Evidence map›Paper›PMID 34518748›Full record

ArticleJournal of orthopaedics

Challenges to the orthopedic resident workforce during the first wave of COVID-19 pandemic: Lessons learnt from a global cross-sectional survey.

Aju Bosco, Hui Wen Tay, Ilyas Aleem, Mustafa Citak, Nalli Ramanathan Uvaraj, Jong-Beom Park, Morio Matsumoto, Oliver Marin-Penna, Janakiraman Buvanesh, Moin Khan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 8 countries.

Aju BoscoOrthopedic Spine Surgery Division, Institute of Orthopedics and Traumatology, Madras Medical College, EVR Road, Park Town, Chennai, 600003, TamilNadu, India.
Hui Wen TayDepartment of Orthopedics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ilyas AleemDepartment of Orthopedic Surgery, University of Michigan, 1500 East Medical Center Drive, 2912 Taubman Center, SPC 5328, Ann Arbor, MI, 48109, USA.
Mustafa CitakDepartment of Orthopedic Surgery, Helios ENDO-Klinik Hamburg, Holstenstrasse 2, 22767, Hamburg, Germany.
Nalli Ramanathan UvarajOrthopedic Spine Surgery Division, Institute of Orthopedics and Traumatology, Madras Medical College, Chennai, 600003, TamilNadu, India.
Jong-Beom ParkDepartment of Orthopedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu-si, Gyeonggi-do, 11765, South Korea.
Morio MatsumotoDepartment of Orthopedic Surgery, Keio University, Keio University Hospital, Shinanomachi 35, Shinjyukuku, Tokyo, 160-8582, Japan.
Oliver Marin-PennaDepartment of Orthopedic Surgery and Traumatology, Hospital Universitario Infanta Leonor, C/ Gran Via del Este, 80, 28031, Madrid, Spain.
Janakiraman BuvaneshInstitute of Orthopedics and Traumatology, Madras Medical College, Chennai, 600003, TamilNadu, India.
Moin KhanDivision of Sports Medicine & Shoulder Surgery, Department of Orthopedic Surgery, McMaster University, 1280 Main Street West, Michael DeGroote Centre for Learning and Discovery (MDCL), 3104 Hamilton, Hamilton, ON, L8S 4K1, Canada.
Hwee Weng Dennis HeyUniversity Orthopedics, Hand and Reconstructive Microsurgery Cluster (UOHC), National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 11, 119228, Singapore.
Madras Medical College · INHelios Endo-Klinik Hamburg · DEHospital Universitario Infanta Leonor · ESKeio University Hospital · JPMcMaster University · CANational University Health System · SGNational University of Singapore · SGThe Catholic University of Korea Uijeongbu St. Mary's Hospital · KRUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has caused unprecedented concerns on the safety, well-being, quality of life(QOL), and training of the orthopedic resident physician workforce worldwide. Although orthopedic residency programs across the globe have attempted to redefine resident roles, educational priorities, and teaching methods, the global orthopedic residents' perspective with regards to their safety, well-being, QOL, and training, taking into account regional variances remains unknown.

methodsA 56-item-questionnaire-based cross-sectional survey was conducted online during the COVID-19 pandemic involving 1193 orthopedic residents from 29 countries across six geographical regions to investigate the impact of the COVID-19 pandemic on the well-being, safety, and training of orthopedic residents at a global level, as well as to analyze the challenges confronted by orthopedic residency programs around the world to safeguard and train their resident workforce during this period.

resultsThe total response rate was 90.3%(1077/1193). Time spent on residency-training activities decreased by 24.7 h/week (95% CI, -26.5 to -22.9,p < 0.001), with 50.2% (n = 541) residents performing duties outside their residency curriculum. 80.5% (n = 869) residents had no prior experience working in infectious outbreaks. A greater percentage of residents from Middle East, Asia and Europe were redeployed to the COVID-19 frontlines,

conclusionsThe COVID-19 pandemic has significantly impacted the safety, well-being, QOL, and training of the global orthopedic resident physician workforce to different extents across geographical regions. The findings of this study will aid educators, program leaderships, and policy makers globally in formulating flexible, generalizable, and sustainable strategies to ensure resident safety, well-being, and training, while maintaining patient care.

Indexed as

COVID-19EducationOrthopedicPandemicResidentSARS-CoV-2TrainingWell-being

Identifiers

PMID34518748
PMCPMC8425745
OpenAlexW3197260168

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.