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Managing Resident Workforce and Residency Training During COVID-19 Pandemic: Scoping Review of Adaptive Approaches

Authors Tolu LB, Feyissa GT, Ezeh A, Gudu W

Received 21 May 2020

Accepted for publication 23 July 2020

Published 10 August 2020 Volume 2020:11 Pages 527—535


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Balakrishnan Kichu Nair

Lemi Belay Tolu,1 Garumma Tolu Feyissa,2 Alex Ezeh,2 Wondimu Gudu1

1Saint Paul’s Hospital Millennium Medical College, Department of Obstetrics and Gynecology, Addis Ababa, Ethiopia; 2Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA

Correspondence: Lemi Belay Tolu Email [email protected]

Objective: To review available adaptive residency training approaches and management of the resident workforce in different residency programs amid COVID-19 pandemic.
Materials and Methods: Websites of different professional associations and international or national specialty accreditation institutions were searched. We looked for English studies (any form), reviews or editorials, perspectives, short or special communications, and position papers on residency education during the COVID-19 pandemic. PubMed, EMBASE, and Google Scholar were also searched using keywords. Two independent reviewers extracted data using a customized tool that was developed to record the key information relevant to the review question. The two authors resolved their difference in data extraction by discussion.
Results: We identified 13 documents reporting on residency education during pandemics. Three were articles, 5 short or special communications, and the rest editorials and perspectives. We divided the data obtained into six thematic areas: resident staffing, clinical education, surgical education, didactic teaching, research activity, and accreditation process.
Conclusion: Residency programs must reorganize the resident’s staffing and provide appropriate training to ensure the safety of residents during the pandemic. There are feasible adaptive approaches to maintaining residency training in the domains of didactic teaching, clinical education, and some research activities. Although some innovative virtual surgical skills training methods are implemented in limited surgical residency disciplines, their effectiveness is not well examined. Guidance and flexibility of the accreditation bodies in ensuring the competency of residents is one component of the adaptive response.

Keywords: residency, COVID-19, SARS-CoV-2, didactic, clinical, surgery, accreditation

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