Doctors say surgical training, delayed by the pandemic, continues to be affected
Training of surgeons in Canada has taken a heavy knock from the chaos of the COVID-19 pandemic, and some doctors say their clinical education has been delayed again in recent months as many hospitals across the country cancelled elective procedures to keep up with emergency care.
Manitoba’s 2022 budget included a $110-million investment to reduce backlogs while Saskatchewan plans to ascribe $21.6 million to addressing the surgical wait-list as it anticipates a return to pre-COVID wait times by the end of March 2025. Nova Scotia similarly endorsed a plan to return to national benchmarks for surgical wait times by 2025.
“University hospitals are doctor factories. When they are not running it causes teaching delays that are to the detriment of learners,” she added.A University of Toronto study published in July 2021 found that about four out of five doctors in plastic surgery residency training programs across Canada believed the pandemic curtailed their exposure to operations and clinical skills, damaging their future educational and practice plans.
When the pandemic struck in March 2020, medical schools expanded virtual care and reassigned learners to COVID-19 and vaccine-related work. The Canadian Institute for Health Information estimates the number of surgeries plummeted by 600,000 in the first 18 months of the pandemic compared to expected numbers for that period.
The National Resident Matching Program , which governs entry into many surgical subspecialty programs in the United States and Canada, listed only 43 Canadian applicants in 2022, down from 70 in 2018. That’s despite an increase in available positions over that same period. “Initially, we were operating only on very sick patients. It made teaching and mentoring very difficult,” she said of the early days of the pandemic.A recent Fraser Institute report said “Canada’s health-care wait times reached 27.4 weeks in 2022 — the longest ever recorded — and were 195 per cent higher than the 9.3 weeks Canadians waited in 1993.
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