Impact of COVID-19 on orthopaedic residents—an Indian perspective

Gs, Prasanna Kumar; Yadav, Amit Kumar; Harsoor, Abhishek; Kantharaju, Harsha; Mane, Akash; Palange, Nikhil D

doi:10.1097/oi9.0000000000000096

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…4 Literature showed negative impact of COVID-19 pandemic on overall mental health of trainees. [15][16][17][18] Our findings indicated a decline in mental health of orthopedic residents. Many orthopedic trainees spent difficult times isolated, quarantined, or pulled out of orthopedic field as frontliners managing non-orthopedic medical conditions.…”

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confidence: 56%

Consequences of COVID-19 Pandemic on Orthopedic Residents’ Clinical and Academic Performance, and the Subsequent Impact on Their Mental Status in Saudi Arabia

Alrabai¹,

Askar²,

ALMohammed³

et al. 2023

AMEP

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Introduction Impact of COVID-19 pandemic on the orthopedic residency programs was substantial worldwide. Orthopedic residency programs eventually survived such a hardship with implementation of certain measures. The impact of COVID-19 pandemic on the orthopedic trainees was variable relative to the country in which orthopedic residency program is based. This study aimed to assess the experience of the orthopedic residents during COVID-19 pandemic in Saudi Arabia and consequences on mental health, academic performance, and clinical training. Methods A cross-sectional study was conducted from June 2021 to August 2021. An online survey was sent to the orthopedic residents in Saudi Arabia. The questionnaire was arranged into four sections pertaining to demographic data, academic activity, mental health, and clinical activity. Results One-hundred forty-four orthopedic residents participated with mean age of 28.7 ± 5.67 years. Males were 108 (75%) and females were 36 (25%). Fifty-four (37.5%) residents worked in COVID-19 isolation unit. One-hundred twenty residents (83.3%) treated COVID-19 patients. Thirty residents (20.8%) had positive COVID-19 tests. Eighty-four (58.3%) residents were quarantined. Overall online education was difficult (41%). Half of the participants faced online difficulties in technicality, maintaining attention, and interaction with audience and examiners. Prospective research conduction was difficult (71.4%). More than 50% of residents experienced difficulties with isolation, quarantine, socialization, and anxiety of disease transmission. Physical examination was difficult for 50% of trainees. No shortage of PPE supply was reported. Getting hands-on surgical training was very difficult (47.8%). Conclusion COVID-19 pandemic had an adverse impact on Saudi orthopedic residents in terms of academic performance, mental wellbeing, and clinical training. After all, adequate level of orthopedic training quality was maintained. In crises, collaborative efforts are needed to minimize undesirable consequences on the trainees’ competency level. Residency program decision makers should utilize all available strategies to optimize the training environment to achieve the required competency level.

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confidence: 56%

Consequences of COVID-19 Pandemic on Orthopedic Residents’ Clinical and Academic Performance, and the Subsequent Impact on Their Mental Status in Saudi Arabia

Alrabai¹,

Askar²,

ALMohammed³

et al. 2023

AMEP

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“…One of those studies investigated the impact of the COVID-19 pandemic on orthopaedic surgery residency training in the United States and reported that the pandemic caused significant changes in the training experience of orthopaedic surgery residents, remarkably reduced clinical working hours and case volume, and led to worsening in such training [ 8 ]. A similar study conducted in India concluded that the COVID-19 pandemic adversely affected the academic training of residents, their surgical exposure and hands-on training [ 9 ]. Although our hospital does not provide resident training due to being a secondary care public hospital, we believe that the pandemic has had negative effects not only on the training of orthopaedics and traumatology residents but also on the surgical practices of orthopaedics and traumatology specialists, since frequent elective surgery cases were halted, especially in public hospitals.…”

Section: Discussionmentioning

confidence: 99%

The Effect of the COVID-19 Pandemic on the Characteristics of Inpatients at the Orthopaedics and Traumatology Clinic in a Secondary Care Public Hospital in Turkey

EKE¹

2023

Cureus

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Objective The aim of this study was to evaluate patients who were hospitalized at an orthopaedics and traumatology clinic in a secondary care public hospital in Turkey during the first two years of the COVID-19 pandemic. Methods This was a cross-sectional and retrospective study that included a total of 7439 patients - those who had been hospitalized between 11 March 2020, the date of the first confirmed case of COVID-19 in Turkey, and 10 March 2022 (2949 patients), and those hospitalized in the same clinic between 11 March 2018 and 10 March 2020, designated as the pre-pandemic group (control group; 4490 patients). Patients were divided into three groups: <18 years old, 18-65 years old and >65 years old and compared separately in terms of clinical, diagnostic and therapeutic characteristics as pandemic patients and control group. Results Despite the decline in both the number of admissions to the emergency service and visits to the outpatient clinic among inpatients during the pandemic period, the rate of admissions to the emergency department remained higher than that of the control group throughout the pandemic period (p<0.001). Surgical procedures were lower both numerically and proportionally in the patients who presented during the pandemic than in the pre-pandemic period (p<0.001). While the rate of traumatic surgery was higher in the pandemic group (29%) than in the pre-pandemic group (26.7%), the rate of elective surgery was higher in the pre-pandemic group (71.3%) than in the pandemic one (67.5%) (p=0.037 and p=0.001).The number of patients with fractures in all age groups decreased numerically in the pandemic cohort. While no significant difference was observed between pandemic and pre-pandemic cohorts in terms of the length of hospitalization in all age groups, Intensive Care Unit (ICU) hospitalization rate was found to have increased significantly in adult and elderly patient groups during the pandemic (p<0.001). Conclusion In our study, when the number of patients who underwent orthopaedic surgical treatment, in general, was examined, it appeared that the number of both traumatic and elective surgeries decreased during the pandemic significantly. It was found that the ICU stay rate increased significantly in adult and elderly patient groups during the pandemic. Although there were no confirmed cases of COVID-19 among the patients included in the study, it is known that the pandemic and especially the lockdown periods adversely affected the mental, physical and biological health of individuals. In this context our study will be able to serve as a guide for taking measures like: 1. increasing the ICU capacity of hospitals, 2. providing in-service training to improve the experience of nurses, doctors or other healthcare workers, especially in specialized units such as ICUs, operating rooms and emergency services, considering the number of personnel who may be affected by the pandemic, and 3. ensuring a balanced...

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“…The body of residents was divided into teams, some were given thetask of serving patients with COVID-19, other teams were given orthopedic tasks, and some of the residents werekept in quarantine [ 8 ]. The pandemic has significantly affected residents’ academic teaching, academic examinations, surgical exposure, practical training, and mental stress related to COVID-19 duties [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey

Moldovan

Gligor

Moldovan

et al. 2022

IJERPH

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The COVID-19 pandemic has brought unprecedented challenges, with a potential stress which might affect the education of resident doctors in the field of orthopedics and traumatology. Its repercussion on the residents’ strain and training routes is not well known. After two years of pandemic, this paper aims to analyze the repercussion of the coronavirus disease 2019 (COVID-19) on education, medical training, and the mental well-being of Romanian resident doctors in orthopedics and traumatology. In January–February 2022, an electronic questionnaire was distributed to all orthopedic resident doctors in the 12 residential training centers in Romania. Participants (n = 236) were resident doctors with an employment contract and professional activity during the COVID-19 pandemic. Resident doctors who did not work during this period were excluded. An online survey generator was used to electronically create the questionnaire. Statistical analysis was performed in Matlab version R2022a, with the support of Statistics and Machine Learning Toolbox Version 12.3. Descriptive statistics were performed for the standardized questions, while for the open questions, answers were collected by topic. The results of the Chi-square test indicate that there is a statistically significant association regarding the prevalence of infection among residents involved in the treatment of patients with COVID-19 (p = 0.028), and the influence of secondment in COVID-19 sections (p = 0.0003). The infection of residents is not related to their affiliation with a particular medical training center (p = 0.608), gender (p = 0.175), the year of study in residency (p = 0.733), the age group (p = 0.178), and the secondment period (p = 0.114). Residents who participated in the study had an overall well-being index of 13.8 ± 5.7, which indicates a low level of well-being for a large number of residents. Residents who would like to choose a new residency specialization, or would choose a non-medical career, had reduced average WHO wellness rates, as the risk of infection is associated with the treatment of patients with COVID-19 and secondment in COVID-19 sections. The findings of this study may help residency training centers to develop robust programs that can alleviate the impact of this pandemic. Some major changes will be needed to be integrated into residency training programs around the world. Emphasis should be placed on electronic educational portfolios, simulation of surgical processes, and distance learning, all of which have a high potential for health and safety,as well asfor the moral support of residents.

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Impact of COVID-19 on orthopaedic residents—an Indian perspective

Cited by 6 publications

References 10 publications

Consequences of COVID-19 Pandemic on Orthopedic Residents’ Clinical and Academic Performance, and the Subsequent Impact on Their Mental Status in Saudi Arabia

Consequences of COVID-19 Pandemic on Orthopedic Residents’ Clinical and Academic Performance, and the Subsequent Impact on Their Mental Status in Saudi Arabia

The Effect of the COVID-19 Pandemic on the Characteristics of Inpatients at the Orthopaedics and Traumatology Clinic in a Secondary Care Public Hospital in Turkey

The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey

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