Redeployment of the trainee orthopaedic surgeon during COVID-19: a fish out of water?

Abstract

Background and purpose — COVID-19 has had a significant impact on health services and the entire healthcare sector, including trauma and orthopaedics, has been compelled to adapt. At the heart of this was the redeployment of the orthopaedic trainees to support “frontline specialties”. This paper sheds light on the experience of orthopaedic trainees in redeployment. Methods — In this retrospective study, we asked orthopaedic trainees in the KSS (Kent, Surrey, Sussex) and London Deaneries to complete a survey regarding their experience in redeployment during the COVID-19 outbreak. The study took place in the Kent, Surrey, Sussex, and London regions of the United Kingdom over a period of 8 weeks from 15th of March 2020 until 15th of May 2020. The study was based at East Kent Hospitals University NHS Foundation Trust and participants were recruited from a number of secondary and tertiary care centres across the region. 120 orthopaedic trainees were contacted, working in 21 teaching hospitals. Of these, 40 trainees (30%) from 13 hospitals responded and completed the survey. Results — 50% of the surveyed trainees were redeployed to other specialties. Trainees spent varying amounts of time in the redeployed speciality and gave differing views on how comfortable they felt and how useful they felt the experience was. One-third of trainees experienced symptoms and/or tested positive for COVID-19 and the majority of these were redeployed to other specialties. Interpretation — Orthopaedic training appears to have taken a temporary back seat at this time but trainees have made a significant contribution to reinforcing key front-line specialties in the fight against COVID-19.

Impact of the COVID-19 Outbreak on Orthopedic Surgery: A Nationwide Analysis of the First Pandemic Year

“…However, as the fractures procedures resume the 2019 trend early, it seems more likely that the hospital capacity is more crucial. Also, many orthopedic surgeons have been redeployed to assist in wards, managing COVID-19 patients and performing administrative tasks to support their health institutions during the peak months, with the consequent reduction of orthopedic procedures [11][12][13][14].…”

ENT trainees’ experience of redeployment during the coronavirus disease 2019 pandemic: a qualitative study

“…No work had previously been undertaken on the effect of redeployment on ENT surgeons within the UK. Although analogous surgical subspecialties have published in the area, 7,11,12 it is vital as a subspecialty that we explore the path taken and additionally the potential role that trainee ENT surgeons offer within an emergency pandemic setting.…”

Careful return to elective orthopaedic surgery in an acute hospital during the COVID-19 pandemic shows no increase in morbidity or mortality

“…1 Practices within orthopaedic departments have been through an array of changes; initially, many orthopaedic staff were redeployed to support colleagues in other departments. 2 New guidance from the British Orthopaedic Association in April 2020 focused on minimizing non-essential operations and reducing patient visits to hospitals. 3 As the pandemic progressed and daily figures of mortality were decreasing, orthopaedic services were sequentially reinstated, including elective arthroplasty.…”