Factors Associated With General Surgery Residents’ Operative Experience During the COVID-19 Pandemic

Purdy, Amanda C.; Virgilio, Christian de; Kaji, Amy H.; Frey, Edgar Shields; Lee-Kong, Steven A.; Inaba, Kenji; Gauvin, Jeffrey M.; Neville, Angela; Donahue, Timothy R.; Smith, Brian R.; Salcedo, Edgardo S.; Calhoun, Kristine E.; Poola, V. Prasad; Namm, Jukes P.; Spain, David A.; Dickinson, Karen J.; Tanner, Tiffany; Wolfe, Mary M.; Amersi, Farin

doi:10.1001/jamasurg.2021.1978

Cited by 36 publications

(44 citation statements)

References 14 publications

(62 reference statements)

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“…In this study, a decrease of 23.9% was reported during emergency visits [ 10 ]. In the USA, a study regarding general surgery operations reported a 33.5% reduction in total major cases performed in a 4-month period in 2020 compared to 2018 and 2019 [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Reduction in Pediatric Surgery’s Emergency Department Visits During COVID-19 Pandemic in a Tertiary University General Hospital in Greece

Kambouri¹,

Skarentzos²,

Οικονόμου³

et al. 2021

Cureus

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BackgroundFrom January 2020, coronavirus has caused more than three million deaths. Lockdown has been enforced in many countries worldwide, affecting the emergency department visits of many surgical specialties. MethodsThe purpose of this study was to present the difference in trends in pediatric emergency department visits from March 1 to May 30, 2020, compared to the same 3-month period in 2019 in a tertiary university hospital in Greece, which was one of the referral centers for COVID-19 patients. ResultsA 42.5% reduction in emergency department visits was observed. In 2020, only 196 patients visited the pediatric surgery emergency department, versus 341 patients in 2019 (p<0.05). The reasons for visiting the emergency department did not change in most categories. Even though visits to the emergency department were reduced, the rates of the distance of the patient's residency from the hospital remained roughly the same. Hospital admission rates remained roughly the same. ConclusionEven though there was a huge decrease in numbers, the reasons for visiting the ED remained roughly the same. The only exception was indoor accidents, which increased in 2020.

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Section: Discussionmentioning

confidence: 99%

Reduction in Pediatric Surgery’s Emergency Department Visits During COVID-19 Pandemic in a Tertiary University General Hospital in Greece

Kambouri¹,

Skarentzos²,

Οικονόμου³

et al. 2021

Cureus

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show abstract

“…While there are many adjuncts to facilitate procedural training, such as simulation and on-line curricula [ 8 – 11 ], progressive graduated responsibility in the operating room (OR) is necessary for autonomy and independence of surgical trainees. While longer 5 to 6 years residency training programs may be able to adjust and compensate for a short-term reduction in surgical exposure, trainees in shorter 1–2 year-long fellowships may be more severely impacted.…”

mentioning

confidence: 99%

“…Current available literature reports a reduction in operative exposure for surgical trainees during the pandemic [ 7 , 8 , 12 ]. However, these studies rely on self-reporting by surgical trainees [ 7 , 8 , 12 ].…”

mentioning

confidence: 99%

The impact of the first wave of the COVID-19 pandemic on the exposure of general surgery trainees to operative procedures

et al. 2022

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Introduction During the COVID-19 pandemic, the redeployment of operating room (OR) staff resulted in a significant ramp-down of elective surgery. To mitigate the negative effects of the pandemic on surgical education, this study was planned to estimate the impact of the first wave of the pandemic on the participation of general surgery residency and fellowship trainees in operative procedures. Methods This study is a retrospective review of all adult general surgery procedures performed at 3 sites of an academic health care network. Cases performed during the first wave of the pandemic (March–June 2020) were compared to the same period of the previous year pre-pandemic (March–June 2019). Trainees were categorized as junior (Post-Graduate-Year [PGY] 1–2), senior (PGY3-5), or fellows (PGY6-7). Operating exposure was defined as (1) the total number of cases attended by at least one trainee and (2) total time spent in the OR by all trainees (hours). The impact of the pandemic was estimated as percentage of baseline (2019). Results During the first wave of the pandemic, a total of 914 cases were performed, compared to 1328 in the pre-pandemic period (69%). Junior trainees were more affected than senior trainees with reductions in both case volume (68% versus 78% of baseline attendance) and time (68% versus 77% of baseline operating time). Minimally invasive surgery fellows were most severely affected trainees and colorectal fellows were least affected (14% and 75% of baseline cases, respectively). Participation in emergency surgery cases and surgical oncology cases was relatively preserved (87% and 105% of baseline, respectively). Conclusions The first wave of the COVID-19 pandemic reduced operative exposure for general surgery trainees by approximately 30%. Procedure-specific patterns reflected institutional policies for prioritizing cancer operations and emergency surgeries. These findings may inform the design of remediation activities to mitigate the impact of the pandemic on surgical training.

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“…In mid-2020, multiple studies demonstrated a 25% to 50% reduction in trainee case logs as the primary surgeon. 2 , 3 It is highly encouraging that educators in our field recognize these gaps in technical training. During the 2021 General Session of the Thoracic Surgery Directors Association meeting, members discussed methods to assist in the remediation of individual residents, as the group recognized that the pandemic exacerbated challenges related to stress management and team communication.…”

mentioning

confidence: 99%

The status of cardiothoracic surgery trainee education and recruitment: An update one year into the coronavirus disease 2019 (COVID-19) pandemic

Olive¹,

Luc²,

Preventza³

2021

JTCVS Open

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Factors Associated With General Surgery Residents’ Operative Experience During the COVID-19 Pandemic

Cited by 36 publications

References 14 publications

Reduction in Pediatric Surgery’s Emergency Department Visits During COVID-19 Pandemic in a Tertiary University General Hospital in Greece

Reduction in Pediatric Surgery’s Emergency Department Visits During COVID-19 Pandemic in a Tertiary University General Hospital in Greece

The impact of the first wave of the COVID-19 pandemic on the exposure of general surgery trainees to operative procedures

The status of cardiothoracic surgery trainee education and recruitment: An update one year into the coronavirus disease 2019 (COVID-19) pandemic

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