Educational impact of early COVID-19 operating room restrictions on neurosurgery resident training in the United States: A multicenter study

Zhang, Justin K.; Valle, Armando J. del; Ivankovic, Sven; Patel, Niel; Alexopoulos, Georgios; Khan, Maheen; Durrani, Sulaman; Patel, Mayur; Tecle, Najib E. El; Sujijantarat, Nanthiya; Jenson, Amanda V.; Zammar, Samer G.; Huntoon, Kristin; Goulart, Carlos R.; Wilkinson, Brandon M.; Bhimireddy, Sujit; Britz, Gavin W.; DiLuna, Michael L.; Prevedello, Daniel M.; Dinh, Dzung H.; Mattei, Tobias A.

doi:10.1016/j.xnsj.2022.100104

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Each rotating resident at the VA completed an average of 13.4 cases per month, which is lower than the average monthly case log volume reported by many junior and senior neurosurgery residents during their training. 21 At some institutions, residents on VA rotations also perform surgery at the academic affiliate, so VA case numbers may underestimate total operative volume during some VA rotations.…”

Section: Discussionmentioning

confidence: 99%

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Yearley

Patel

Rachlin³

et al. 2023

Neurosurgery

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Veterans Affairs (VA) medical centers serve as a unique training environment for US residency programs. In this study, we aim to explore the scope and details of VA integration into neurosurgery resident training. We used data from the Accreditation Council for Graduate Medical Education database to provide an overview of neurosurgery training programs with an active VA affiliation and developed a multi-institutional survey to gather information related to rotation design, operative volume, expectations, and core training values. Of the 116 neurosurgery residency programs, 40 have an active affiliation with a VA medical center (34%). Residents most frequently rotated at the VA during their third postgraduate year, with an average rotation length of 7.5 months (range 2-21). Nearly all programs reported a weekly mix of clinic and operative days (96%), with residents longitudinally following patients throughout their rotations. Attending neurosurgeons from VA-affiliated programs reported operative experience (100%), independent decision-making (89%), and continuity of care (81%) as core values of VA neurosurgery rotations. Surgical volume varied between programs with an average of 13.4 ± 6.4 (SD) cases per month per rotating resident. A significant portion of neurosurgery residency programs in the United States incorporate VA rotations into resident training. Although rotation details vary from program-to-program, shared values include a strong operative experience, independent decision-making, and continuity of care. This analysis provides a comprehensive assessment of VA rotation structure across the country, which is valuable for programs considering implementing a VA rotation into their training program or modifying an existing rotation.

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Section: Discussionmentioning

confidence: 99%

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Yearley

Patel

Rachlin³

et al. 2023

Neurosurgery

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“…After removing duplicates, 935 articles were left; their titles and abstracts were screened, and 78 relevant articles were identified for full-text review. Overall, this study collated data and information from 49 articles, [ 11 , 12 , 17 , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] ] with 25 of them included in the quantitative synthesis ( Figure 1 ). Twenty-two of these articles were retrospective in nature, two had data collected both retrospectively and prospectively, one was both a retrospective cohort study and a survey.…”

Section: Resultsmentioning

confidence: 99%

“…[ 7 , 28 ] For trainees, junior residents were among the most impacted as the bulk of their operative volume was routine elective procedures and learning the basics of operative techniques. [ 24 , 28 , 29 ] Kilgore et al also suggested that one may see a rise in the number of residents pursuing fellowships in the coming years as a result of a steep decline in elective cases. [30] In addition, our study found a substantial between-study heterogeneity for the rate of neurosurgical oncology procedures.…”

Section: Discussionmentioning

confidence: 99%

A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

et al. 2023

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A cross-sectional survey study of the impact of COVID-19 pandemic on the training and quality of life of Italian medical residents in the Lombardy region

et al. 2022

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Educational impact of early COVID-19 operating room restrictions on neurosurgery resident training in the United States: A multicenter study

Cited by 3 publications

References 33 publications

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

A look at the global impact of COVID-19 pandemic on neurosurgical services and residency training

A cross-sectional survey study of the impact of COVID-19 pandemic on the training and quality of life of Italian medical residents in the Lombardy region

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