SURGICAL EDUCATION AND TRAINING ADAPTATION IN RESPONSE TO THE COVID-19 PANDEMIC: A LITERATURE REVIEW

R. Rudiman, P. Hapsari
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Abstract

Background: As a global health emergency, the COVID-19 pandemic has affected all medical education and training, including surgical specialities. The number of elective surgeries dropped significantly as both an impact of the pandemic and a way of limiting the spread of the disease. There was confusion about continuing surgical education and training at the beginning of the pandemic. However, as the pandemic continued, we adapted to the new conditions and regulations. Social distancing, testing, and quarantine were promoted. The study aimed to show how surgical education and training adapt to the COVID-19 pandemic worldwide and share how we do it in Indonesia.Methods: The authors gathered relevant literature from several publications sites, using the keywords “surgical education,” “surgical adaptation,” and “COVID-19.”Results: In order to decrease contacts, the number of people in the operating room was reduced, clinical rounds were cancelled, and face-to-face training and lectures were moved to online platforms, namely Zoom and Google Meet. The number of residents on clinical duties was decreased to limit the transmission. They are encouraged to study using different models by themselves to keep up with the required skills. They were required to learn and then be tested or reviewed by the supervisor. The use of simulation models and online learning platforms provided by several worldwide institutions has become popular.Conclusion: We learn that surgical education and training from the pandemic can develop into a more modern way of learning, consisting of a virtual learning strategy and simulation model. This hybrid learning of offline and online courses can aid the growth of not only the residents but also the experienced surgeon.
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应对 COVID-19 大流行的外科教育和培训调整:文献综述
背景:作为全球卫生紧急事件,COVID-19 大流行影响了所有医学教育和培训,包括外科专业。作为大流行病的影响和限制疾病传播的一种方式,择期手术的数量大幅下降。大流行初期,外科继续教育和培训方面存在混乱。然而,随着大流行的持续,我们适应了新的条件和规定。社会隔离、检测和隔离得到了推广。本研究旨在展示外科教育和培训如何适应全球范围内的 COVID-19 大流行,并分享我们在印度尼西亚是如何做的:作者以 "外科教育"、"外科适应性 "和 "COVID-19 "为关键词,从多个出版物网站收集了相关文献:为了减少接触,手术室的人数减少了,临床查房取消了,面对面的培训和讲座转移到了网络平台,即 Zoom 和 Google Meet。减少了临床值班的住院医师人数,以限制传播。鼓励他们利用不同的模式自学,以跟上所需的技能。要求他们学习后由导师进行测试或复习。世界上一些机构提供的模拟模型和在线学习平台的使用已变得十分流行:我们了解到,外科教育和培训可以从大流行病发展成为一种更现代化的学习方式,由虚拟学习策略和模拟模型组成。这种离线和在线课程的混合学习不仅能帮助住院医生成长,也能帮助经验丰富的外科医生成长。
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