Analysis of the Impact on Surgical Residency Programs in Times of Pandemic in Argentina
Study Details
Study Description
Brief Summary
Introduction: COVID-19 emerged as a global pandemic in 2020 and affected teaching methods at all levels. Surgical education has also been significantly affected by this pandemic, but the effect remains unknown. We developed a survey with the aim of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Argentina.
Material and methods: We carried out a cross-sectional study. We surveyed 195 resident physicians from various surgical residency programs, from August 15 to September 30, 2020, in Córdoba, Argentina. The effect of the COVID-19 pandemic on surgical training, academic program, and professional burnout of residents was analyzed.
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Detailed Description
Introduction In 2020, the coronavirus disease (COVID-19) has affected more than 190 countries, registering more than 79.2 million cases and more than 1.7 million deaths worldwide since the start of the pandemic. The first reported case in Argentina was on March 5; two days later, the first fatality was registered in the country and in Latin America. On March 6, the first case of COVID-19 was confirmed in Córdoba, the second most populated province, out of a total of 23 provinces that make up the Argentine Republic. Until December 31, 2020, the Ministry of Health of the Province of Córdoba registered a total of 126,893 cases and 2,496 deaths from COVID-19.
The current health crisis produced by the coronavirus pandemic and defined as an unprecedented situation led us to raise doubts, controversies, and dilemmas in health care in general, and in surgery in particular, understanding that residents are possibly so vulnerable or more than all professionals.
In this scenario, the Association of Residents and Concurrents of General Surgery of Córdoba (ARCCC), which represents a non-profit civil association, founded in 1989, with the purpose of promoting scientific activity among resident physicians, prepared a survey with the objective of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Córdoba.
Material and methods A cross-sectional study was carried out, supported by a digital survey tool (Google Forms). The survey presented 25 mandatory multiple-choice questions and was distributed through social networks such as WhatsApp, Facebook, and Instagram, from August 15 to September 30, 2020. All surgical residency programs in Córdoba, Argentina were invited to participate.
The survey asked the demographic characteristics of the residents, the type of hospital (public / private / Armed Forces) where they worked, the adherence of the training center to the resolution of the Ministry of Health 718/2020 (extension of discharge and promotion of the academic year of residents until September 30, 2020, within the health services, to attend the health and social emergency produced by COVID-19) (6), the type and the year (Considering the National Decree 718/2020) of the training program, work modality, number of days of attendance at your institution and surgical practices, before and during the pandemic. Residents were asked whether these changes would affect their surgical training and overall preparation for their next career move. The effects of the pandemic on the well-being and burnout of residents were also assessed.
All respondents voluntarily participated in this study and were advised that the information provided is confidential and will not be used to identify individual responses.
Study Design
Outcome Measures
Primary Outcome Measures
- Demographic variables [August 15 to September 30, 2020]
gender and age
- type of hospital [August 15 to September 30, 2020]
public / private / Armed Forces
- type and year of training program [August 15 to September 30, 2020]
surgical program and position in residence
- attendance at your institution and surgical practices [August 15 to September 30, 2020]
days and number of surgeries
Eligibility Criteria
Criteria
Inclusion Criteria:
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medical residents
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both sexes (woman and man)
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residencies with surgical programs
Exclusion Criteria:
- residencies with medical clinic programs
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | René M. Palacios Huatuco | Córdoba | Argentina | 5000 |
Sponsors and Collaborators
- Clinica Universitaria Reina Fabiola, Universidad Catolica de Cordoba
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
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- Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD, Stulberg JJ, Lewis FR. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. N Engl J Med. 2016 Feb 25;374(8):713-27. doi: 10.1056/NEJMoa1515724. Epub 2016 Feb 2.
- Coe TM, Jogerst KM, Sell NM, Cassidy DJ, Eurboonyanun C, Gee D, Phitayakorn R, Petrusa E. Practical Techniques to Adapt Surgical Resident Education to the COVID-19 Era. Ann Surg. 2020 Aug;272(2):e139-e141. doi: 10.1097/SLA.0000000000003993.
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- Huamanchumo-Suyon ME, Urrunaga-Pastor D, Ruiz-Perez PJ, Rodrigo-Gallardo PK, Toro-Huamanchumo CJ. Impact of the COVID-19 pandemic on general surgery residency program in Peru: A cross-sectional study. Ann Med Surg (Lond). 2020 Dec;60:130-134. doi: 10.1016/j.amsu.2020.10.031. Epub 2020 Oct 25.
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- Kim JY, Song JY, Yoon YK, Choi SH, Song YG, Kim SR, Son HJ, Jeong SY, Choi JH, Kim KM, Yoon HJ, Choi JY, Kim TH, Choi YH, Kim HB, Yoon JH, Lee J, Eom JS, Lee SO, Oh WS, Choi JH, Yoo JH, Kim WJ, Cheong HJ. Middle East Respiratory Syndrome Infection Control and Prevention Guideline for Healthcare Facilities. Infect Chemother. 2015 Dec;47(4):278-302. doi: 10.3947/ic.2015.47.4.278. Epub 2015 Dec 30. Review.
- Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic Education During the COVID-19 Pandemic. J Am Acad Orthop Surg. 2020 Jun 1;28(11):e456-e464. doi: 10.5435/JAAOS-D-20-00292. Review.
- Pelargos PE, Chakraborty A, Zhao YD, Smith ZA, Dunn IF, Bauer AM. An Evaluation of Neurosurgical Resident Education and Sentiment During the Coronavirus Disease 2019 Pandemic: A North American Survey. World Neurosurg. 2020 Aug;140:e381-e386. doi: 10.1016/j.wneu.2020.05.263. Epub 2020 Jun 5.
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