From the Division of Plastic and Reconstructive Surgery, Rhode Island Hospital, The Warren Alpert School of Brown University, Providence, RI.
Ann Plast Surg. 2021 Jul 1;87(1s Suppl 1):S52-S56. doi: 10.1097/SAP.0000000000002805.
The COVID-19 pandemic has presented unprecedented challenges for surgical teaching programs, as operating rooms closed and resources were redirected for patient care. As a result, both educational challenges and opportunities emerged. The objective of this study was to assess the changes used by plastic surgery programs as a result of the pandemic.
A 34-question American Council of Academic Plastic Surgeons-approved survey was distributed on April 29, 2020, to attendings in academic plastic surgery programs in the United States. Variables were controlled whenever multiple attending responses were submitted from the same program.
A total of 113 attendings, including 30 (27.8%) program directors, responded to the survey. Most respondents were located in the northeast (41.4%). The average percentage of elective case volume was 23% of pre-COVID states. Those who reported a decrease in emergent surgical case volume (55.2%) estimated it to be at an average of 45% of the normal. Almost all the respondents (95.6%) agreed that they were working fewer hours than usual, and 40.9% of those reported a decrease of more than 20 hours per week of work. Most attendings (82.1%) also reported a decrease in their monthly salary. The percentage projected current salary compared with normal was 85%.
Our survey data suggest that academic plastic surgery programs have had impactful changes to their operative and educational schedules, teaching, revenue, and patient care. The data described in this study could be used as a baseline for future pandemics affecting plastic surgery programs to help strategize their operational and educational structures.
COVID-19 大流行给外科教学计划带来了前所未有的挑战，因为手术室关闭，资源重新用于患者护理。因此，出现了教育方面的挑战和机遇。本研究的目的是评估整形外科学科计划因大流行而发生的变化。
2020 年 4 月 29 日，向美国学术整形外科学会批准的 34 个问题调查分配给学术整形外科学科计划的主治医生。每当来自同一计划的多个主治医生提交响应时，就会控制变量。
共有 113 名主治医生，包括 30 名（27.8％）计划主任，对调查做出了回应。大多数受访者位于东北部（41.4％）。择期手术量的平均百分比为 COVID 前状态的 23％。报告急诊手术量减少的人（55.2％）估计其平均减少了正常手术量的 45％。几乎所有受访者（95.6％）都同意他们的工作时间比平时少，其中 40.9％的人报告每周减少了超过 20 小时的工作时间。大多数主治医生（82.1％）还报告说他们的月薪有所下降。与正常情况相比，当前工资的百分比预计为 85％。
我们的调查数据表明，学术整形外科学科计划已经对其手术和教育时间表、教学、收入和患者护理进行了重大更改。本研究中描述的数据可作为未来影响整形外科学科计划的大流行的基线，以帮助规划其运营和教育结构。
