CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(03): e339-e342
DOI: 10.1055/s-0041-1730019
Original Research
Special Article COVID-19

The Impact of the COVID-19 Pandemic on Head and Neck Surgery Training: A Brazilian National Survey

1   Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo/Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
,
1   Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo/Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
,
1   Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo/Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
,
1   Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo/Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
› Author Affiliations

Abstract

Introduction The COVID-19 pandemic has had a high impact on surgical training around the world due to required measures regarding the suspension of elective procedures and the dismissal of nonessential personnel.

Objectives To understand the impact the pandemic had on head and neck surgery training in Brazil.

Methods We conducted a 29-question online survey with head and neck surgery residents in Brazil, assessing the impact the pandemic had on their training.

Results Forty-six residents responded to the survey, and 91.3% of them reported that their residency was affected by the pandemic, but most residents were not assigned to work directly with patients infected with the new coronavirus (71.4%). All residents reported decrease in clinic visits and in surgical procedures, mostly an important reduction of ∼ 75%. A total of 56.5% of the residents described that the pandemic has had a negative impact on their mental, health and only 4 (8.7%) do not have any symptoms of burnout. The majority (78.3%) of the residents reported that educational activities were successfully adapted to online platforms, and 37% were personally infected with the virus.

Conclusion Most surgical residencies were greatly affected by the pandemic, and residents had an important decrease in surgical training. Educational activities were successfully adapted to online modalities, but the residency programs should search for ways of trying to compensate for the loss of practical activities.



Publication History

Received: 04 December 2020

Accepted: 15 February 2021

Article published online:
25 June 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 BenÍtez CY, Pedival AN, Talal I. et al. Adapting to an unprecedented scenario: surgery during the COVID-19 outbreak. Rev Col Bras Cir 2020; 47: e20202701
  • 2 Givi B, Schiff BA, Chinn SB. et al. Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg 2020; 146 (06) 579-584
  • 3 Krajewska Wojciechowska J, Krajewski W, Zub K, Zatoński T. Review of practical recommendations for otolaryngologists and head and neck surgeons during the COVID-19 pandemic. Auris Nasus Larynx 2020; 47 (04) 544-558
  • 4 Aziz H, James T, Remulla D. et al. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ 2021; 78 (02) 431-439
  • 5 Coyan GN, Aranda-Michel E, Kilic A. et al. The impact of COVID-19 on thoracic surgery residency programs in the US: A program director survey. J Card Surg 2020; 35 (12) 3443-3448
  • 6 Brar B, Bayoumy M, Salama A, Henry A, Chigurupati R. A survey assessing the early effects of COVID-19 pandemic on oral and maxillofacial surgery training programs. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 131 (01) 27-42
  • 7 Guo T, Kiong KL, Yao CMKL. et al. Impact of the COVID-19 pandemic on Otolaryngology trainee education. Head Neck 2020; 42 (10) 2782-2790
  • 8 Bandi F, Karligkiotis A, Mellia J. et al. Strategies to overcome limitations in Otolaryngology residency training during the COVID-19 pandemic. Eur Arch Otorhinolaryngol 2020; 277 (12) 3503-3506
  • 9 Amparore D, Claps F, Cacciamani GE. et al. Impact of the COVID-19 pandemic on urology residency training in Italy. Minerva Urol Nefrol 2020; 72 (04) 505-509
  • 10 Obaid O, Zimmermann J, Ares G. Surgical Residents in the Battle Against COVID-19. J Surg Educ 2021; 78 (01) 332-335
  • 11 Kulcsar MAV, Montenegro FLM, Santos ABO, Tavares MR, Arap SS, Kowalski LP. Recommendations for head and neck surgical procedures during the COVID-19 pandemic. Clinics (São Paulo) 2020; 75: e2084
  • 12 Pertile D, Gallo G, Barra F. et al; SPIGC Working Group. The impact of COVID-19 pandemic on surgical residency programmes in Italy: a nationwide analysis on behalf of the Italian Polyspecialistic Young Surgeons Society (SPIGC). Updates Surg 2020; 72 (02) 269-280
  • 13 Brito LGO, Romão GS, Fernandes CE, Silva-Filho AL. Impact of COVID-19 on Brazilian medical residencies in obstetrics and gynecology. Int J Gynaecol Obstet 2020; 150 (03) 411-412
  • 14 English W, Vulliamy P, Banerjee S, Arya S. Surgical training during the COVID-19 pandemic - the cloud with a silver lining?. Br J Surg 2020; 107 (09) e343-e344
  • 15 Di Saverio S, Pata F, Khan M, Ietto G, Zani E, Carcano G. Convert to open: the new paradigm for surgery during COVID-19?. Br J Surg 2020; 107 (07) e194
  • 16 Hau HM, Weitz J, Bork U. Impact of the COVID-19 Pandemic on Student and Resident Teaching and Training in Surgical Oncology. J Clin Med 2020; 9 (11) E3431
  • 17 Okland TS, Pepper JP, Valdez TA. How do we teach surgical residents in the COVID-19 era?. J Surg Educ 2020; 77 (05) 1005-1007
  • 18 World Health Organization Situation Report: who.int. 2020 [December 1].