Neurosurgical Training During COVID-19 Pandemic: British Perspective

Low, Jacob Chen Ming; Visagan, Ravindran; Perera, Andrea

doi:10.1016/j.wneu.2020.04.178

Cited by 12 publications

(15 citation statements)

References 5 publications

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“…As mentioned, the creation of alternative medicine methods by improving the country's pharmaceutical infrastructure and launching the Pharmaceutical supply chain could be a great help in drug management during the Covid-19 epidemic. The use of information technology was the basis for improving the pharmaceutical infrastructure and creating the Pharmaceutical supply chain (13,30).…”

Section: Discussionmentioning

confidence: 99%

Managing Neurosurgery in the Covid-19 Pandemic

Aminmansour

Mahmoudkhani

Shafiei

et al. 2021

Preprint

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BackgroundCovid-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even academic activities. The present study was performed to determine neurosurgery challenges during the Covid-19 pandemic in Iran.MethodsThe present study was conducted as a mixed qualitative and quantitative study in 2021. In the qualitative section using the targeted sampling method, 11 members of the target community were selected using the available sampling method and completed a questionnaire. The qualitative part was conducted in two stages of reviewing texts and interviewing experts and in the quantitative part we evaluated the validity of the structure and the reliability of the questionnaire.ResultsThis study examined in detail all aspects of the effects of Covid-19 on neurosurgery. 9 dimensions and 61 items were identified as the challenges of neurosurgery during the Covid-19 pandemic. In order of importance, the aspects were: treatment outcome, manpower, management psychological and physical diseases, education and research, tools and physical space, ethics, financial implications and information technology.ConclusionThe outbreak of epidemics has different risks for specialties, among them neurosurgery. Accordingly, to observe patients' right to treatment, all necessary measures were first taken to provide instructions, regulations, policies and ethical guidelines.

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Section: Discussionmentioning

confidence: 99%

Managing Neurosurgery in the Covid-19 Pandemic

Aminmansour

Mahmoudkhani

Shafiei

et al. 2021

Preprint

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“…Crisis management, handling a difficult situation, and leadership skills were among the skill sets that needed to be honed for future independent practice. 9 On the other hand, the pandemic opened up new educational tools for students and residents to be part of the digital generation. Webinars, teleconferences, and digital learning from online resources grew exponentially.…”

Section: Neurosurgical Education: Impact Action and Planmentioning

confidence: 99%

“…Most of the papers have come from developed countries in which facilities and resources are different from those in LMICs. [6][7][8][9][10] This article focuses on how a tertiary referral hospital in the epicenter of the storm is coping with the situation. We describe the impact of the outbreak, the university and hospital policies and actions for the neurosurgical service and training programs during the outbreak, and the contingency plan for future reference on preparedness for service and education.…”

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confidence: 99%

Neurosurgery at the epicenter of the COVID-19 pandemic in Indonesia: experience from a Surabaya academic tertiary hospital

Suryaningtyas

Wahyuhadi

Turchan

et al. 2020

Neurosurgical Focus

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OBJECTIVEGlobal outbreak of the novel coronavirus disease 2019 (COVID-19) has forced healthcare systems worldwide to reshape their facilities and protocols. Although not considered the frontline specialty in managing COVID-19 patients, neurosurgical service and training were also significantly affected. This article focuses on the impact of the COVID-19 outbreak at a low- and/or middle-income country (LMIC) academic tertiary referral hospital, the university and hospital policies and actions for the neurosurgical service and training program during the outbreak, and the contingency plan for future reference on preparedness for service and education.METHODSThe authors collected data from several official databases, including the Indonesian Ministry of Health database, East Java provincial government database, hospital database, and neurosurgery operative case log. Policies and regulations information was obtained from stakeholders, including the Indonesian Society of Neurological Surgeons, the hospital board of directors, and the dean’s office.RESULTSThe curve of confirmed COVID-19 cases in Indonesia had not flattened by the 2nd week of June 2020. Surabaya, the second-largest city in Indonesia, became the epicenter of the COVID-19 outbreak in Indonesia. The neurosurgical service experienced a significant drop in cases (50% of cases from normal days) along all lines (outpatient clinic, emergency room, and surgical ward). Despite a strict preadmission screening, postoperative COVID-19 infection cases were detected during the treatment course of neurosurgical patients, and those with a positive COVID-19 infection had a high mortality rate. The reduction in the overall number of cases treated in the neurosurgical service had an impact on the educational and training program. The digital environment found popularity in the educational term; however, digital resources could not replace direct exposure to real patients. The education stakeholders adjusted the undergraduate students’ clinical postings and residents’ working schemes for safety reasons.CONCLUSIONSThe neurosurgery service at an academic tertiary referral hospital in an LMIC experienced a significant reduction in cases. The university and program directors had to adapt to an off-campus and off-hospital policy for neurosurgical residents and undergraduate students. The hospital instituted a reorganization of residents for service. The digital environment found popularity during the outbreak to support the educational process.

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“… 1 , 2 , 3 , 4 , 5 , 6 Several letters to the editor and research articles have previously enumerated changes in neurosurgical education in North America, Europe, and Africa. 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 These data are lacking for Southeast Asian countries.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on Neurosurgical Training in Southeast Asia

et al. 2020

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Objective Neurosurgery departments worldwide have been forced to restructure their training programs because of the coronavirus disease 2019 (COVID-19) pandemic. In this study, we describe the impact of COVID-19 on neurosurgical training in Southeast Asia. Methods We conducted an online survey among neurosurgery residents in Indonesia, Malaysia, Philippines, Singapore, and Thailand from May 22 to 31, 2020 using Google Forms. The 33-item questionnaire collected data on elective and emergency neurosurgical operations, ongoing learning activities, and health worker safety. Results A total of 298 of 470 neurosurgery residents completed the survey, equivalent to a 63% response rate. The decrease in elective neurosurgical operations in Indonesia and in the Philippines (median, 100% for both) was significantly greater compared with other countries ( P < 0.001). For emergency operations, trainees in Indonesia and Malaysia had a significantly greater reduction in their caseload (median, 80% and 70%, respectively) compared with trainees in Singapore and Thailand (median, 20% and 50%, respectively; P < 0.001). Neurosurgery residents were most concerned about the decrease in their hands-on surgical experience, uncertainty in their career advancement, and occupational safety in the workplace. Most of the residents ( n = 221, 74%) believed that the COVID-19 crisis will have a negative impact on their neurosurgical training overall. Conclusions An effective national strategy to control COVID-19 is crucial to sustain neurosurgical training and to provide essential neurosurgical services. Training programs in Southeast Asia should consider developing online learning modules and setting up simulation laboratories to allow trainees to systematically acquire knowledge and develop practical skills during these challenging times.

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Neurosurgical Training During COVID-19 Pandemic: British Perspective

Cited by 12 publications

References 5 publications

Managing Neurosurgery in the Covid-19 Pandemic

Managing Neurosurgery in the Covid-19 Pandemic

Neurosurgery at the epicenter of the COVID-19 pandemic in Indonesia: experience from a Surabaya academic tertiary hospital

Impact of COVID-19 on Neurosurgical Training in Southeast Asia

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