From the School of Medicine.
Department of Otolaryngology, Wayne State University, Detroit, MI.
Ann Plast Surg. 2022 Feb 1;88(2):133-137. doi: 10.1097/SAP.0000000000003018.
The COVID-19 pandemic has brought about immense change in health care. Surgical specialties in particular have had to make major adjustments because of the cancellation of nonemergent surgeries. Aesthetic surgery fellowships are uniquely affected because of the high number of elective cases and the length of the fellowship. The impact of the COVID-19 pandemic on current and upcoming aesthetic surgery fellows has not been studied.
The aim of this article was to study the potential impact of the COVID-19 pandemic on both American Society for Aesthetic Plastic Surgeons-endorsed and nonendorsed aesthetic fellowship programs.
A 23-question anonymous web-based survey was sent to aesthetic surgery fellowship directors with an active program in the United States. Surveys were collected from April 18, 2020, through May 14, 2020, with Qualtrics and then analyzed with Microsoft Excel. A 7-question follow-up survey was sent to directors, and a 23-question survey was sent to aesthetic surgery fellows. Data for these surveys were collected from June 6, 2020, through August 18, 2020. The surveys asked questions pertaining to adjustments and impact on current fellow training, as well as possible impact on fellows starting in 2020 and 2021.
There was a 65.5% (19 of 29) response rate for the initial director survey, a 31% (9 of 29) rate for the director follow up survey, and a 28% (9 of 32) rate for the fellow-specific survey. All directors and fellows reported that the pandemic had some impact on aesthetic fellow training. A total of 5.3% of directors reported that they believe COVID-19 would have a "significant impact" on their fellows becoming well-trained aesthetic surgeons, whereas 66.7% of fellows reported that it will have a "mild impact." Predicted impact on future fellows was not as significant.
Telemedicine, educational efforts, and standardization of guidelines can be increased to minimize loss of training due to COVID-19. Ongoing evaluation and shared experiences can assist fellowships in customizing programs to provide well-rounded education during the pandemic.
COVID-19 大流行给医疗保健带来了巨大的变化。由于非紧急手术的取消,外科专业尤其需要进行重大调整。由于大量的择期病例和 fellowship 的长度,美容外科学 fellowship 受到的影响尤为显著。COVID-19 大流行对当前和即将到来的美容外科学 fellow 的影响尚未得到研究。
本文旨在研究 COVID-19 大流行对美国美容整形外科学会认可和非认可的美容 fellowship 项目的潜在影响。
我们向美国有活跃 fellowship 项目的美容外科学 fellowship 主任发送了一份 23 个问题的匿名在线调查。调查于 2020 年 4 月 18 日至 2020 年 5 月 14 日通过 Qualtrics 收集,并使用 Microsoft Excel 进行分析。向主任发送了一份 7 个问题的后续调查,向美容外科学 fellow 发送了一份 23 个问题的调查。这些调查的数据收集于 2020 年 6 月 6 日至 2020 年 8 月 18 日。调查询问了与当前 fellow 培训调整和影响相关的问题,以及对 2020 年和 2021 年开始的 fellow 的可能影响。
最初的主任调查有 65.5%(29 人中的 19 人)回复率,主任后续调查有 31%(29 人中的 9 人)回复率,fellow 特定调查有 28%(32 人中的 9 人)回复率。所有主任和 fellow 都报告说,大流行对美容 fellow 的培训有一定影响。共有 5.3%的主任表示,他们认为 COVID-19 将对其 fellow 成为训练有素的美容外科医生产生“重大影响”,而 66.7%的 fellow 表示,这将产生“轻微影响”。对未来 fellow 的预测影响并不那么显著。
可以增加远程医疗、教育努力和指南的标准化,以最大程度地减少因 COVID-19 而导致的培训损失。持续的评估和经验分享可以帮助 fellowship 根据大流行情况定制项目,提供全面的教育。