TY - JOUR TI - The impact of COVID-19 on surgical training at a tertiary hospital in Greece: a ‘hidden infectious enemy’ for junior surgeons? AU - Vailas, M. AU - Sotiropoulou, M. AU - Mulita, F. AU - Drakos, N. AU - Ambalov, E. AU - Maroulis, I. JO - European Surgery (Acta Chirurgica Austriaca) PY - 2021 VL - 53 TODO - 5 SP - 240-245 PB - Springer-Verlag SN - 1682-8631, 1682-4016 TODO - 10.1007/s10353-021-00699-8 TODO - adult; Article; clinical competence; controlled study; coronavirus disease 2019; educational status; general surgery; Greece; human; lockdown; pandemic; physiological stress; professional development; psychological aspect; psychological well-being; questionnaire; Severe acute respiratory syndrome coronavirus 2; skill; surgeon; surgical technique; surgical training; tertiary care center; university hospital; young adult TODO - Background: Soon after its appearance, the coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) became a pandemic, with over 111 million cases reported and 2.4 million deaths worldwide. Although the focus of public health systems must lie on patients’ care and treatment, SARS-COV‑2 infection has also affected surgical trainees in their academic and professional development, causing significant disruption in all forms of their training. Methods: The aims of this study were firstly to assess the impact of SARS-CoV‑2 on core surgical training, regarding operative, educational and academic skills, as well as the general effect on psychological status and well-being of surgical trainees at a tertiary center in Greece. All core surgical trainees (17) in the general surgery department at the University Hospital of Patras were invited to participate in a voluntary anonymous survey via printed questionnaires. Results: Junior trainees and senior surgical trainees performed or assisted in almost 50% fewer cases in the COVID era when compared with the period reported before the virus. As far as courses, conferences and exams attended by trainees are concerned, a significant reduction in numbers (six vs 35) before and after the start of COVID-19 pandemic was apparent. In all, 10 (62.5%) trainees felt that their confidence in the operating theatre had been negatively impacted by the pandemic, while four (25%) trainees felt significant stress levels as a result of the national lockdown. Conclusions: It is imperative for surgical educators to design and implement new alternative ways to assist surgical trainees in their education and also avoid their undertraining during the pandemic. © 2021, Springer-Verlag GmbH Austria, part of Springer Nature. ER -