Impact of the COVID-19 pandemic on surgical trainee education and well-being spring 2020-winter 2020: A path forward

Am J Surg. 2022 Feb;223(2):395-403. doi: 10.1016/j.amjsurg.2021.05.018. Epub 2021 Jun 9.

Abstract

Background: The time course and longitudinal impact of the COVID -19 pandemic on surgical education(SE) and learner well-being (LWB)is unknown.

Material and methods: Check-in surveys were distributed to Surgery Program Directors and Department Chairs, including general surgery and surgical specialties, in the summer and winter of 2020 and compared to a survey from spring 2020. Statistical associations for items with self-reported ACGME Stage and the survey period were assessed using categorical analysis.

Results: Stage 3 institutions were reported in spring (30%), summer (4%) [p < 0.0001] and increased in the winter (18%). Severe disruption (SD) was stage dependent (Stage 3; 45% (83/184) vs. Stages 1 and 2; 26% (206/801)[p < 0.0001]). This lessened in the winter (23%) vs. spring (32%) p = 0.02. LWB severe disruption was similar in spring 27%, summer 22%, winter 25% and was associated with Stage 3.

Conclusions: Steps taken during the pandemic reduced SD but did not improve LWB. Systemic efforts are needed to protect learners and combat isolation pervasive in a pandemic.

Keywords: ACGME emergency declaration; COVID-19 pandemic; Learner well-being; Learner wellness; Surgical educational programs.

MeSH terms

  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / psychology
  • COVID-19 / transmission
  • Communicable Disease Control / standards*
  • Education, Medical / organization & administration
  • Education, Medical / standards
  • Education, Medical / statistics & numerical data*
  • Humans
  • Learning
  • Pandemics / prevention & control*
  • Specialties, Surgical / education*
  • Specialties, Surgical / statistics & numerical data
  • Surveys and Questionnaires / statistics & numerical data
  • United States / epidemiology