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. 2021 May-Jun;78(3):813-819.
doi: 10.1016/j.jsurg.2020.09.009. Epub 2020 Sep 14.

Redeployment of Surgical Trainees to Intensive Care During the COVID-19 Pandemic: Evaluation of the Impact on Training and Wellbeing

Anna Payne  1 , Rafid Rahman  2 , Roberta Bullingham  2 , Sarita Vamadeva  1 , Maryam Alfa-Wali  3
Affiliations

Redeployment of Surgical Trainees to Intensive Care During the COVID-19 Pandemic: Evaluation of the Impact on Training and Wellbeing

Anna Payne et al. J Surg Educ. 2021 May-Jun.

Abstract

Objective: The aim of this study was to evaluate the impact of redeployment of surgical trainees to intensive care units (ICUs) during the COVID-19 pandemic-in terms of transferrable technical and nontechnical skills and wellbeing.

Design: This was a survey study consisting of a 23-point questionnaire.

Setting: The study involved surgical trainees that had been redeployed to the (ICU) across all hospitals in London during the COVID-19 pandemic.

Participants: The survey was sent to 90 surgical trainees who were between postgraduate years 2 to 4. Trainees in specialty training programs (>5 years after graduation) were not included. Thirty-two trainees responded to the questionnaire and were included in the study results.

Results: All respondents spent between 4 and 8 weeks working in ICU. Prior to redeployment, 78% of participants had previous experience of ICU or an affiliated specialty, and >90% had attended at least 1 educational course with relevance to ICU. There were statistically significant increases in confidence performing central venous cannulation and peripheral arterial catheterisation (p < 0.05). With regards to clinical skills, respondents reported feeling more confident managing ventilated patients, patients on noninvasive ventilation, dialysis, and circulatory failure patients after working in ICU. Respondents (97%) felt that the experience would be beneficial to their future careers but 53% felt the redeployment had a negative impact on their mental health.

Conclusions: Redeployment of surgical trainees to ICU led to increased confidence in a number of technical and nontechnical skills. However, proactive interventions are needed for training surgeons with regard to their psychological wellbeing in these extraordinary circumstances and to improve workforce planning for future pandemics.

Keywords: COVID-19; Pandemic; Surgical training; Wellbeing; Workforce.

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Figures

FIGURE 1
FIGURE 1
Specialities of doctors in training that responded.
FIGURE 2
FIGURE 2
Courses undertaken by redeployed trainees. Abbreviations: CCRISP - Care of the Critically Ill Surgical Patient, ATLS – Advanced Trauma and Life Support, ALS – Advanced Life Support, ICU- Intensive Care Unit, BASIC – Basic assessment and support in intensive care.
FIGURE 3
FIGURE 3
Bar charts representing the average score improvement pre- and post-redeployment. Abbreviations: Art – arterial, CVC – central venous catheter, NGT – nasogastric tube.
FIGURE 4
FIGURE 4
Pie chart representing the impact on the redeployment on mental health.
FIGURE 5
FIGURE 5
Mindmap diagram illustrating the main causes of a negative impact on mental health.
See this image and copyright information in PMC

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