September

This article originally appeared in the June 2016 issue of the BCMJ. As this subject continues to pose a problem, the Patterns of Practice Committee decided to rerun the article.

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Globally, populations have experienced increased sedentary behavior, decreased physical activity, and increased social isolation as a result of COVID-19.[1] Canada is no exception. Canadian adults have been found to use more sedentary activities and fewer physical activities to address the increased stress they are experiencing due to the pandemic.[2]

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Since the start of the pandemic, the number of virtual health care visits across the province has catapulted from approximately 700 000 to over 17 million as of June 2021.[1] BC doctors have quickly adapted to practising differently and embraced virtual care as an alternate way for patients to access care.

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Early public health measures in BC received international recognition for their relative success in managing the COVID-19 pandemic.[1] As part of the pandemic response, resident physicians have been recognized as essential front-line workers.[2] However, the unique position of residents as both physicians providing essential care and trainees requiring continuing medical education necessitates special consideration of the impact of COVID-19 on postgraduate medical education.[3,4]

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From 2010 to 2019, WorkSafeBC saw 120 injured workers requiring an upper or lower limb amputation. Thirty-nine percent of those workers subsequently developed phantom limb pain (PLP).

Having an amputation changes many aspects of life: mobility, balance, endurance, dexterity, self-confidence, mood, vocation, recreation, and more. In addition, most individuals with amputations experience post-amputation pain that may include PLP, phantom limb sensation, or residual limb pain.

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