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      Impact of the COVID-19 pandemic on orthopaedic and trauma surgery training in Europe

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          Abstract

          Purpose

          This study aimed to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopaedic and trauma surgery training in Europe by conducting an online survey among orthopaedic trainees.

          Methods

          The survey was conducted among members of the Federation of Orthopaedic and Trauma Trainees in Europe (FORTE). It consisted of 24 questions (single-answer, multiple-answer, Likert scales). Orthopaedic trainees’ demographic data (six questions), clinical role changes (four questions), institutional changes due to the COVID-19 pandemic (nine questions), and personal considerations (five questions) were examined.

          Results

          Three hundred and twenty-seven trainees from 23 European countries completed the survey. Most trainees retained their customary clinical role (59.8%), but a significant number was redeployed to COVID-19 units (20.9%). A drastic workload decrease during the pandemic was reported at most institutions. Only essential activities were performed at 57.1% of institutions and drastic disruptions were reported at 36.0%. Of the respondents, 52.1% stated that faculty-led education was restricted and 46.3% pursued self-guided learning, while 58.6% stated that surgical training was significantly impaired. Concerns about the achievement of annual training goals were expressed by 58.2% of the participants, while 25.0% anticipated the need for an additional year of training.

          Conclusions

          The SARS-CoV-2 pandemic significantly affected orthopaedic and trauma training in Europe. Most trainees felt the decrease in clinical, surgical, and educational activities would have a detrimental effect on their training. Many of them consulted remote learning options to compensate training impairment, stating that after the COVID-19 pandemic electronic educational approaches may become more relevant in future.

          Electronic supplementary material

          The online version of this article (10.1007/s00264-020-04742-3) contains supplementary material, which is available to authorized users.

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          A Novel Coronavirus from Patients with Pneumonia in China, 2019

          Na Zhu, Dingyu Zhang, Wenling Wang … (2020)
          Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)
          Article 0 comments Cited 12693 times – based on 0 reviews     Review now
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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.
            Article 0 comments Cited 269 times – based on 0 reviews     Review now
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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.
              Article 0 comments Cited 121 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Panayiotis D. Megaloikonomos:
                ORCID: https://orcid.org/0000-0001-9509-6524
                pdmeg@med.uoa.gr
                Journal
                Journal ID (nlm-ta): Int Orthop
                Journal ID (iso-abbrev): Int Orthop
                Title: International Orthopaedics
                Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )
                ISSN (Print): 0341-2695
                ISSN (Electronic): 1432-5195
                Publication date (Electronic): 21 July 2020
                Pages: 1-9
                Affiliations
                [1 ]GRID grid.5216.0, ISNI 0000 0001 2155 0800, First Department of Orthopaedics, , National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, ; 1 Rimini Street, 12462 Haidari, Athens, Greece
                [2 ]GRID grid.5361.1, ISNI 0000 0000 8853 2677, Department of Orthopaedic Surgery, , Medical University of Innsbruck, ; Innsbruck, Austria
                [3 ]Spine Center Stuttgart, Diakonie-Kinikum Stuttgart, Stuttgart, Germany
                [4 ]GRID grid.452490.e, Department of Biomedical Sciences, , Humanitas University, ; Milan, Italy
                [5 ]GRID grid.412418.a, ISNI 0000 0004 0521 0824, Department of Orthopaedics, , University Hospital Mostar , ; Mostar, Bosnia and Herzegovina
                [6 ]GRID grid.414556.7, ISNI 0000 0000 9375 4688, Department of Orthopaedics, , Centro Hospitalar São João, ; Porto, Portugal
                [7 ]Department of Orthopaedics, Langenthal Hospital, Langenthal, Switzerland
                Author information
                https://orcid.org/0000-0001-9509-6524
                Article
                Publisher ID: 4742
                DOI: 10.1007/s00264-020-04742-3
                PMC ID: 7372204
                PubMed ID: 32696334
                SO-VID: 986afb79-6acd-40d5-b0a9-3fad5c5543ab
                Copyright © © SICOT aisbl 2020
                License:

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                Date received : 28 June 2020
                Date accepted : 16 July 2020
                Categories
                Subject: Original Paper

                ScienceOpen disciplines: Orthopedics
                Keywords: covid-19,sars-cov-2,pandemic,orthopaedic training,federation of orthopaedic and trauma trainees in europe
                Data availability:
                ScienceOpen disciplines: Orthopedics
                Keywords: covid-19, sars-cov-2, pandemic, orthopaedic training, federation of orthopaedic and trauma trainees in europe

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