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Impact of COVID-19 on orthopaedic residents-an Indian perspective
Prasanna Kumar Gs1, Amit Kumar Yadav1, Abhishek Harsoor1
1Department of Orthopaedics, Grant Govt Medical College and Sir Jj Group of Hospitals, Mumbai.
Insights
The COVID-19 pandemic significantly impacted orthopaedic residents in India, disrupting academic teaching, surgical training, and increasing mental stress. This highlights a critical need to address the challenges faced by these essential healthcare professionals.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Public Health Emergencies
Background:
- The COVID-19 pandemic posed a significant public health challenge, disrupting healthcare systems globally.
- Medical training, including orthopaedic surgery residencies, faced unprecedented challenges due to the pandemic's impact.
Purpose of the Study:
- To investigate the professional impact of the COVID-19 pandemic on orthopaedic residents in India.
- To assess the effects on academic training, surgical exposure, and mental well-being.
Main Methods:
- A computer-based digital online survey was administered to orthopaedic residents across India.
- The survey comprised 15 questions focusing on the pandemic's effects on departmental operations, teaching, surgical training, workload, and mental stress.
Main Results:
- 91% of hospitals halted elective surgeries, and 98% ceased academic teaching.
- 86% of residents reported inadequate surgical exposure, with 73% receiving negligible hands-on surgical training.
- Residents experienced significant mental stress due to academic pressures and COVID-19 duties, with least exposure in arthroplasty, arthroscopy, and spine subspecialties.
Conclusions:
- The COVID-19 pandemic severely affected orthopaedic residents' academic teaching and hands-on surgical training.
- Mental stress among residents increased due to pandemic-related duties and disruptions to academic progression.
- The findings underscore the pandemic's detrimental effect on the development of future orthopaedic surgeons.
Objectives:
The COVID-19 pandemic is a public health emergency causing a deleterious effect on the health system. It affected all the specialties and subspecialties in the medical field causing havoc in the health institutions. This pandemic affected both orthopaedic consultants and the residents who are under training. Our purpose was to study the impact of COVID-19 on orthopaedic residents in their professional life.
Method:
The study design was a computer-based digital online survey of the orthopaedic residents in India. The survey had 15 questions with multiple options related to the effect of COVID-19 on their orthopedic department, effect on teaching, surgical exposure, hands-on surgeries, the effect on workload, effect on mental stress, exposure to arthroplasty, arthroscopic surgeries, spine surgeries, and deformity correction surgeries.
Results:
Elective surgeries stopped in 91% of the hospitals, academic teaching stopped in 98% of the institutions. Eighty-six percent of the residents are not getting adequate surgical exposure, 73% of the residents are getting negligible hands-on surgical training. Residents are mentally stressed related to academic examinations, academic training, and also because of COVID 19 duties. Residents are getting the least exposure in subspecialties like arthroplasty, arthroscopy, and spine.
Conclusion:
The COVID-19 pandemic not only affected the orthopaedic consultants but also the orthopaedic residents to a great extent as residents are the backbone of any department/institution. The pandemic affected significantly resident's academic teaching, surgical exposure, hands-on training and mental stress related to COVID duties, academic training disturbance, and also academic examinations.
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