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Laparoscopy training for general surgery residents – the impact of the COVID-19 pandemic
EAES Academy. Schlanger D. 07/05/22; 363128; P173
Diana Schlanger
Diana Schlanger
Contributions
Abstract
Aims:

Minimally invasive surgery is essential to be properly taught to general surgery residents since it constitutes a major part of nowadays surgical practice. Laparoscopic training should take into consideration the need for practice and the longer learning curve as compared to open surgery. The COVID-19 pandemic has a great impact on the healthcare system and on medical education as well. Our study analysis the impact of the COVID-19 pandemic on the training process in laparoscopic surgery for young surgeons.
Methods:

The present study is a comparative survey study, that analysis the views and activities of general surgery residents in laparoscopic surgery, in two different time periods: before the COVID-19 pandemic (2019 – pre-COVID-19 era) and during the COVID-19 pandemic (2020 – COVID-19 era). Two different questionnaires, containing questions regarding their day-to-day surgical practice, as well as extracurricular activities, have been developed and distributed to general surgery residents from 7 different hospitals belonging to one university center.
Results:

There were 33 responders in the first survey, and 45 responders in the second one. The residents activated in the operating room 5 days per week in the pre-COVID-19 era, versus 3 days per week in the COVID-19 era (p<0.0001). In the first period, 69.7% of participants considered that they have not gain sufficient laparoscopy training, while 71.1% had the same view in the COVID-19 period (p=1). Most of the residents (91.1%) believe that their opportunities for training have been diminished during the COVID-19 pandemic. The possibility of extracurricular training has decreased during the COVID-19 pandemic, from 72.7% to 22.2% (p<0.0001). Most of the participants (77.8%) consider that they might benefit from more extracurricular activities.
Conclusion:

The surgical residents consider that the laparoscopic training that they receive is insufficient. The training process of young surgeons in laparoscopy has suffered important changes during the pandemic period, with a reduction of active participation in the operating room and less opportunities for extracurricular training. Active changes need to be done in order to better prepare young surgeons for minimally invasive surgery in their clinical practice.
Aims:

Minimally invasive surgery is essential to be properly taught to general surgery residents since it constitutes a major part of nowadays surgical practice. Laparoscopic training should take into consideration the need for practice and the longer learning curve as compared to open surgery. The COVID-19 pandemic has a great impact on the healthcare system and on medical education as well. Our study analysis the impact of the COVID-19 pandemic on the training process in laparoscopic surgery for young surgeons.
Methods:

The present study is a comparative survey study, that analysis the views and activities of general surgery residents in laparoscopic surgery, in two different time periods: before the COVID-19 pandemic (2019 – pre-COVID-19 era) and during the COVID-19 pandemic (2020 – COVID-19 era). Two different questionnaires, containing questions regarding their day-to-day surgical practice, as well as extracurricular activities, have been developed and distributed to general surgery residents from 7 different hospitals belonging to one university center.
Results:

There were 33 responders in the first survey, and 45 responders in the second one. The residents activated in the operating room 5 days per week in the pre-COVID-19 era, versus 3 days per week in the COVID-19 era (p<0.0001). In the first period, 69.7% of participants considered that they have not gain sufficient laparoscopy training, while 71.1% had the same view in the COVID-19 period (p=1). Most of the residents (91.1%) believe that their opportunities for training have been diminished during the COVID-19 pandemic. The possibility of extracurricular training has decreased during the COVID-19 pandemic, from 72.7% to 22.2% (p<0.0001). Most of the participants (77.8%) consider that they might benefit from more extracurricular activities.
Conclusion:

The surgical residents consider that the laparoscopic training that they receive is insufficient. The training process of young surgeons in laparoscopy has suffered important changes during the pandemic period, with a reduction of active participation in the operating room and less opportunities for extracurricular training. Active changes need to be done in order to better prepare young surgeons for minimally invasive surgery in their clinical practice.

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