Purpose

The COVID-19 pandemic has presented an unprecedented challenge to the orthopedic residency training programs to adapt to a form of a web-based learning process and simulation-based training. This study focusses on the viewpoint of the orthopedic residents to the paradigm shift in clinical care as well as the academic activities.

Methods

An anonymous questionnaire was created in an online survey generator and was sent through e-mail to 227 orthopedic residents of seven tertiary care centres in North India. The questionnaire was divided into three sections, academic activity section, mental health section, and clinical activity section. There were a total of 44 single answer questions with answers according to the increasing difficulty at present situation compared to a previous time before the COVID-19 pandemic.

Results

A total of 158 questionnaires were filled by 107 junior residents (67.7%) and 51 senior residents (32.3%). 49 residents (31%) were quarantined and three became positive for COVID-19. Although all of them knew about necessary precautions, personal protective equipment was difficult to avail at times. Increased difficulty in recruiting new patients for research (48.9%) and conducting prospective research (48.7%) was observed. The online-based learning process was reported to be easier (44.2%) by most of the residents. Routine clinical work in the operating room, out-patient department, and inpatient department was found to be difficult according to the majority of the residents along with the anxiety of contracting the infection.

Conclusion

There are unique opportunities for improvement of residency programs during these times of uncertainty and the findings of this study can help the universities as well as program chairs to develop a robust program that can outlive this pandemic. The web-based learning process might prove to be useful and can be incorporated into the resident training program in the long term.

Level of evidence

Level V.

中文翻译：

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洞察 COVID-19 大流行期间骨科住院医师临床和学术活动的变化模式：一项横断面调查。

目的

COVID-19 大流行对骨科住院医师培训计划提出了前所未有的挑战，以适应基于网络的学习过程和基于模拟的培训形式。本研究侧重于骨科住院医师对临床护理范式转变以及学术活动的看法。

方法

在在线调查生成器中创建了一份匿名问卷，并通过电子邮件发送给印度北部七个三级护理中心的 227 名骨科住院医师。问卷分为三个部分，学术活动部分、心理健康部分和临床活动部分。与 COVID-19 大流行之前的前一次相比，根据目前情况的难度增加，共有 44 个单答案问题的答案。

结果

107 名初级居民（67.7%）和 51 名老年居民（32.3%）填写了 158 份问卷。49 名居民 (31%) 被隔离，其中 3 名 COVID-19 呈阳性。尽管他们都知道必要的预防措施，但有时很难使用个人防护设备。观察到招募新患者进行研究（48.9%）和进行前瞻性研究（48.7%）的难度增加。据报道，大多数居民的在线学习过程更容易（44.2%）。大部分住院者都发现手术室、门诊部和住院部的日常临床工作困难，同时担心感染。

结论

在这些充满不确定性的时期，有独特的机会来改善居住项目，这项研究的结果可以帮助大学和项目主席制定一个能够在这场大流行中存活下来的强有力的项目。基于网络的学习过程可能被证明是有用的，并且可以长期纳入住院医师培训计划。

证据级别

V 级。