Insight into the changing patterns in clinical and academic activities of the orthopedic residents during COVID-19 pande
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SPORTS TRAUMATOLOGY
Insight into the changing patterns in clinical and academic activities of the orthopedic residents during COVID‑19 pandemic: a cross‑sectional survey Sitanshu Barik1 · Souvik Paul1 · Pankaj Kandwal1 Received: 16 July 2020 / Accepted: 7 September 2020 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020
Abstract Purpose The COVID-19 pandemic has presented an unprecedented challenge to the orthopedic residency training programs to adapt to a form of a web-based learning process and simulation-based training. This study focusses on the viewpoint of the orthopedic residents to the paradigm shift in clinical care as well as the academic activities. Methods An anonymous questionnaire was created in an online survey generator and was sent through e-mail to 227 orthopedic residents of seven tertiary care centres in North India. The questionnaire was divided into three sections, academic activity section, mental health section, and clinical activity section. There were a total of 44 single answer questions with answers according to the increasing difficulty at present situation compared to a previous time before the COVID-19 pandemic. Results A total of 158 questionnaires were filled by 107 junior residents (67.7%) and 51 senior residents (32.3%). 49 residents (31%) were quarantined and three became positive for COVID-19. Although all of them knew about necessary precautions, personal protective equipment was difficult to avail at times. Increased difficulty in recruiting new patients for research (48.9%) and conducting prospective research (48.7%) was observed. The online-based learning process was reported to be easier (44.2%) by most of the residents. Routine clinical work in the operating room, out-patient department, and inpatient department was found to be difficult according to the majority of the residents along with the anxiety of contracting the infection. Conclusion There are unique opportunities for improvement of residency programs during these times of uncertainty and the findings of this study can help the universities as well as program chairs to develop a robust program that can outlive this pandemic. The web-based learning process might prove to be useful and can be incorporated into the resident training program in the long term. Level of evidence Level V. Keywords COVID-19 · Orthopedics · Personal protective equipment · Residency · Mental health
Introduction
* Souvik Paul [email protected] Sitanshu Barik [email protected] Pankaj Kandwal [email protected] 1
Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India
The COVID-19 (coronavirus disease 2019) global pandemic has emerged to be the biggest threat faced by the healthcare system of India at present. Since the first case reported in Kerala, the epidemic has rippled through the whole country within a matter of days [17, 18]. While facing a crisis of healthcare workers, all elective surgeries had been cancelled in most of the hospitals in
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