Lund Jon, Sadler Paul, McLarty Esther
is a Consultant Colorectal Surgeon at the Royal Derby Hospital, Derby, UK; and Chair, Joint Committee on Surgical Training. Conflicts of interest: none declared.
is Postgraduate Dean for Health Education England Wessex and a Consultant in Critical Care and Anaesthesia in Portsmouth, UK. Conflicts of interest: none declared.
Surgery (Oxf). 2021 Dec;39(12):829-833. doi: 10.1016/j.mpsur.2021.09.003. Epub 2021 Sep 16.
The COVID-19 pandemic has had a huge impact on society, healthcare in general and also on training in surgery. Cancellation of elective procedures, redeployment and establishment of green sites have combined with other factors to create significant gaps in training experience in operative and all other areas of surgery. There are nearly a million cases which have been lost to training since March 2020 and recovery means that tens of thousands of extra training cases have to be performed every month to recover that experience. There are pressures to address huge waiting list backlogs which may squeeze out time for training unless training is considered at the heart of any recovery plan. #NoTrainingTodayNoSurgeonsTomorrow. New, no blame, COVID ARCP outcomes have helped recognize the impact of the pandemic on progression and significant trainee and trainer organizations are united in raising the profile of the training crisis and offering a suite of suggestions on how to speed recovery. Disruption caused by the pandemic has allowed existing simulation and conferencing platforms to finally be widely accepted and the importance of the wider surgical team in supporting surgical training to be realized. New, outcomes-based curricula, with better feedback at their centre, will speed recovery of training trajectories. We should embrace the opportunity for change to help short and medium term recovery and improve the delivery of surgical training into the future.
新冠疫情对社会、总体医疗保健以及外科手术培训都产生了巨大影响。择期手术的取消、人员调配以及绿色院区的设立，再加上其他因素，导致手术操作及外科其他所有领域的培训经验出现了重大缺口。自2020年3月以来，近百万个培训病例流失，而要恢复这些经验，意味着每月必须额外进行数万例培训病例。解决庞大的候诊名单积压问题存在压力，这可能会挤出培训时间，除非在任何恢复计划的核心都考虑到培训。#今日无培训，明日无外科医生。新的、无指责的新冠疫情年度再认证评估结果有助于认识到疫情对培训进程的影响，重要的学员和培训师组织联合起来，提高对培训危机的关注度，并就如何加速恢复提出了一系列建议。疫情造成的干扰使现有的模拟和会议平台最终得到广泛接受，并使人们认识到更广泛的手术团队在支持外科培训方面的重要性。以结果为基础的新课程，以更好的反馈为核心，将加速培训轨迹的恢复。我们应该抓住变革的机遇，以帮助短期和中期的恢复，并改善未来外科培训的实施。
