Repurposing a Small Community Hospital Surgical Residency Program in an Epicenter of the COVID-19 Pandemic.
Am Surg
; 86(12): 1623-1628, 2020 Dec.
Article
in English
| MEDLINE | ID: covidwho-1011070
ABSTRACT
BACKGROUND:
COVID-19 put a stop to the operative experience of surgical residents, leaving reassignment of the team, to the frontlines. Each program has adapted uniquely; we discuss how our surgical education changed in our hospital. STUDYDESIGN:
A retrospective review of changes in general surgery cases, bedside procedures, and utilization of residents before and during the pandemic. Procedures were retrieved from electronic medical records. Operating room (OR) cases 1 month before and 5 weeks after the executive order were collected. Triple lumen catheter (TLC), temporary hemodialysis catheter (HDC), and pneumothorax catheter (PC) insertions by surgical residents were recorded for 5 weeks.RESULTS:
Before the pandemic, an average of 27.9 cases were done in the OR, with an average of 10.1 general surgery cases. From March 23 to April 30, 2020, the average number of cases decreased to 5.1, and general surgery cases decreased to 2.2. Elective, urgent, and emergent cases represented 83%, 14.6%, and 2.4% prior to the order and 66.7%, 15.1%, and 18.2%, respectively, after the order. Bedside procedures over 5 weeks totaled to 153, 93 TLCs, 39 HDCs, and 21 PCs.CONCLUSION:
Repurposing the surgical department for the concerns of the pandemic has involved all surgical staff. We worked with other departments to allocate our team to areas of need and re-evaluated daily. The strengths of our team to deliver care and perform many bedside procedures allowed us to meet the demands posed by this disease while remaining as a cohesive unit.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
General Surgery
/
COVID-19
/
Hospitals, Community
/
Internship and Residency
Type of study:
Experimental Studies
/
Observational study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Am Surg
Year:
2020
Document Type:
Article
Affiliation country:
0003134820956355
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