CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(02): 273-279
DOI: 10.1055/s-0040-1716458
Original Article

The Impact of COVID-19 and Lockdown on Plastic Surgery Training and Practice in India

Dharini,
Shalabh Kumar
1   Department of Burns, Plastic and Maxillofacial Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
1   Department of Burns, Plastic and Maxillofacial Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Mandara Harikar
2   Independent Researcher, India
› Author Affiliations

Abstract

Background A nationwide lockdown due to the outbreak of COVID-19 has posed unforeseen challenges. Lockdown, physical distancing, and restrictions on medical practice have affected the training of residents and the professional and personal life of plastic surgeons. An online survey was conducted to assess this impact.

Methods A questionnaire was circulated on Whatsapp groups from 15 to 21 of May and snowball sampling was done. The survey was designed to have a separate set of questions for residents and practitioners. The obtained results were analyzed, according to SPSS software version 25.

Results A total of 206 responses were obtained (107 residents and 96 consultants) from across the country. The average age of consultants was 38.10 years, with mean experience of 4 years (range 0.5–33 years). As much as 56.3% of practitioners and 87.8% of residents were working in hospitals treating COVID-19. Average fall in number of OPD cases and elective surgeries was 75%. This led to financial strain on 86.5% of consultants and adversely affected training of 86% residents. As much as 86.9% of residents and 67.7% of consultants hoped that the online teaching pattern continued after the pandemic.

Conclusion Universities need to recognize the loss in training for residents due to the pandemic and formulate plans to overcome it. Institutions and associations conducting webinars can streamline and archive them for future use.



Publication History

Article published online:
30 August 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395 (10223) 470-473
  • 2 WHO. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—11-march-2020. Accessed June 2, 2020
  • 3 The Lancet. India under COVID-19 lockdown. Lancet Lond Engl 2020; 395 (10233) 1315
  • 4 MOHFW. Advisory for Hospitals and Medical Education Institutions. Available at: https://www.mohfw.gov.in/pdf/AdvisoryforHospitalsandMedicalInstitutions.pdf. Accessed June 2, 2020
  • 5 CDC. Coronavirus Disease 2019 (COVID-19). Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/framework-non-COVID-care.html. Accessed June 2, 2020
  • 6 American Society of Plastic Surgeons. Women underrepresented in plastic surgery. Available at: https://www.plasticsurgery.org/news/press-releases/women-underrepresented-in-plastic-surgery. Accessed June 19, 2020
  • 7 MOHFW. SOP for reallocation of residents/PG students and nursing students as part of hospital management of COVID. Available at: https://www.mohfw.gov.in/pdf/COVID19SOPfordoctorsandnurses.pdf. Accessed June 2, 2020
  • 8 Sutherland LM, Middleton PF, Anthony A. et al. Surgical simulation: a systematic review. Ann Surg 2006; 243 (03) 291-300
  • 9 MCI. P.G. Medical Education Regulations 2000. Available at: https://www.mciindia.org/CMS/rules-regulations/p-g-medical-education-regulations-2000. Accessed June 19, 2020
  • 10 Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control 2013; 41 (12) 1218-1223
  • 11 Khanna RC, Honavar SG, Metla AL, Bhattacharya A, Maulik PK. Psychological impact of COVID-19 on ophthalmologists-in-training and practising ophthalmologists in India. Indian J Ophthalmol 2020; 68 (06) 994-998
  • 12 Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID-19 on the mental health of surgeons and coping strategies. Head Neck 2020; 42 (07) 1638-1644
  • 13 Erdogan B, Morioka D, Hamada T, Kusano T, Win KM. Use of a plastic eraser for ear reconstruction training. Indian J Plast Surg 2018; 51 (01) 66-69
  • 14 Zingaretti N, Contessi Negrini F, Tel A, Tresoldi MM, Bresadola V, Parodi PC. The impact of COVID-19 on plastic surgery residency training. Aesthetic Plast Surg 2020; (e-pub ahead of print. doi: https://dx.doi.org/10.1007%2Fs00266-020-01789-w
  • 15 Edwards B. The New Drawing on the Right Side of the Brain. 3rd ed. HarperCollins; 2009