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Effects of COVID-19 on Facial Plastic and Reconstructive Surgery Fellowship Training and Director Practices.
Salehi, Parsa P; Torabi, Sina J; Lee, Yan Ho; Azizzadeh, Babak.
  • Salehi PP; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, School of Medicine, Yale University, New Haven, Connecticut, USA.
  • Torabi SJ; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, School of Medicine, Yale University, New Haven, Connecticut, USA.
  • Lee YH; Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, School of Medicine, Yale University, New Haven, Connecticut, USA.
  • Azizzadeh B; Center for Advanced Facial Plastic Surgery, Beverly Hills, California, USA.
OTO Open ; 5(2): 2473974X211014130, 2021.
Article in English | MEDLINE | ID: covidwho-1242226
ABSTRACT

OBJECTIVES:

The objectives of this study include characterizing the practice patterns and testing strategies of facial plastic and reconstructive surgery (FPRS) fellowship directors (FDs) secondary to COVID-19 and to quantify the impact of COVID-19 on FPRS fellowship training. STUDY

DESIGN:

Cross-sectional survey.

SETTING:

Online.

METHODS:

A survey was sent to all American Academy of Facial Plastic and Reconstructive Surgery FDs and co-FDs in September 2020. Descriptive analyses were performed.

RESULTS:

Of 77 eligible FDs, 45 responded (58.4%) representing a diverse group across the United States. All but 1 FD routinely screened patients for COVID-19 in the preoperative setting. FDs largely believed that universal preoperative testing was cost-effective (66.7%), improved patient safety (80.0%) and health care worker safety (95.6%), and was not burdensome for patients (53.3%). With regard to volume of cosmetic/aesthetic, reconstructive, facial nerve, and trauma surgery, FDs indicated largely no change in volume (34.9%, 71.0%, 68.4%, and 80.0%, respectively) or fellow experience (67.4%, 80.6%, 84.2%, and 80.0%). Half (50.0%) of the FDs reported decreased volume of congenital/craniofacial surgery, but 75.0% did not believe that there was a change in fellow experience. Overall, of the 15 responses indicating "worsened training" across all domains of FPRS, 14 were located in the Northeast (93.33%).

CONCLUSIONS:

The COVID-19 pandemic has had the least impact on the volume of reconstructive procedures, facial nerve operations, and trauma surgery and a negative impact on congenital/craniofacial surgery volume, and it has accelerated the demand for cosmetic/aesthetic operations. Overall, the majority of FDs did not feel as though their fellows' trainings would be adversely affected by the ongoing pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Randomized controlled trials Language: English Journal: OTO Open Year: 2021 Document Type: Article Affiliation country: 2473974x211014130

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Randomized controlled trials Language: English Journal: OTO Open Year: 2021 Document Type: Article Affiliation country: 2473974x211014130