Fu Melinda Z, Islam Raeesa, Singer Eric A, Tabakin Alexandra L
Division of Urology, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.
Division of Urologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43212, USA.
Cancers (Basel). 2023 Feb 16;15(4):1267. doi: 10.3390/cancers15041267.
The COVID-19 pandemic disrupted conventional medical education for surgical trainees with respect to clinical training, didactics, and research. While the effects of the COVID-19 pandemic on surgical trainees were variable, some common themes are identifiable. As hordes of COVID-19 patients entered hospitals, many surgical trainees stepped away from their curricula and were redeployed to other hospital units to care for COVID-19 patients. Moreover, the need for social distancing limited traditional educational activities. Regarding clinical training, some trainees demonstrated reduced case logs and decreased surgical confidence. For residents, fellows, and medical students alike, most didactic education transitioned to virtual platforms, leading to an increase in remote educational resources and an increased emphasis on surgical simulation. Resident research productivity initially declined, although the onset of virtual conferences provided new opportunities for trainees to present their work. Finally, the pandemic was associated with increased anxiety, depression, and substance use for some trainees. Ultimately, we are still growing our understanding of how the COVID-19 pandemic has redefined surgical training and how to best implement the lessons we have learned.
新冠疫情在临床培训、教学方法和研究方面扰乱了外科住院医师的传统医学教育。虽然新冠疫情对外科住院医师的影响各不相同,但一些共同主题是可以识别的。随着大量新冠患者涌入医院,许多外科住院医师离开了他们的课程安排,被重新部署到医院的其他科室去照顾新冠患者。此外,社交距离的要求限制了传统教育活动。在临床培训方面,一些学员的病例记录减少,手术信心下降。对于住院医师、专科住院医师和医学生来说,大多数教学活动都转移到了虚拟平台上,导致远程教育资源增加,对外科模拟的重视也有所提高。住院医师的研究产出最初有所下降,不过虚拟会议的出现为学员们展示他们的工作提供了新机会。最后,疫情与一些学员焦虑、抑郁和药物使用增加有关。最终,我们仍在不断加深对新冠疫情如何重新定义外科培训以及如何最好地吸取经验教训的理解。