Maxillofacial education in the time of COVID-19: the West Midlands experience

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Abstract

COVID-19 has accelerated a reliance on virtual technology for the delivery of postgraduate surgical education. We sought to develop a regional teaching programme with robust quality assurance. Webinars were delivered on a weekly basis by subspecialty experts using Zoom™ augmented with interactive polling software. Trainee feedback comprised Likert item rating on content and delivery, free text comments and self-assessed confidence levels using visual analogue scale (VAS) scores. A focus group was also convened and transcripts assessed with grounded theory analysis. Likert items revealed 442 (93.2%) positive responses regarding content and 642 (96.7%) positive responses regarding trainer delivery. There were statistically significant improvements in VAS scores across all programme content. Key themes from the focus group analysis were the pragmatics of delivering online education, issues surrounding trainer interactivity in the virtual world, the identification of the FRCS as a driving factor and a desire for case-based content and pre-learning of information (the “flipped classroom”). We are continuing to be reactive to trainee feedback in developing our online learning programme which will also include a regional Moodle-based virtual learning environment (VLE), the subject of future educational research in our region.

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Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review

AIKATERINI DEDEILIA, MARINOS SOTIROPOULOS, JOHN GERRARD HANRAHAN … (2020)

The aim of this systematic review was to identify the challenges imposed on medical and surgical education by the COVID-19 pandemic, and the proposed innovations enabling the continuation of medical student and resident training. A systematic review on the MEDLINE and EMBASE databases was performed on April 18th, 2020, and yielded 1288 articles. Sixty-one of the included manuscripts were synthesized in a qualitative description focused on two major axes, "challenges" and "innovative solutions", and two minor axes, "mental health" and "medical students in the frontlines". Shortage of personal protective equipment, suspension of clinical clerkships and observerships and reduction in elective surgical cases unavoidably affect medical and surgical education. Interesting solutions involving the use of virtual learning, videoconferencing, social media and telemedicine could effectively tackle the sudden cease in medical education. Furthermore, trainee's mental health should be safeguarded, and medical students can be involved in the COVID-19 clinical treatment if needed.

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Orthopaedic Education During the COVID-19 Pandemic

Monica Kogan, Sandra E Klein, Charles Hannon … (2020)

The COVID-19 global pandemic presents a challenge to orthopaedic education. Around the world, including in the United States, elective surgeries are being deferred and orthopaedic residents and fellows are being asked to make drastic changes to their daily routines. In the midst of these changes are unique opportunities for resident/fellow growth and development. Educational tools in the form of web-based learning, surgical simulators, and basic competency tests may serve an important role. Challenges are inevitable, but appropriate preparation may help programs ensure continued resident growth, development, and well-being while maintaining high-quality patient care.

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The Impact of COVID-19 on Plastic Surgery Residency Training

Nicola Zingaretti, Filippo Contessi Negrini, Alessandro Tel … (2020)

Abstract Nowadays didactic and surgical activities for residents in the surgery field are less and less due to an increasing burden of documentation and “non-educational work.” Considering the current lockdown due to the COVID-19 pandemic, it has never been so important to find different ways to allow residents to improve their knowledge. We asked all plastic and esthetic surgery residents in our country to fill out a questionnaire to investigate changes in their didactical activity and analyze problems about their professional growth in the last few months. From the results of such questionnaires, we found that most of the residents feel the decrease in surgical activities during this time is a detrimental factor for their training and that even if all the schools have changed their didactical activities no school has introduced the use of virtual simulators to compensate for the decrease in surgical practice. Actually, the majority of residents use webinars to keep updated, stating that such technologies are useful but not sufficient to analyze plastic surgery topics in depth during COVID-19 lockdown. Virtual interactive tools are well known in different clinical and surgical specialties, and they are considered as a valid support, but it seems that in plastic surgery they are not so used. According to the most recent studies about residents’ didactical program, we have investigated the potential of Anatomage Table in combination with Touch Surgery application as physical and mental aids to bypass the decreased number and kind of surgical interventions performed in this particular time. Anatomage is an academic user-friendly touch screen table; it is used by both medical students and residents to learn human anatomy and to master surgical anatomy. Touch Surgery is an application available on smartphones and tablets that gives the possibility to watch real and virtually designed surgical videos, accompanied by explanatory comments on the surgical phases; they are interactive and give the possibility to check what you have learned through tests administered after virtual classes. In our opinion, these tools represent reliable solutions to improve plastic residents’ training, mostly during the COVID-19 pandemic. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Author and article information

Contributors

Ross Elledge

Rhodri Williams

Christopher Fowell

Jason Green

Journal

Journal ID (nlm-ta): Br J Oral Maxillofac Surg

Journal ID (iso-abbrev): Br J Oral Maxillofac Surg

Title: The British Journal of Oral & Maxillofacial Surgery

Publisher: Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.

ISSN (Print): 0266-4356

ISSN (Electronic): 1532-1940

Publication date PMC-release: 30 July 2020

Publication date (Electronic): 30 July 2020

Affiliations

[a ]University Hospitals Birmingham NHS Foundation Trust, University of Birmingham

[b ]University Hospitals Birmingham NHS Foundation Trust

[c ]Cambridge University Hospitals NHS Foundation Trust

Author notes

[* ]Corresponding author. Tel.: +44(0)78 758 28359. rosselledge@ 123456doctors.net.uk

Article

Publisher ID: S0266-4356(20)30373-9

DOI: 10.1016/j.bjoms.2020.07.030

PMC ID: 7392048

SO-VID: 590bd459-e4f5-48cb-b637-23a2a442aa70

License:

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Maxillofacial education in the time of COVID-19: the West Midlands experience

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Novel Coronavirus Disease COVID-19

Most cited references 17

Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review

Orthopaedic Education During the COVID-19 Pandemic

The Impact of COVID-19 on Plastic Surgery Residency Training

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