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The impact of COVID-19 on the future of orthopaedic training in the UK
Authors:Rupen Dattani  Catrin Morgan  Lily Li  Katharine Bennett-Brown  Rupert M H Wharton
Institution:Department of Trauma and Orthopaedics, Chelsea and Westminster NHS Foundation Trust, London, UK
Abstract:The COVID-19 pandemic has had a major impact on global healthcare systems, has drastically affected patient care, and has had widespread effects upon medical education. As plans are being devised to reinstate elective surgical services, it is important to consider the impact that the pandemic has had and will continue to have on surgical training. We describe the effect COVID-19 has had at all levels of training in the UK within trauma and orthopaedics and evaluate how training might change in the future. We found that the COVID-19 pandemic has significantly impacted trainees within trauma and orthopaedics at all levels of training. It had led to reduced operative exposure, cancellations of examinations and courses, and modifications to speciality recruitment and annual appraisals. This cohort of trainees is witnessing novel methods of delivering orthopaedic services, which will continue to develop and become part of routine practice even once the pandemic has resolved. It will be important to observe the extent to which the rapid changes currently being introduced will impact the personal health, safety, and career progression of current trainees.

The COVID-19 pandemic has had a major impact on global healthcare systems, has drastically affected patient care, and has had widespread effects upon medical education. On the 23rd of March 2020, the UK government imposed a lockdown and introduced stringent social distancing measures in response to the rising number of COVID-19 infections. In the field of trauma and orthopaedics (T&O), COVID-19 led to an immediate restructuring of services, redeployment of doctors, and cancellation of elective operating.As plans are being devised to reinstate elective surgical services in the UK, it is important to consider the impact that the pandemic will have upon surgical training. This article describes the effect COVID-19 has had at all levels of training in the UK within T&O and evaluates how training might change in the future.
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