Experiences and challenges of neurosurgical residents during the COVID 19 pandemic in Sabah Malaysia

This study explores the multifaceted impact of the COVID-19 pandemic on neurosurgical resident training and their emotional well-being. The rapid global spread of COVID-19 necessitated unprecedented changes in healthcare systems, significantly altering medical education and clinical practice. We conducted a qualitative study utilizing semi-structured interviews with neurosurgical residents to capture their experiences. The interviews focused on professional challenges, personal adjustments, familial and societal perceptions, and emotional responses during the pandemic. Data were analyzed using thematic analysis to identify key themes and sub-themes. Our findings reveal significant disruptions to neurosurgical training, characterized by reduced operating room exposure, limited continuous medical education activities, and a shift towards individual learning. Residents experienced mixed emotional responses, including stress, anxiety, and feelings of isolation, alongside unexpected positive effects such as increased bonding with colleagues and more personal rest time. Familial and societal reactions varied, ranging from support to concern regarding their exposure risks. Coping strategies included communication with family, adherence to safety protocols, and spiritual thoughts. The COVID-19 pandemic profoundly affected neurosurgical resident training and well-being, highlighting vulnerabilities in traditional training models and emphasizing the critical need for adaptive educational strategies and robust mental health support systems. Future training programs should incorporate contingency plans for large-scale disruptions, including diversified learning modalities and enhanced psychological support for trainees.