JOMI in Times of a Pandemic
Introduction
General Surgery Clerkships
Residency Programs
Staff Training
Introduction
Elective and minimally invasive cases are down. With the pandemic raging in the US and around the world, medical education, to put it mildly, has been affected. Therefore, it is important to articulate the role that JOMI can play to support your program in this difficult time.
General Surgery Clerkships
The impact that COVID-19 has had on general surgery clerkships includes:
- Limited OR Access
- Reduced Case Volume
- Fewer MIS cases
JOMI saves the day: JOMI is the only video resource that offers long-form, peer-reviewed master classes in surgery. Students are guided by experts through virtual shadowing experiences, which are at least as good (and in many cases better than) as in-person shadowing. The following is a list of relevant cases to general surgery clerkships:
Some specific cases we recommend are:
- Laparoscopic Cholecystectomy
Naomi Sell, MD; Denise W. Gee, MD
Massachusetts General Hospital - Left Lumpectomy with Wireless Seed Localization for DCIS
Bridget N. Kelly; Carson L. Brown; Michelle C. Specht, MD
Massachusetts General Hospital - Laparoscopic Appendectomy and Open Umbilical Hernia Repair
Noelle N. Saillant, MD; Thomas O’Donnell, MD; Naomi Sell, MD
Massachusetts General Hospital - Laparoscopic Right Adrenalectomy
Richard Hodin, MD
Massachusetts General Hospital - Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Emily C. Von Bargen, DO; Patricia L. Hudson, MD; Lori R. Berkowitz, MD
Massachusetts General Hospital - Split-Thickness Skin Graft, Permanent Pigment Transfer, and Fractional CO2 Laser Therapy
Daniel N. Driscoll, MD, FACS; Lisa Gfrerer, MD, PhD; Robert Dabek, MD
Shriners Hospitals for Children - Boston - Open Cholecystectomy for Gallbladder Disease
Peter F. Rovito, MD; Yoko Young Sang, MD
World Surgical Foundation, Hospital Leonardo Martinez, Honduras
Residency Programs
From a training perspective, JOMI can help in the following areas:
- Elective Procedures / Impact on Education - lower case volume for elective procedures leaves residents with fewer opportunities to operate/learn. JOMI publishes cases from incision to closure, offering virtual shadowing sessions to fill this educational gap.
- Preparation for Open Cases - with fewer minimally invasive (MIS) cases being performed due to transmission concerns, there has been an increase in open cases (far more than pre-pandemic). Many cases on JOMI are open, which makes JOMI a significant asset for residents.
It may be worth noting that ACS, SAGES and other scientific societies have stated that MIS should be avoided, unless there are proven benefits over the open approach (lap cholecycstectomy, frail or elderly patients, etc.)
JOMI saves the day: JOMI is valuable to residents in the following surgical specialties:
General Surgery
This is one of the strongest sections. The following case indexes are particularly relevant:
Some exemplary cases include:
- Bilateral Posterior Retroperitoneoscopic Adrenalectomy with Cortical Sparing
Taylor C. Brown, MD MHS; Tobias Carling, MD, PhD, FACS
Smilow Cancer Hospital at Yale New Haven - Robotic-Assisted Laparoscopic (rTAPP) Bilateral Inguinal Hernia Repair
David Lourie, MD, FACS, FASMBS
Huntington Memorial Hospital, Pasadena, CA - Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer
Shoichi Irie, MD; Mamiko Miyashita, MD; Yu Takahashi, MD; Hiromichi Ito, MD
Japanese Foundation for Cancer Research, Tokyo - Rives-Stoppa Retromuscular Repair for Incisional Hernia
Peter Fagenholz, MD; Katherine Albutt, MD
Massachusetts General Hospital - Bilateral Modified Radical Neck Dissection
Courtney Gibson, MD, MS, FACS; Tobias Carling, MD, PhD, FACS
Smilow Cancer Hospital at Yale New Haven - Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Tobias Carling, MD, PhD, FACS, Courtney Gibson, MD, MS, FACS
Smilow Cancer Hospital at Yale New Haven
Orthopaedics
JOMI has a wide variety of orthopedic cases:
Some exemplary cases include:
- Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Michael Weaver, MD
Brigham and Women's Hospital - Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture
Michael Weaver, MD
Brigham and Women's Hospital - Open Reduction and Internal Fixation of a Trimalleolar Ankle Fracture
Michael Weaver, MD
Brigham and Women's Hospital - Distal Radius Open Reduction and Internal Fixation
Asif M. Ilyas, MD, MBA, FACS; Bradley Richey, MSc
Rothman Institute at Thomas Jefferson University
University of Central Florida College of Medicine - Carpal Tunnel Release
Asif M. Ilyas, MD, MBA, FACS; Subhadra Acharya
Rothman Orthopaedic Institute
Trauma
This year, a particular effort was made to publish trauma cases:
Some exemplary cases include:
- Exploratory Laparotomy and Splenectomy for Ruptured Spleen Following Blunt Force Trauma
Ashley Suah, MD; Brian Williams, MD
UChicago Medicine - Exploratory Laparotomy in a Hemodynamically Stable Patient for an Abdominal GSW
Ashley Suah, MD; Brian Williams, MD
UChicago Medicine - Chest Tube Placement for Possible Hemothorax
Ashley Suah, MD; Abigail Clarkson-During, MD; Jennifer Cone, MD
UChicago Medicine - Extended Focussed Assessment with Sonography for Trauma (EFAST) Exam
Daven Patel, MD, MPH; Kristin Lewis, MD, MA; Allyson Peterson, MD; Nadim Michael Hafez, MD
UChicago Medicine
Staff Training
Students and surgeons are not the only ones affected by a lack of access to the operating rooms. Other audiences include hospital staff (especially in situations where new hirees require familiarity with the OR), as well as the private sector (device manufacturers, R&D departments, etc.) JOMI offers an unprecedented level of detail, making it possible to continue learning from the best and brightest in operating rooms from around the world despite the pandemic closures.