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The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey

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  • Flaviu Moldovan

    (Department of Orthopedics-Traumatology, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Street, 540142 Targu Mures, Romania)

  • Adrian Gligor

    (Biomedical Research Center, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 1 Nicolae Iorga Street, 540088 Targu Mures, Romania)

  • Liviu Moldovan

    (Faculty of Engineering and Information Technology, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 1 Nicolae Iorga Street, 540088 Targu Mures, Romania)

  • Tiberiu Bataga

    (Department of Orthopedics-Traumatology, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Street, 540142 Targu Mures, Romania)

Abstract

The COVID-19 pandemic has brought unprecedented challenges, with a potential stress which might affect the education of resident doctors in the field of orthopedics and traumatology. Its repercussion on the residents’ strain and training routes is not well known. After two years of pandemic, this paper aims to analyze the repercussion of the coronavirus disease 2019 (COVID-19) on education, medical training, and the mental well-being of Romanian resident doctors in orthopedics and traumatology. In January–February 2022, an electronic questionnaire was distributed to all orthopedic resident doctors in the 12 residential training centers in Romania. Participants ( n = 236) were resident doctors with an employment contract and professional activity during the COVID-19 pandemic. Resident doctors who did not work during this period were excluded. An online survey generator was used to electronically create the questionnaire. Statistical analysis was performed in Matlab version R2022a, with the support of Statistics and Machine Learning Toolbox Version 12.3. Descriptive statistics were performed for the standardized questions, while for the open questions, answers were collected by topic. The results of the Chi-square test indicate that there is a statistically significant association regarding the prevalence of infection among residents involved in the treatment of patients with COVID-19 ( p = 0.028), and the influence of secondment in COVID-19 sections ( p = 0.0003). The infection of residents is not related to their affiliation with a particular medical training center ( p = 0.608), gender ( p = 0.175), the year of study in residency ( p = 0.733), the age group ( p = 0.178), and the secondment period ( p = 0.114). Residents who participated in the study had an overall well-being index of 13.8 ± 5.7, which indicates a low level of well-being for a large number of residents. Residents who would like to choose a new residency specialization, or would choose a non-medical career, had reduced average WHO wellness rates, as the risk of infection is associated with the treatment of patients with COVID-19 and secondment in COVID-19 sections. The findings of this study may help residency training centers to develop robust programs that can alleviate the impact of this pandemic. Some major changes will be needed to be integrated into residency training programs around the world. Emphasis should be placed on electronic educational portfolios, simulation of surgical processes, and distance learning, all of which have a high potential for health and safety, as well as for the moral support of residents.

Suggested Citation

  • Flaviu Moldovan & Adrian Gligor & Liviu Moldovan & Tiberiu Bataga, 2022. "The Impact of the COVID-19 Pandemic on the Orthopedic Residents: A Pan-Romanian Survey," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9176-:d:873152
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    References listed on IDEAS

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    1. Chiara Costa & Michele Teodoro & Giusi Briguglio & Ermanno Vitale & Federica Giambò & Giuliano Indelicato & Elvira Micali & Sebastiano Italia & Concettina Fenga, 2021. "Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic," IJERPH, MDPI, vol. 18(15), pages 1-10, July.
    2. Flaviu Moldovan & Petruta Blaga & Liviu Moldovan & Tiberiu Bataga, 2022. "An Innovative Framework for Sustainable Development in Healthcare: The Human Rights Assessment," IJERPH, MDPI, vol. 19(4), pages 1-27, February.
    3. Gabriele Giorgi & Luigi Isaia Lecca & Federico Alessio & Georgia Libera Finstad & Giorgia Bondanini & Lucrezia Ginevra Lulli & Giulio Arcangeli & Nicola Mucci, 2020. "COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review," IJERPH, MDPI, vol. 17(21), pages 1-22, October.
    4. Qian Hui Chew & Faith Li-Ann Chia & Wee Khoon Ng & Wan Cheong Ivan Lee & Pei Lin Lynnette Tan & Chen Seong Wong & Ser Hon Puah & Vishalkumar G. Shelat & Ee-Jin Darren Seah & Cheong Wei Terence Huey & , 2020. "Perceived Stress, Stigma, Traumatic Stress Levels and Coping Responses amongst Residents in Training across Multiple Specialties during COVID-19 Pandemic—A Longitudinal Study," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
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    1. Flaviu Moldovan & Liviu Moldovan & Tiberiu Bataga, 2023. "The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework," Sustainability, MDPI, vol. 15(18), pages 1-31, September.
    2. Jarosław Stanisław Kardas, 2023. "Job Crafting and Work–Life Balance in a Mature Organization," Sustainability, MDPI, vol. 15(22), pages 1-24, November.

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