About: COVID-19 and Surgery: A thematic analysis of unintended consequences on performance, practice and surgical training

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About: COVID-19 and Surgery: A thematic analysis of unintended consequences on performance, practice and surgical training Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	COVID-19 and Surgery: A thematic analysis of unintended consequences on performance, practice and surgical training
Source	Elsevier; Medline; PMC
abstract	Abstract Purpose The shift in the national focus and allocation of resources to the management of COVID19 has led to significant changes to surgical practice including the delay of elective surgery. The aim of this study was to explore the implications of such changes on surgeons. Method Using a qualitative study design, semi-structured interviews were conducted with general surgery consultants and non-consultant hospital doctors from a major tertiary hospital in the Dublin region between March – May 2020. Data collection proceeded iteratively using a thematic analysis approach with quality controls such as memoing and collaborative analysis. Results Fourteen surgeons (8 male, 6 female) were interviewed. The majority (n=11, 78.6%) were NCHDs. Significant themes determined included ‘impacts’ on a variety of constructs such as performance, self-reported fatigue and wellbeing. Training themes elucidated included the effects of the cancellation of elective admissions on reduced operative exposure for trainees. Senior surgical staff were particularly focused on increased complexity in patient management. New policy requirements such as personal protective equipment use and novel rotas have had implications for aspects of work engagement. The pandemic and subsequent national restrictions imposed has afforded opportunities for improved well-being but also resulted in greater solitude in surgeons. Conclusions Rhetoric surrounding fatigue management and virus control dominates the conversation on the relationship between COVID-19 and surgery. Tipping the balance back to parity of fatigue management with service delivery in surgery will be key for sustainability of the surgical workforce.
has issue date	2020-08-03(xsd:dateTime)
bibo:doi	10.1016/j.surge.2020.07.006
bibo:pmid	32807661
has license	els-covid
sha1sum (hex)	6a837dc5217dc8e842076b10aeb95a7bba611c13
schema:url	https://doi.org/10.1016/j.surge.2020.07.006
resource representing a document's title	COVID-19 and Surgery: A thematic analysis of unintended consequences on performance, practice and surgical training
has PubMed Central identifier	PMC7396881
has PubMed identifier	32807661
schema:publication	Surgeon
resource representing a document's body	covid:6a837dc5217dc8e842076b10aeb95a7bba611c13#body_text
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