Esmaeil Mohammadi, Lonnie Smith, Ali F. Khan, Benjamin Lee, Oslin Spencer, Fauziyya Muhammad, Lance M. Villeneuve, Ian F. Dunn, Zachary A. Smith
{"title":"大流行后向远程医疗和远程教育的范式转变；Covid-19 大流行对美国神经外科住院医师影响的最新调查","authors":"Esmaeil Mohammadi, Lonnie Smith, Ali F. Khan, Benjamin Lee, Oslin Spencer, Fauziyya Muhammad, Lance M. Villeneuve, Ian F. Dunn, Zachary A. Smith","doi":"10.1016/j.wnsx.2024.100326","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Several strategies were implemented during the Covid-19 pandemic to enhance residency training and patient care.</p></div><div><h3>Objective</h3><p>This study aims to assess the post-pandemic landscape of neurosurgical training and practice.</p></div><div><h3>Method</h3><p>A survey consisting of 28 questions examining the challenges faced in neurosurgery and the adaptive measures was conducted among US neurosurgery residents from May 2022 to May 2023.</p></div><div><h3>Results</h3><p>This study encompassed 59 neurosurgical residents, predominantly male (72.9%) and in later years of training (66.1%) and were distributed across 25 states. Telemedicine and tele-education were pivotal during the pandemic, with virtual lecture series, standalone lectures, and virtual discussions highly favored. Remote didactic learning increased for nearly half of the residents, while 54.2% resumed in-person instruction. Telemedicine was deemed effective by 86.4% for evaluating neurosurgical patients. Access to teaching environments was restricted for 61.0% of residents, impacting their training. The pandemic significantly influenced elective surgeries, with complete cancellations reported by 42.4%. Reduced faculty engagement was noted by 35.6% of residents, while 47.5% reported a negative impact on the overall resident experience. The majority (76.3%) considered changes to their training reasonable given the global health situation.</p></div><div><h3>Conclusions</h3><p>Strategies implemented during the peak of the pandemic remain crucial in shaping neurosurgery training. Telemedicine has become indispensable, with widespread adoption. Tele-education has also expanded, providing additional learning opportunities. However, traditional didactic courses and hands-on experiences remain essential for comprehensive training. Balancing technology-driven methods with established approaches is crucial for optimizing neurosurgical education and maintaining high-quality patient care.</p></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"23 ","pages":"Article 100326"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590139724000577/pdfft?md5=d00a4750e2e7f9b66340335455246725&pid=1-s2.0-S2590139724000577-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Post-pandemic paradigm shift toward telemedicine and tele-education; an updated survey of the impact of Covid-19 pandemic on neurosurgery residents in United States\",\"authors\":\"Esmaeil Mohammadi, Lonnie Smith, Ali F. Khan, Benjamin Lee, Oslin Spencer, Fauziyya Muhammad, Lance M. Villeneuve, Ian F. Dunn, Zachary A. Smith\",\"doi\":\"10.1016/j.wnsx.2024.100326\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Several strategies were implemented during the Covid-19 pandemic to enhance residency training and patient care.</p></div><div><h3>Objective</h3><p>This study aims to assess the post-pandemic landscape of neurosurgical training and practice.</p></div><div><h3>Method</h3><p>A survey consisting of 28 questions examining the challenges faced in neurosurgery and the adaptive measures was conducted among US neurosurgery residents from May 2022 to May 2023.</p></div><div><h3>Results</h3><p>This study encompassed 59 neurosurgical residents, predominantly male (72.9%) and in later years of training (66.1%) and were distributed across 25 states. Telemedicine and tele-education were pivotal during the pandemic, with virtual lecture series, standalone lectures, and virtual discussions highly favored. Remote didactic learning increased for nearly half of the residents, while 54.2% resumed in-person instruction. Telemedicine was deemed effective by 86.4% for evaluating neurosurgical patients. Access to teaching environments was restricted for 61.0% of residents, impacting their training. The pandemic significantly influenced elective surgeries, with complete cancellations reported by 42.4%. Reduced faculty engagement was noted by 35.6% of residents, while 47.5% reported a negative impact on the overall resident experience. The majority (76.3%) considered changes to their training reasonable given the global health situation.</p></div><div><h3>Conclusions</h3><p>Strategies implemented during the peak of the pandemic remain crucial in shaping neurosurgery training. Telemedicine has become indispensable, with widespread adoption. Tele-education has also expanded, providing additional learning opportunities. However, traditional didactic courses and hands-on experiences remain essential for comprehensive training. Balancing technology-driven methods with established approaches is crucial for optimizing neurosurgical education and maintaining high-quality patient care.</p></div>\",\"PeriodicalId\":37134,\"journal\":{\"name\":\"World Neurosurgery: X\",\"volume\":\"23 \",\"pages\":\"Article 100326\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2590139724000577/pdfft?md5=d00a4750e2e7f9b66340335455246725&pid=1-s2.0-S2590139724000577-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Neurosurgery: X\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2590139724000577\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Neurosurgery: X","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590139724000577","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Post-pandemic paradigm shift toward telemedicine and tele-education; an updated survey of the impact of Covid-19 pandemic on neurosurgery residents in United States
Background
Several strategies were implemented during the Covid-19 pandemic to enhance residency training and patient care.
Objective
This study aims to assess the post-pandemic landscape of neurosurgical training and practice.
Method
A survey consisting of 28 questions examining the challenges faced in neurosurgery and the adaptive measures was conducted among US neurosurgery residents from May 2022 to May 2023.
Results
This study encompassed 59 neurosurgical residents, predominantly male (72.9%) and in later years of training (66.1%) and were distributed across 25 states. Telemedicine and tele-education were pivotal during the pandemic, with virtual lecture series, standalone lectures, and virtual discussions highly favored. Remote didactic learning increased for nearly half of the residents, while 54.2% resumed in-person instruction. Telemedicine was deemed effective by 86.4% for evaluating neurosurgical patients. Access to teaching environments was restricted for 61.0% of residents, impacting their training. The pandemic significantly influenced elective surgeries, with complete cancellations reported by 42.4%. Reduced faculty engagement was noted by 35.6% of residents, while 47.5% reported a negative impact on the overall resident experience. The majority (76.3%) considered changes to their training reasonable given the global health situation.
Conclusions
Strategies implemented during the peak of the pandemic remain crucial in shaping neurosurgery training. Telemedicine has become indispensable, with widespread adoption. Tele-education has also expanded, providing additional learning opportunities. However, traditional didactic courses and hands-on experiences remain essential for comprehensive training. Balancing technology-driven methods with established approaches is crucial for optimizing neurosurgical education and maintaining high-quality patient care.
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