Impact of the COVID-19 Pandemic on Student and Resident Teaching and Training in Surgical Oncology

Hau, Hans-Michael; Weitz, Jürgen; Bork, Ulrich

doi:10.3390/jcm9113431

Cited by 54 publications

(66 citation statements)

References 41 publications

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“…Similar smartphone apps have started to be used in hospitals to improve the interaction among the educational actors [ 38 ]. Moreover, to cover the perceived need of the support of tutors on students’ learning, or the need for additional knowledge prior to the activities, didactic videos and online resources can be included in the activities [ 39 , 40 , 41 ] before doing them. This is what the flipped classroom model has shown for surgery clerkships [ 41 , 42 ], in which blended strategies are successful in self-directed learning.…”

Section: Discussionmentioning

confidence: 99%

Towards an Open Medical School without Checkerboards during the COVID-19 Pandemic: How to Flexibly Self-Manage General Surgery Practices in Hospitals?

et al. 2021

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Background: Can we create a technological solution to flexibly self-manage undergraduate General Surgery practices within hospitals? Before the pandemic, the management of clerkships was starting to depend less on checkerboards. This study aims to explore undergraduates’ perceptions of doing rotations in teaching hospitals using different teaching styles and elicit their views regarding the options of managing practices to design a mobile app that substitutes for checkerboards. Methods: In this sequential exploratory mixed methods study, 38 semi-structured interviews at a teaching hospital were conducted. The data was used to survey 124 students doing their rotations in four teaching hospitals during the first wave of COVID-19. Results: 21 themes highlighted concerns related to the practices, the teacher involvement in the students’ education, and the students’ adaptation to clinical culture. The students reported positive perceptions concerning self-managing and organizing practices via a mobile application. However, problems emerged regarding transparency, the lack of feedback, and the need for new tools. Regarding the teaching styles, the facilitator and personal models were perceived as optimal, but the personal style had no effect on using or not using a tool. Conclusions: A mobile-learning application designed like an educational opportunities’ manager tool can probably promote self-directed learning, flexible teaching, and bidirectional assessments. However, teachers who employ a personal teaching style may not need either checkerboards or a tool. This solution supports teaching at hospitals in pandemic times without checkerboards.

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Section: Discussionmentioning

confidence: 99%

Towards an Open Medical School without Checkerboards during the COVID-19 Pandemic: How to Flexibly Self-Manage General Surgery Practices in Hospitals?

et al. 2021

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“…Another benefit of virtual learning is that these sessions have allowed residents to engage with surgeons from other counties, with larger pools of experienced tutors and geographic flexibility, as geographic influence has been shown to affect how surgeons approach common problems [ 10 , 12 ]. For example, in Mexico there is no formal acute care and trauma surgery program/curriculum.…”

Section: Discussionmentioning

confidence: 99%

Transferring face-to-face sessions to virtual sessions in surgical education: a survey-based assessment of a single academic general surgery program

et al. 2021

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Summary Background The purpose of this survey-based study was to evaluate the implementation of virtual learning in a single academic general surgery program, compared with the well-established face-to-face academic curriculum used before. Methods From April 2020 to the present, virtual sessions were created via Zoom Videos Communications, Inc. (San Jose, CA, USA). A survey composed of 15 questions about the perceived quality and utility of the virtual sessions was developed. The survey was sent out to all general surgery residents of a general surgery program in November of 2020. Results All residents enrolled in the program answered the survey, i.e., 22 (73.3%) men and 8 (26.7%) women with 6 (20.2%) residents per year (PGY 1–PGY 5). Over half of residents ( n = 17, 56.7%) felt similar academic performance during online sessions when compared to the older model. Perceptions of the level of organization of academic sessions increased during the online model ( n = 20, 66.7%). Twenty (66.7%) residents agreed it was easier to attend sessions during the online model. Fourteen (46.7%) residents reported their attendance to the sessions increased, and 14 (46.7%) residents would prefer this modality after the pandemic is over, with 8 (26.7%) being neutral about it. Conclusion This study, to our knowledge, is the first to survey general surgery residents about the transition from a face-to-face curriculum to an e‑learning curriculum. The demonstrated effectiveness of the transition from face-to-face academic activities to virtual activities makes it a feasible tool for graduate medical education programs to adjust to a virtual model.

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“…Problems and challenges that arise through COVID-19 for surgical training and education include cancellation of elective operations and disruption of elective operating room attendance, as well as cancellation of advanced surgical training courses and seminars. A lack interpersonal communications, social distancing, lockdown and associated mental health problems might contribute as major burdens in the education of young doctors [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of COVID-19 on surgical training at a tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons?

et al. 2021

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Summary Background Soon after its appearance, the coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) became a pandemic, with over 111 million cases reported and 2.4 million deaths worldwide. Although the focus of public health systems must lie on patients’ care and treatment, SARS-COV‑2 infection has also affected surgical trainees in their academic and professional development, causing significant disruption in all forms of their training. Methods The aims of this study were firstly to assess the impact of SARS-CoV‑2 on core surgical training, regarding operative, educational and academic skills, as well as the general effect on psychological status and well-being of surgical trainees at a tertiary center in Greece. All core surgical trainees (17) in the general surgery department at the University Hospital of Patras were invited to participate in a voluntary anonymous survey via printed questionnaires. Results Junior trainees and senior surgical trainees performed or assisted in almost 50% fewer cases in the COVID era when compared with the period reported before the virus. As far as courses, conferences and exams attended by trainees are concerned, a significant reduction in numbers (six vs 35) before and after the start of COVID-19 pandemic was apparent. In all, 10 (62.5%) trainees felt that their confidence in the operating theatre had been negatively impacted by the pandemic, while four (25%) trainees felt significant stress levels as a result of the national lockdown. Conclusions It is imperative for surgical educators to design and implement new alternative ways to assist surgical trainees in their education and also avoid their undertraining during the pandemic.

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Impact of the COVID-19 Pandemic on Student and Resident Teaching and Training in Surgical Oncology

Cited by 54 publications

References 41 publications

Towards an Open Medical School without Checkerboards during the COVID-19 Pandemic: How to Flexibly Self-Manage General Surgery Practices in Hospitals?

Towards an Open Medical School without Checkerboards during the COVID-19 Pandemic: How to Flexibly Self-Manage General Surgery Practices in Hospitals?

Transferring face-to-face sessions to virtual sessions in surgical education: a survey-based assessment of a single academic general surgery program

The impact of COVID-19 on surgical training at a tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons?

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