs during the pandemic.
In total, 507 residents completed the survey, and 10% reported being deployed to do nonorthopaedic-related care, with junior classes being more likely to receive this assignment (P < 0.001). The greatest concern for respondents was the possibility of getting family members sick (mean = 3.89, on scale of 1-5), followed by personally contracting the illness (mean = 3.38).
The COVID-19 pandemic has resulted in numerous changes and novel sources of adversity for the orthopaedic surgery resident. Contrary to popular opinion, most residents are comfortable with the proposition of providing nonorthopaedic care. The possibility of bringing a pathogen to the home environment and infecting family members seems to be an overarching concern, and efforts to ensure resident and family safety are key.
COVID-19 大流行以特别强大和意外的方式影响了住院医师劳动力。考虑到住院医师角色、期望和责任的巨大变化，我们可以从这一独特的经历中汲取许多关于住院医师关注和健康的宝贵经验。
向 179 名经住院医师规范化培训认证委员会认证的骨科住院医师培训项目主任发送了一份自愿调查，以分发给他们的住院医师。问题集中在可能发生的问题、项目的反应以及大流行期间对项目的期望。
共有 507 名住院医师完成了调查，10%的人报告被部署从事非骨科相关护理，低年级的学生更有可能接受这项任务（P < 0.001）。受访者最关心的问题是家庭成员生病的可能性（平均值为 3.89，在 1-5 的范围内），其次是个人感染疾病的可能性（平均值为 3.38）。
COVID-19 大流行给骨科住院医师带来了许多变化和新的逆境。与普遍看法相反，大多数住院医师对提供非骨科护理的建议感到满意。将病原体带入家庭环境并感染家庭成员的可能性似乎是一个首要问题，确保住院医师和家庭成员安全的努力是关键。
