REVIEW
A pandemia de COVID-19 gerou grandes mudanças nos sistemas de saúde. A sobrecarga pelos casos de COVID-19 demandou adaptações severas na dinâmica dos hospitais, sobretudo com a redução do número de cirurgias eletivas. Dessa forma, os programas de residência cirúrgica tiveram impactos diretos sobre uma das suas principais bases de formação. Esse estudo visa mostrar quais são os desafios à formação dos residentes de neurocirurgia no contexto da pandemia. A revisão integrativa foi realizada através da análise de estudos dos dois últimos anos encontrados nas bases de dados LILACS e MEDLINE mediante busca pelos termos “Residência”, “Neurocirurgia” e “Pandemia”. Após aplicação dos critérios de inclusão foram selecionados para a revisão final 11 artigos. Os programas de residência em neurocirurgia sofreram grandes impactos com a pandemia de COVID-19. Evidenciam-se diversos danos a curto prazo derivados dessa circunstância e estudos futuros poderão definir quais efeitos a médio e longo prazo derivarão desse período de crise na saúde em todo o mundo. Os sistemas de saúde e os programas de residência devem, portanto, se antecipar a novos possíveis surtos a fim de obter respostas mais efetivas aos problemas encontrados no futuro.
The COVID-19 pandemics has led to major changes in healthcare systems. The burden of cases of COVID-19 required severe adaptations in the dynamics of hospitals, especially with the reduction in the number of elective surgical procedures. Thus, surgical residency programs have a direct impact on one of its main training bases. This study aims to show the challenges to training residents in neurosurgery in the context of the pandemic. The integrative review was carried out through the analysis of studies from the last two years found in the LILACS and MEDLINE databases by searching for “Residency”, “Neurosurgery” and “Pandemic” terms. After applying the inclusion criteria 11 articles were selected for the final review. Neurosurgery residency programs were heavily impacted by the COVID-19 pandemics. There are several short-term damages arising from this circumstance and future studies may define what medium and long-term effects will derive from this period of health crisis around the world. Health systems and residency programs must therefore anticipate new possible outbreaks in order to obtain more effective responses to problems encountered in the future.
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1 MD, Departament of Neurosurgery, University Hospital of Brasilia, Brasília, DF, Brazil.
2 MD, MSc, Neurosurgery Unit, Base Hospital of the Federal District, Brasília, DF, Brazil.
3 Medicine Student, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
4 MD, PhD, Associate Professor of Neurosurgery, University of Brasília, Brasília, DF, Brazil.
Received Apr 23, 2022
Accepted Feb 6, 2023
