key: cord-0875369-36j5szzo authors: Dixit, Shaili; Makkapati, Tejaswi title: Letter to the Editor: “Orthopaedic training during COVID-19 pandemic: should action be taken?” date: 2022-04-12 journal: Int Orthop DOI: 10.1007/s00264-022-05403-3 sha: 66ea2579e63ed478b8ba53d798c9b0ca760e4eb9 doc_id: 875369 cord_uid: 36j5szzo nan Additionally, orthopaedic elective cases were suspended because of the pandemic hindering these trainees' ability to engage in the material they wanted to learn [5] . Being forced to cross-train in treating conditions in medical and ICU services rather than an orthopaedics service may have disillusioned and burned-out orthopaedic trainees before they got the chance to learn the material they were eager to learn in the first place. While they did gain valuable medical and ICU-related skills that can, ideally, transfer to their chosen specialty, they were still behind on their orthopaedic training, which they had to work longer to catch up on. Lastly, the survey seems to have received more responses from physicians working in urban settings than those from rural areas. Rural locations may have carried different challenges in terms of availability of resources and quantity of COVID cases in contrast to urban areas. These differences can drastically change the burnout rates among trainees and physicians in these two areas. According to a study conducted in China, physicians and trainees in urban settings had higher rates of burnout secondary to patient volume overload, increased risk of exposure, and greater media and information influx about negative aspects of COVID [6] . Ultimately, those working in rural areas were not experiencing the same level of anxiety regarding COVID-19. However, it would be interesting to see more studies performed in different countries regarding this to see regional differences. Author contribution All authors contributed to the study's conception and design. Material preparation and background research were performed by Tejaswi Makkapati. The first draft of the manuscript was written by Shaili Dixit and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Data availability Not applicable. The authors declare no competing interests. Orthopaedic training during COVID-19 pandemic: should action be taken? Mind the "worry fatigue" amid Omicron scares The three-fold harms of compassion fatigue during COVID-19 surges Healthcare workers' SARS-CoV-2 Omicron variant uncertainty-related stress, resilience, and coping strategies during the first week of the World Health Organization's alert Orthopaedic education during the COVID-19 pandemic Ruralurban disparities in knowledge, behaviors, and mental health during COVID-19 pandemic: a community-based cross-sectional survey