The impact of COVID-19 pandemic on orthopaedic resident education: a nationwide survey study in South Korea.
Dong-Gune Chang, Jong-Beom Park, Goo Hyun Baek, Hong Jin Kim, Aju Bosco, Hwee Weng Dennis Hey, Choon-Ki Lee
Author Information
Dong-Gune Chang: Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, South Korea. ORCID
Jong-Beom Park: Department of Orthopaedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. 271 Cheonbo-ro, Uijeongbu-si, Gyeonggi-do, 11765, South Korea. spinepjb@catholic.ac.kr. ORCID
Goo Hyun Baek: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea. ORCID
Hong Jin Kim: Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, South Korea. ORCID
Aju Bosco: Orthopedic Spine Surgery Unit, Institute of Orthopedics and Traumatology, Madras Medical College, Chennai, India. ORCID
Hwee Weng Dennis Hey: University Spine Centre, Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore, Singapore. ORCID
Choon-Ki Lee: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea. ORCID
PURPOSE: There have not been well-designed survey studies investigating the impact of the coronavirus disease 2019 (COVID-19) pandemic on orthopaedic resident education. METHODS: A 58-question, web-based survey was administered to orthopaedic residents in South Korea. A total of 229 orthopaedic residents from 43 hospitals completed the survey questionnaire. RESULTS: The average working time of 72.7 hours/week before the pandemic was decreased to 65.6 hours/week during the pandemic (p < 0.001). The time working in the operating room was significantly decreased during the pandemic, but not in the emergency centre and outpatient clinic. The education times for lecture and clinical case discussion were decreased during the pandemic (both, p < 0.001), respectively. While the use of traditional teaching methods was decreased, the use of online-based teaching methods was increased (p < 0.001). However, satisfaction level with online-based teaching methods was significantly lower compared with that of traditional teaching methods. The average working time exposed to the patients with COVID-19 was 9.7 hours/week. About 47.6% of orthopaedic residents experienced isolation or quarantine. The average score for quality of life, which was 68.9 out of 100 scores before the pandemic, decreased to 61.7 during the pandemic (p < 0.001). The most stressful factor for orthopaedic residents during the pandemic was family/relative health, followed by their own health and residency program. CONCLUSION: The COVID-19 pandemic had a significant impact on orthopaedic resident education in South Korea. Therefore, flexible and sustainable strategies are necessary to prepare for the future as well as the current pandemic situation.
Nishiura H, Jung SM, Linton NM, Kinoshita R, Yang Y, Hayashi K, Kobayashi T, Yuan B, Akhmetzhanov AR (2020) The extent of transmission of novel coronavirus in Wuhan, China, 2020. J Clin Med 9(2):330. https://doi.org/10.3390/jcm9020330
[DOI: 10.3390/jcm9020330]
Kim JY, Choe PG, Oh Y, Oh KJ, Kim J, Park SJ, Park JH, Na HK, Oh (2020) The first case of 2019 novel coronavirus pneumonia imported into Korea from Wuhan, China: implication for infection prevention and control measures. J Korean Med Sci 35(5):e61. https://doi.org/10.3346/jkms.2020.35.e61
[DOI: 10.3346/jkms.2020.35.e61]
Korean Society of Infectious Diseases; Korean Society of Pediatric Infectious Diseases; Korean Society of Epidemiology; Korean Society for Antimicrobial Therapy; Korean Society for Healthcare-associated Infection Control and Prevention; Korea Centers for Disease Control and Prevention (2020) Report on the epidemiological features of coronavirus disease 2019 (COVID-19) outbreak in the Republic of Korea from January 19 to March 2, 2020. J Korean Med Sci 35(10):e112. https://doi.org/10.3346/jkms.2020.35.e112
[DOI: 10.3346/jkms.2020.35.e112]
Jones DS (2020) History in a crisis – lessons for COVID-19. N Engl J Med 382(18):1681–1683. https://doi.org/10.1056/NEJMp2004361
[DOI: 10.1056/NEJMp2004361]
Zhang X (2020) Epidemiology of COVID-19. N Engl J Med 382(19):1869. https://doi.org/10.1056/NEJMc2005157
[DOI: 10.1056/NEJMc2005157]
Arons MM, Hatfield KM, Reddy SC, Kimball A, James A, Jacobs JR, Taylor J, Spicer K, Bardossy AC, Oakley LP, Tanwar S, Dyal JW, Harney J, Chisty Z, Bell JM, Methner M, Paul P, Carlson CM, McLaughlin HP, Thornburg N, Tong S, Tamin A, Tao Y, Uehara A, Harcourt J, Clark S, Brostrom-Smith C, Page LC, Kay M, Lewis J, Montgomery P, Stone ND, Clark TA, Honein MA, Duchin JS, Jernigan JA, Public Health–Seattle and King County and CDC COVID-19 Investigation Team (2020) Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. N Engl J Med 382(22):2081–2090. https://doi.org/10.1056/NEJMoa2008457
[DOI: 10.1056/NEJMoa2008457]
Sarac NJ, Sarac BA, Schoenbrunner AR, Janis JE, Harrison RK, Phieffer LS, Quatman CE, Ly TV (2020) A review of state guidelines for elective orthopaedic procedures during the COVID-19 outbreak. J Bone Joint Surg Am 102(11):942–945. https://doi.org/10.2106/JBJS.20.00510
[DOI: 10.2106/JBJS.20.00510]
Rodrigues-Pinto R, Sousa R, Oliveira A (2020) Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. J Bone Joint Surg Am 102(11):946–950. https://doi.org/10.2106/JBJS.20.00454
[DOI: 10.2106/JBJS.20.00454]
Sarpong NO, Forrester LA, Levine WN (2020) What’s important: redeployment of the orthopaedic surgeon during the COVID-19 pandemic: perspectives from the trenches. J Bone Joint Surg Am. https://doi.org/10.2106/JBJS.20.00574
Kogan M, Klein SE, Hannon CP, Nolte MT (2020) Orthopaedic education during the COVID-19 pandemic. J Am Acad Orthop Surg 28(11):e456–e464. https://doi.org/10.5435/JAAOS-D-20-00292
[DOI: 10.5435/JAAOS-D-20-00292]
Chick RC, Clifton GT, Peace KM, Propper BW, Hale DF, Alseidi AA, Vreeland TJ (2020) Using technology to maintain the education of residents during the COVID-19 pandemic. J Surg Educ. https://doi.org/10.1016/j.jsurg.2020.03.018
Dowdell JE, Louie PK, Virk S, McCarthy MH, Sandhu HS, Qureshi SA, Albert TJ, Kim HJ (2020) Spine fellowship training reorganizing during a pandemic: perspectives from a tertiary orthopedic specialty center in the epicenter of outbreak. Spine J 26:S1529-9430(20)30165-0. https://doi.org/10.1016/j.spinee.2020.04.015
[DOI: 10.1016/j.spinee.2020.04.015]
Crosby DL, Sharma A (2020) Insights on otolaryngology residency training during the COVID-19 pandemic. Otolaryngol Head Neck Surg. https://doi.org/10.1177/0194599820922502
Zou J, Yu H, Song D, Niu J, Yang H (2020) Advice on standardized diagnosis and treatment for spinal diseases during the coronavirus disease 2019 pandemic. Asian Spine J. 14(2):258–263. https://doi.org/10.31616/asj.2020.0122
[DOI: 10.31616/asj.2020.0122]
Sornsa-Ard T, Niramitsantiphong A, Liawrungrueang W (2020) Management of traumatic spinal fracture in the coronavirus disease 2019 situation. Asian Spine J. https://doi.org/10.31616/asj.2019.0183
Haleem A, Javaid M, Vaishya R, Vaish A (2020) Effects of COVID-19 pandemic in the field of orthopaedics. J Clin Orthop Trauma 11(3):498–499. https://doi.org/10.1016/j.jcot.2020.03.015
[DOI: 10.1016/j.jcot.2020.03.015]
Guo X, Wang J, Hu D, Wu L, Gu L, Wang Y, Zhao J, Zeng L, Zhang J, Wu Y (2020) Survey of COVID-19 disease among orthopaedic surgeons in Wuhan, People’s Republic of China. J Bone Joint Surg Am 102(10):847–854. https://doi.org/10.2106/JBJS.20.00417
[DOI: 10.2106/JBJS.20.00417]
Meyer M, Prost S, Farah K, Denis JB, Dufour H, Blondel B, Fuentes S (2020) Spine surgical procedures during coronavirus disease 2019 pandemic: is it still possible to take care of patients? Results of an observational study in the first month of confinement. Asian Spine J 14(3):336–340. https://doi.org/10.31616/asj.2020.0197
[DOI: 10.31616/asj.2020.0197]
Tan KA, Thadani VN, Chan D, Oh JY, Liu GK (2020) Addressing coronavirus disease 2019 in spine surgery: a rapid national consensus using the Delphi method via teleconference. Asian Spine J 14(3):373–381. https://doi.org/10.31616/asj.2020.0224
[DOI: 10.31616/asj.2020.0224]
Ammar A, Stock AD, Holland R, Gelfand Y, Altschul D (2020) Managing a specialty service during the COVID-19 crisis: lessons from a New York City health system. Acad Med. https://doi.org/10.1097/ACM.0000000000003440
Stambough JB, Curtin BM, Gililland JM, Guild GN 3rd, Kain MS, Karas V, Keeney JA, Plancher KD, Moskal JT (2020) The past, present, and future of orthopedic education: lessons learned from the COVID-19 pandemic. J Arthroplasty. https://doi.org/10.1016/j.arth.2020.04.032
Plancher KD, Shanmugam JP, Petterson SC (2020) The changing face of orthopedic education: searching for the new reality after COVID-19. Arthrosc Sports Med Rehabil. https://doi.org/10.1016/j.asmr.2020.04.007
