Repurposing Orthopaedic Residents Amid COVID-19

Rahman, Omar; Murray, Daniel P.; Zbeda, Robert M.; Volpi, A. De; Mo, Andrew Z.; Wessling, Nicholas A.; Mina, Bushra; Mendez-Zfass, Matthew; Carpati, Charles

doi:10.2106/jbjs.oa.20.00058

Cited by 11 publications

(7 citation statements)

References 4 publications

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“…Sarpong et al 2 reported the experience of orthopaedic residents and attending physicians posted in the emergency room of their hospital in New York, which had become the epicentre of COVID-19. Rahman et al 3 described how their residents were involved in a prone-positioning protocol to minimize the physical burden on their medical colleagues. Methods have been detailed to regroup the (General surgery) residents into teams to minimize patient contact and prevent transmission between the teams.…”

mentioning

confidence: 99%

Orthopaedic resident management during the COVID-19 pandemic – AIIMS model

Malhotra

Gautam

George

2020

Journal of Clinical Orthopaedics and Trauma

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The novel coronavirus disease (COVID-19) pandemic has had a tremendous impact on various health sectors including residency training programs. The suspension of non-essential health services at many hospitals has led to an increase in the workload for residents in emergency department while there was a sharp decline in the workload of residents in departments like Orthopaedics. In this brief report, we discuss the strategy employed at our institution to effectively redistribute our residents to manage the pandemic, and the measures taken to promote resident training and welfare.

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mentioning

confidence: 99%

Orthopaedic resident management during the COVID-19 pandemic – AIIMS model

Malhotra

Gautam

George

2020

Journal of Clinical Orthopaedics and Trauma

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“…Accordingly, prone-positioning side effects should be carefully studied, especially because non-ICU healthcare workers find themselves repurposed to ICU floors where prone positioning is common. During the height of the COVID-19 pandemic, even orthopedic surgeons and residents found themselves repurposed as part of critical care prone-positioning teams 10 .…”

Section: Discussionmentioning

confidence: 99%

Median Nerve Mononeuropathy and Meralgia Paresthetica After Prone Positioning in a Patient with COVID-19 ARDS

Ravella

Redondo

Mejía

et al. 2021

JBJS Case Connector

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Case: Throughout the COVID-19 pandemic, prone positioning has decreased mortality in patients with severe acute respiratory distress syndrome. We present the unique case of a patient who developed left median nerve mononeuropathy and bilateral meralgia paresthetica after prone positioning while afflicted with COVID-19. These nerve injuries have been rarely reported in the literature and never before in the same patient. Conclusion:Our case highlights the importance of increased care when positioning patients prone by padding bony prominences, evenly distributing pressure across known sites of peripheral nerve entrapment, and giving consideration to prone-positioning time intervals when caring for intubated patients. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B674).

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“…With the drastic decline in the number of elective surgeries [ 4 ] in hospitals around the world, some residents were transferred to intensive care units, hospital wards, and COVID-19 outpatient departments. The transfer did not reflect the gender distribution, which is higher in males [ 5 , 6 , 7 ].…”

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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Repurposing Orthopaedic Residents Amid COVID-19

Cited by 11 publications

References 4 publications

Orthopaedic resident management during the COVID-19 pandemic – AIIMS model

Orthopaedic resident management during the COVID-19 pandemic – AIIMS model

Median Nerve Mononeuropathy and Meralgia Paresthetica After Prone Positioning in a Patient with COVID-19 ARDS

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

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