DOI: http://dx.doi.org/10.18203/2349-2902.isj20213979

Pandemic and medical education of surgical residents in a tertiary care hospital in India: a cross-sectional study

Raghul Sekar, Arun Alexander, Kalaiarasi Raja, Sunil Kumar Saxena

Abstract


Background: COVID-19 pandemic has brought tremendous changes in the functioning of residency training. The impact was maximal on surgical residents whose hands-on training was affected. This study aimed to assess the effect of COVID-19 pandemic on medical education and training of surgical residents. 

Methods: A single institutional cross-sectional survey was conducted in a large tertiary care hospital in India. It included residents in various surgical specialties. The survey was divided into six sections to cover all the aspects of their residency.

Results: Out of 106 residents who participated in the study, 95 (59.3%) had worked in the dedicated COVID-19 facility, and 97 (91.5%) feared transmitting the infection to their family members. There was a considerable reduction in both elective and emergency surgeries performed by residents (p<0.05).

There was a significant reduction in the working hours per day, helping residents get more time for research work. Further Maslach burnout inventory score was 7.43±2.35 after the pandemic, which shows a statistically significant reduction (p<0.001) in residents' burnout.

Conclusions: Surgical residents had to balance their residency training with caring for COVID-19 patients. There had been a decrease in their hands-on training, clinical exposure, and working hours. Both theoretical and practical training of surgical residents has been affected during this pandemic. This survey can be used as a tool to improve the lives of surgical residents in any pandemic situation or during further waves of COVID-19.


Keywords


Surgery, Residents, Residency, COVID-19, India

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References


Gallo G, Trompetto M. The Effects of COVID-19 on Academic Activities and Surgical Education in Italy. J Invest Surg. 2020;33(7):687-9.

Chang Liang Z, Wang W, Murphy D, Po Hui JH. Novel Coronavirus and Orthopaedic Surgery: Early Experiences from Singapore. J Bone Joint Surg Am. 2020;102(9):745-9.

Giulio M, Maggioni D, Montroni I. Being a Doctor Will Never Be the Same After the COVID-19 Pandemic. Am J Med. 2020;133(6):652.

Xiang YT, Jin Y, Cheung T. Joint International Collaboration to Combat Mental Health Challenges During the Coronavirus Disease 2019 Pandemic. JAMA Psychiatry. 2020;77(10):989-90.

Ahmed H, Allaf M, Elghazaly H. COVID-19 and medical education. Lancet Infect Dis. 2020;20(5):e79.

Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (cherries). J Med Internet Res. 2004;6(3):e34.

He K, Stolarski A, Whang E, Kristo G. Addressing General Surgery Residents' Concerns in the Early Phase of the COVID-19 Pandemic. J Surg Educ. 2020;77(4):735-8.

Osama M, Zaheer F, Saeed H. Impact of COVID-19 on surgical residency programs in Pakistan; A residents' perspective. Do programs need formal restructuring to adjust with the "new normal"? A cross-sectional survey studies. Int J Surg. 2020;79:252-6.

Adams JG, Walls RM. Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA. 2020;323(15):1439-40.

CMS Adult Elective Surgery and Procedures Recommendations. 2020;2:1-2.

Potts JR 3rd. Residency and Fellowship Program Accreditation: Effects of the Novel Coronavirus (COVID-19) Pandemic. J Am Coll Surg. 2020;230(6):1094-7.

Lai J, Ma S, Wang Y. Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976.

Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID-19 on the mental health of surgeons and coping strategies. Head Neck. 2020;42(7):1638-44.

Nassar AH, Zern NK, McIntyre LK. Emergency Restructuring of a General Surgery Residency Program During the Coronavirus Disease 2019 Pandemic: The University of Washington Experience. JAMA Surg. 2020;155(7):624-7.

WHO (2020) Mental Health and Psychosocial Considerations During the COVID-19 Outbreak. Available at: https://www.who.int/publications/i/item/WHO-2019-nCoV-MentalHealth-2020.1. Accessed 15 June 2020.