Title: Impact of COVID-19 on Undergraduate Surgical Education in the UK

Authors: Annabel Chadwick, Kasturi Rangan Sarathy, Mohammed Zaman, Khurram Siddique

 DOI: https://dx.doi.org/10.18535/jmscr/v9i11.23

Abstract

Background & Aims: The main aim of the study was to assess the impact of COVID-19 pandemic on surgical education for the medical students.

Methods: Final year medical students of Manchester University who had completed their surgical placement were invited to participate in the study. All participants were given a questionnaire through the University social media platform.  Responses to the questionnaire were analysed to evaluate the outcome.

Results: The surgical education for medical students during the pandemic was analysed on various aspects like ward-based learning, out-patient clinic, theatre sessions and various teaching methods that were employed. Sixty-four percent of students felt that COVID-19 had a significant negative impact on ward-based learning, while forty percent felt that their learning in out-patient clinics was affected. All of them had an opportunity to attend at least one theatre session during the pandemic. On the other hand, forty eight percent of students felt that the theatre learning activities were adequate during this period while twenty four percent of students remained neutral in their view. Webinars remained the most attended teaching sessions with about eighty-eight percent of students receiving some form of online teaching, while simulation-based approach remained the most popular among the students.

Conclusion: Ward based learning has been significantly affected by the pandemic.  Students were satisfied with the learning opportunities in theatre.  Newer methods including actor-based simulation using MS teams, out-patients’ clinics and simulation-based assessments were regarded the best teaching modalities and were highly appreciated by students.

References

  1. Lillie PJ, Samson A, Li A, Adams K, Capstick R, Barlow GD, et al. Novel coronavirus disease (Covid-19): The first two patients in the UK with person-to-person transmission. J Infect. 2020;80(5):578-606.
  2. UNESCO UNESaCO. Education: From disruption to recovery https://en.unesco.org/covid19/educationresponse2020 [Available from: https://en.unesco.org/covid19/educationresponse.
  3. Harvey A. Covid-19: medical students should not work outside their competency, says BMA. BMJ. 2020;368:m1197.
  4. Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and Surgical Education Challenges and Innovations in the COVID-19 Era: A Systematic Review. In Vivo. 2020;34(3 Suppl):1603-11.
  5. Berman L, Rosenthal MS, Curry LA, Evans LV, Gusberg RJ. Attracting surgical clerks to surgical careers: role models, mentoring, and engagement in the operating room. J Am Coll Surg. 2008;207(6):793-800, .e1-2.
  6. Torda A. How COVID-19 has pushed us into a medical education revolution. Intern Med J. 2020;50(9):1150-3.
  7. Ahmad Al Samaraee. The impact of the COVID-19 pandemic on medical education: British Journal of Hospital Medicine2020 81:7, 1-4
  8. Medical Schools Council. Statement on clinical placements. 2020. https://www.medschools.ac.uk/media/2646/statement-on-clinical-placements.pdf. Accessed Jun 1 2020.
  9. British Medical Association B. COVID-19: returning to clinical placements https://www.bma.org.uk/advice-and-support/covid-19/working-beyond-covid/covid-19-returning-to-clinical-placements2020 [updated 09/09/2020. Available from: https://www.bma.org.uk/advice-and-support/covid-19/working-beyond-covid/covid-19-returning-to-clinical-placements.
  10. Newman NA, Lattouf OM. Response to COVID-19 pandemic: Beyond medical education in Brazil. J Card Surg. 2020;35(6):1176. doi:10.1111/jocs.14648
  11. Lucey CR, Johnston SC. The Transformational Effects of COVID-19 on Medical Education. 2020;324(11):1033–1034. doi:10.1001/jama.2020.14136.
  12. Al-Kadri HM, Al Moamary M, Al Knawy B. Framework for curriculum delivery during COVID-19 pandemic in a health sciences university. Ann Thorac Med 2020;15:185-9.
  13. Caplan, J., Clements, R., Chadwick, C. et al. Medical Education in 2020: Developing COVID Secure Undergraduate Hospital Placements. Med.Sci.Educ. 30, 1677–1683 (2020). https://doi.org/10.1007/s40670-020-01080-2
  14. Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;20(1):206.
  15. Yuen J, Xie F. Medical education during the COVID-19 pandemic: perspectives from UK trainees: Postgraduate Medical Journal 2020;96:432-433.
  16. Mian, A., Khan, S. Medical education during pandemics: a UK perspective. BMC Med 18, 100 (2020). https://doi.org/10.1186/s12916-020-01577.

Corresponding Author

Kasturi Rangan Sarathy

Department of General and Colorectal Surgery

Royal Oldham Hospital

Manchester OL1 2JH