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Published in: World Journal of Surgery 1/2021

01-01-2021 | COVID-19 | Surgery in Low and Middle Income Countries

Impact of the COVID-19 Pandemic on Surgical Residency Training: Perspective from a Low-Middle Income Country

Authors: AbdulHafiz Oladapo Adesunkanmi, Akaninyene Eseme Ubom, Olalekan Olasehinde, Funmilola Olanike Wuraola, Omotade Adebimpe Ijarotimi, Nwedobong Ededem Okon, John Igemo Ikimalo, Olusola Benjamin Fasubaa, Abdul Rashid Kayode Adesunkanmi

Published in: World Journal of Surgery | Issue 1/2021

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Abstract

Background

The COVID-19 pandemic has drastically impacted postgraduate training programmes worldwide. This study aims to evaluate the Nigerian situation with respect to surgical training, with a view to identifying gaps and proffering solutions.

Methods

A cross-sectional survey of surgical residents in Nigeria was conducted between 27 July 2020 and 14 August 2020. A structured questionnaire designed using the free software Google Forms® was utilised for the study. The questionnaire was electronically distributed randomly to 250 surgical residents via emails and social media platforms including WhatsApp and Telegram. The data obtained was analysed by Google Forms®. Ethical approval for the study was obtained from the ethics and research unit of the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun State, Nigeria.

Results

At the end of the study period, 207 surgical residents completed and submitted the questionnaire, giving a response rate of 82.8%. The majority of respondents reported a reduction (164, 79.2%) or cancellation (11, 5.3%) of postgraduate programmes in their institutions. Of those who had academic programmes, meetings were done using virtual technology in all instances. The majority of respondents reported seeing fewer patients in the outpatient clinics (173, 83.6%), as well as a reduction in the number of emergency and elective operations (58.5% and 90.8%, respectively). About a third of the respondents (70, 33.8%) were contemplating emigrating from the country.

Conclusion

The COVID-19 pandemic has significantly affected the clinical, research and teaching components of surgical training in Nigeria. It has, however, led to increased adoption of digital technology which should be further explored in the face of current realities.
Literature
1.
go back to reference Xu Z, Shi L, Wang Y et al (2020) Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 8(4):420–422CrossRef Xu Z, Shi L, Wang Y et al (2020) Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 8(4):420–422CrossRef
2.
go back to reference Lai CC, Shih TP, Ko WC et al (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents 55(3):105924CrossRef Lai CC, Shih TP, Ko WC et al (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents 55(3):105924CrossRef
3.
go back to reference Jebril N (2020) World health organisation declared a pandemic public health menace: a systematic review of the coronavirus disease 2019 COVID-19. Int J Psychsoc Rehabilit 24(9):2784–2795 Jebril N (2020) World health organisation declared a pandemic public health menace: a systematic review of the coronavirus disease 2019 COVID-19. Int J Psychsoc Rehabilit 24(9):2784–2795
4.
go back to reference Callaway E (2020) Time to use the p-word? Coronavirus enter dangerous new phase. Nature 579(12):10–38 Callaway E (2020) Time to use the p-word? Coronavirus enter dangerous new phase. Nature 579(12):10–38
5.
6.
go back to reference Adepoju P (2020) Nigeria responds to COVID-19; first case detected in sub-Saharan Africa. Nat Med 26(4):444–448CrossRef Adepoju P (2020) Nigeria responds to COVID-19; first case detected in sub-Saharan Africa. Nat Med 26(4):444–448CrossRef
9.
go back to reference Kalu B (2020) COVID-19 in Nigeria: a disease of hunger. Lancet Respir Med S2213–2600(20):30220–30224 Kalu B (2020) COVID-19 in Nigeria: a disease of hunger. Lancet Respir Med S2213–2600(20):30220–30224
10.
go back to reference Ijarotimi OA, Ubom AE, Olofinbiyi BA et al (2020) COVID-19 and obstetric practice: a critical review of the Nigerian situation. Int J Gynecol Obstet 151:17–22CrossRef Ijarotimi OA, Ubom AE, Olofinbiyi BA et al (2020) COVID-19 and obstetric practice: a critical review of the Nigerian situation. Int J Gynecol Obstet 151:17–22CrossRef
12.
go back to reference Patel S, Lorenzi N, Smith T, Carlson BR, Sternberg Jr P (2020). Critical insights from patients during the COVID-19 pandemic. NEJM Catal Innov Care Deliv 1(4) Patel S, Lorenzi N, Smith T, Carlson BR, Sternberg Jr P (2020). Critical insights from patients during the COVID-19 pandemic. NEJM Catal Innov Care Deliv 1(4)
14.
go back to reference Adam S, Zahra SA, Chor CY, et al (2020) COVID-19 pandemic and its impact on service provision: a cardiology prospect. Acta Cardiol 1–8 Adam S, Zahra SA, Chor CY, et al (2020) COVID-19 pandemic and its impact on service provision: a cardiology prospect. Acta Cardiol 1–8
15.
go back to reference Pertile D, Gallo G, Barra F et al (2020) 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). Updat Surg 72:269–280CrossRef Pertile D, Gallo G, Barra F et al (2020) 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). Updat Surg 72:269–280CrossRef
16.
go back to reference Russell TR (2007) The surgical workforce: averting a patient access crisis. Surg Clin N Am 87(4):797–809CrossRef Russell TR (2007) The surgical workforce: averting a patient access crisis. Surg Clin N Am 87(4):797–809CrossRef
17.
go back to reference Notrica MR, Evans FM, Knowlton LM et al (2011) Rwandan surgical and anesthesia infrastructure: a survey of district hospitals. World J Surg 35(8):1770–1780CrossRef Notrica MR, Evans FM, Knowlton LM et al (2011) Rwandan surgical and anesthesia infrastructure: a survey of district hospitals. World J Surg 35(8):1770–1780CrossRef
21.
go back to reference Society of gynaecology and obstetrics of Nigeria (SOGON). SOGON advice on SARS-COV-19 (COVID-19) infection- practice guidance for members. Published 27 March 2020 Society of gynaecology and obstetrics of Nigeria (SOGON). SOGON advice on SARS-COV-19 (COVID-19) infection- practice guidance for members. Published 27 March 2020
22.
go back to reference Amparore D, Claps F, Cacciamani GE et al (2020). Impact of the COVID-19 pandemic on urology residency training in Italy. Miner Urol Nefrol 03868 Amparore D, Claps F, Cacciamani GE et al (2020). Impact of the COVID-19 pandemic on urology residency training in Italy. Miner Urol Nefrol 03868
23.
go back to reference Potts JR (2020) Residency and fellowship program accreditation: effects of the novel coronavirus (COVID-19) pandemic. J Am Coll Surg 230(6):1094–1097CrossRef Potts JR (2020) Residency and fellowship program accreditation: effects of the novel coronavirus (COVID-19) pandemic. J Am Coll Surg 230(6):1094–1097CrossRef
24.
go back to reference Fuller S, Vaporciyan A, Dearani JA, et al (2020). COVID-19 disruption in cardiothoracic surgical training: an opportunity to enhance education. Ann Thorac Surg 110(5):1443–1446CrossRef Fuller S, Vaporciyan A, Dearani JA, et al (2020). COVID-19 disruption in cardiothoracic surgical training: an opportunity to enhance education. Ann Thorac Surg 110(5):1443–1446CrossRef
26.
go back to reference Pfefferbaum B, North CS (2020). Mental health and the COVID-19 pandemic. N Engl J Med 383(6):510–512CrossRef Pfefferbaum B, North CS (2020). Mental health and the COVID-19 pandemic. N Engl J Med 383(6):510–512CrossRef
27.
go back to reference Daodu O, Panda N, Lopushinsky S et al (2020) COVID-19-considerations and implications for surgical learners. Ann Surg 272(1):e22–e23CrossRef Daodu O, Panda N, Lopushinsky S et al (2020) COVID-19-considerations and implications for surgical learners. Ann Surg 272(1):e22–e23CrossRef
29.
go back to reference Archibald MM, Ambaghtsheer RC, Casey MG et al (2019) Using zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants. Int J Qual Methods 18:1609406919874596CrossRef Archibald MM, Ambaghtsheer RC, Casey MG et al (2019) Using zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants. Int J Qual Methods 18:1609406919874596CrossRef
Metadata
Title
Impact of the COVID-19 Pandemic on Surgical Residency Training: Perspective from a Low-Middle Income Country
Authors
AbdulHafiz Oladapo Adesunkanmi
Akaninyene Eseme Ubom
Olalekan Olasehinde
Funmilola Olanike Wuraola
Omotade Adebimpe Ijarotimi
Nwedobong Ededem Okon
John Igemo Ikimalo
Olusola Benjamin Fasubaa
Abdul Rashid Kayode Adesunkanmi
Publication date
01-01-2021
Publisher
Springer International Publishing
Keyword
COVID-19
Published in
World Journal of Surgery / Issue 1/2021
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-020-05826-2

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