Yiasemidou Marina
NIHR Academic Clinical Lecturer in General Surgery, Hull York Medical School, Hull, UK.
ST7 Colorectal Surgery, Bradford Teaching Hospitals, Bradford, UK.
Indian J Surg. 2022 Apr;84(Suppl 1):131-138. doi: 10.1007/s12262-021-02964-2. Epub 2021 Jun 12.
The COVID-19 pandemic and infection control measures had an unavoidable impact on surgical services. During the first wave of the pandemic, elective surgery, endoscopy, and 'face-to-face' clinics were discontinued after recommendations from professional bodies. In addition, training courses, examinations, conferences, and training rotations were postponed or cancelled. Inadvertently, infection control and prevention measures, both within and outside hospitals, have caused a significant negative impact on training. At the same time, they have given space to new technologies, like telemedicine and platforms for webinars, to blossom. While the recovery phase is well underway in some parts of the world, most surgical services are not operating at full capacity. Unfortunately, some countries are still battling a second or third wave of the pandemic with severely negative consequences on surgical services. Several studies have looked into the impact of COVID-19 on surgical training. Here, an objective overview of studies from different parts of the world is presented. Also, evidence-based solutions are suggested for future surgical training interventions.
新冠疫情及感染控制措施对外科服务产生了不可避免的影响。在疫情的第一波期间,根据专业机构的建议,择期手术、内窥镜检查和“面对面”门诊被暂停。此外,培训课程、考试、会议和培训轮转被推迟或取消。不经意间,医院内外的感染控制和预防措施对培训产生了重大负面影响。与此同时,它们也为远程医疗和网络研讨会平台等新技术的蓬勃发展提供了空间。虽然世界上一些地区正处于良好的恢复阶段,但大多数外科服务尚未满负荷运转。不幸的是,一些国家仍在与第二波或第三波疫情作斗争,对外科服务造成了严重的负面影响。多项研究探讨了新冠疫情对外科培训的影响。在此,将对来自世界不同地区的研究进行客观概述。此外,还针对未来的外科培训干预措施提出了基于证据的解决方案。