Impact of the COVID-19 pandemic on surgical trainee education and well-being spring 2020-winter 2020: A path forward - 10/02/22
, Alisa Nagler b, Steven C. Stain c, Jeffrey B. Matthews d, Kathryn Spanknebel e, Mohsen M. Shabahang f, Patrice Gabler Blair b, Diana L. Farmer g, Richard Sloane h, L.D. Britt i, Ajit K. Sachdeva b
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Abstract |
Background |
The time course and longitudinal impact of the COVID -19 pandemic on surgical education(SE) and learner well-being (LWB)is unknown.
Material and methods |
Check-in surveys were distributed to Surgery Program Directors and Department Chairs, including general surgery and surgical specialties, in the summer and winter of 2020 and compared to a survey from spring 2020. Statistical associations for items with self-reported ACGME Stage and the survey period were assessed using categorical analysis.
Results |
Stage 3 institutions were reported in spring (30%), summer (4%) [p < 0.0001] and increased in the winter (18%). Severe disruption (SD) was stage dependent (Stage 3; 45% (83/184) vs. Stages 1 and 2; 26% (206/801)[p < 0.0001]). This lessened in the winter (23%) vs. spring (32%) p = 0.02. LWB severe disruption was similar in spring 27%, summer 22%, winter 25% and was associated with Stage 3.
Conclusions |
Steps taken during the pandemic reduced SD but did not improve LWB. Systemic efforts are needed to protect learners and combat isolation pervasive in a pandemic.
Le texte complet de cet article est disponible en PDF.Highlights |
• | ACGME Emergency Declaration (Stage 3) was associated with disruption of surgical education and learner well-being. |
• | The number of ACGME Stage 3 institutions decreased over time in the face of increased COVID-19 infections. |
• | The frequency of severe disruption of surgical education decreased in Winter 2020. |
• | The frequency of severe disruption on trainee well-being did not improve throughout the study. |
• | The provision of PPE alone was not sufficient to prevent disruption of trainee wellness. |
Keywords : COVID-19 pandemic, ACGME emergency declaration, Surgical educational programs, Learner well-being, Learner wellness
Plan
Vol 223 - N° 2
P. 395-403 - février 2022 Retour au numéro
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