Amin Vibhatsu, Otero Katie, Ippolito Joseph, Shaffer Lynn, Rink Cameron, Luu Kelvin, Beebe Kathleen, Hwang John
Orthopedics. 2023 Sep-Oct;46(5):315-319. doi: 10.3928/01477447-20230224-07. Epub 2023 Mar 1.
This study sought to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopedic surgery residency training across the United States. A 26-question online survey was created and sent to all orthopedic surgery residency programs across the United States. Areas of emphasis in the survey included the pandemic's effect on work hours, operative experience, didactics, and medical student recruitment. There were 142 respondents to the survey. One hundred seventeen (82.4%) respondents stated that their residency changed to an alternative/surge schedule during the pandemic. Regarding the degree to which the pandemic affected their training, 77 (54.2%) respondents gave a rating of 8 to 10 on a scale of 0 to 10. Similarly, 94 (66.2%) residents indicated that their operative experience had decreased significantly. Twenty-two (15.5%) residents expected that their next year clinical abilities would not be affected. One hundred thirty-seven (96.5%) residents stated their program transitioned to online didactics. Responses regarding the effectiveness of online didactics were mixed. One hundred twenty-six (88.7%) respondents stated the pandemic would negatively affect the 2021 National Residency Matching Program match. This study demonstrated that the COVID-19 pandemic greatly affected orthopedic surgery residency training in the United States. Resident operative experience decreased significantly, and most respondents indicated a switch to online didactics. Effects were also felt to extend to fourth-year scheduling and the 2021 National Residency Matching Program match. [. 2023;46(5):315-319.].
本研究旨在调查2019年冠状病毒病(COVID-19)大流行对美国骨科住院医师培训的影响。创建了一份包含26个问题的在线调查问卷,并发送给美国所有骨科住院医师培训项目。调查重点领域包括大流行对工作时长、手术经验、教学以及医学生招募的影响。该调查共有142名受访者。117名(82.4%)受访者表示,在大流行期间他们的住院医师培训改为了替代/应急日程安排。关于大流行对其培训的影响程度,77名(54.2%)受访者在0至10分的评分中给出了8至10分。同样,94名(66.2%)住院医师表示他们的手术经验显著减少。22名(15.5%)住院医师预计他们明年的临床能力不会受到影响。137名(96.5%)住院医师表示他们的培训项目转为了在线教学。关于在线教学有效性的反馈不一。126名(88.7%)受访者表示大流行将对2021年全国住院医师匹配计划的匹配产生负面影响。本研究表明,COVID-19大流行对美国骨科住院医师培训产生了重大影响。住院医师的手术经验显著减少,大多数受访者表示转为了在线教学。影响还延伸到了四年级的日程安排以及2021年全国住院医师匹配计划的匹配。[. 2023;46(5):315 - 319.]