Kilgore Lyndsey J, Murphy Brittany L, Postlewait Lauren M, Liang Diana H, Bedrosian Isabelle, Lucci Anthony, Kuerer Henry M, Hunt Kelly K, Teshome Mediget
Division of Breast Surgical Oncology, Department of Surgery, University of Kansas Cancer Center, Kansas City, Kansas, USA.
Division of Breast Surgical Oncology, Department of Surgical Oncology, Banner MD Anderson Cancer Center, Phoenix, Arizona, USA.
J Surg Oncol. 2021 Dec;124(7):989-994. doi: 10.1002/jso.26627. Epub 2021 Jul 30.
The early COVID-19 pandemic rapidly transformed healthcare and medical education. We sought to evaluate the professional and personal impact of the pandemic on 2019-2020 Breast Surgical Oncology (BSO) fellows in Society of Surgical Oncology approved programs to capture the experience and direct future changes.
From July 15, 2020 to August 4, 2020 a survey was administered to the American Society of Breast Surgeons' fellow members. The survey assessed the impact of the pandemic on clinical experience, education/research opportunities, personal health/well-being, and future career. Responses were collected and aggregated to quantify the collective experience of respondents.
Twenty-eight of fifty-seven (54%) eligible fellows responded. Twenty-one (75%) indicated the clinical experience changed. Twenty-seven (96%) reported less time spent caring for ambulatory breast patients and sixteen (57%) reported the same/more time spent in the operating room. Fourteen (50%) stated their future job was impacted and eight (29%) delayed general surgery board examinations. Stress was increased in 26 (93%). Personal health was unaffected in 20 (71%), and 3 (10%) quarantined for COVID-19 exposure/infection.
The COVID-19 pandemic altered the clinical experience of BSO fellows; however, the operative experience was generally unaffected. The creation of frameworks and support mechanisms to mitigate potential challenges for fellows and fellowship programs in the ongoing pandemic and other times of national crisis should be considered.
早期的新冠疫情迅速改变了医疗保健和医学教育。我们试图评估疫情对参加外科肿瘤学会认可项目的2019 - 2020年乳腺外科肿瘤学（BSO）研究员的职业和个人影响，以了解他们的经历并指导未来的变革。
2020年7月15日至8月4日，对美国乳腺外科医生协会的研究员会员进行了一项调查。该调查评估了疫情对临床经验、教育/研究机会、个人健康/福祉以及未来职业的影响。收集并汇总了回复，以量化受访者的总体经历。
57名符合条件的研究员中有28名（54%）回复。21名（75%）表示临床经验发生了变化。27名（96%）报告照顾门诊乳腺患者的时间减少，16名（57%）报告在手术室花费的时间相同/更多。14名（50%）表示他们未来的工作受到影响，8名（29%）推迟了普通外科委员会考试。26名（93%）压力增加。20名（71%）个人健康未受影响，3名（10%）因接触/感染新冠病毒而被隔离。
新冠疫情改变了BSO研究员的临床经验；然而，手术经验总体上未受影响。应考虑建立框架和支持机制，以减轻疫情期间及其他国家危机时期研究员和研究员项目面临的潜在挑战。
