Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America

Mallon, Daniel; Pohl, John F.; Phatak, Uma Padhye; Fernandes, Melissa; Rosen, John M.; Lusman, Sarah Shrager; Nylund, Cade M.; Jump, Candi; Solomon, Aliza; Srinath, Arvind I.; Singer, A; Harb, Rula; Rodriguez‐Baez, Norberto; Buren, Kristin L Whitfield Van; Koyfman, Shifra; Bhatt, Riha; Soler-Rodriguez, Dellys M; Sivagnanam, Mamata; Lee, Christine K.

doi:10.1097/mpg.0000000000002768

Cited by 41 publications

(68 citation statements)

References 8 publications

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“…Based on the available literature [ 3 - 7 ], a team of researchers (PG, GT, DC and KT) with previous experience in questionnaire construction designed 2 similar survey instruments for fellows and fellowship program directors. Each instrument consisted of 2 sections: demographics and professional characteristics, and the main core of the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Differences between fellows and fellowship program directors in their perception of the impact of the COVID-19 pandemic on gastroenterology training: results from a nationwide survey in Greece

Karampekos¹,

Gkolfakis

Tziatzios

et al. 2020

aog

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Background Lockdown measures applied during the SARS-CoV-2 outbreak caused a significant disturbance to hospital routine. We assessed trainees’ and fellowship directors’ perceptions regarding the impact of the pandemic on gastroenterology fellowship training. Methods A web-based survey was anonymously disseminated to all Greek gastroenterology fellows and fellowship program directors. Participants completed electronically a questionnaire comprised of 5 domains that assessed participants’ perception of: 1) overall impact on training; 2) impact on training in gastroenterology-specific fields (endoscopy, inflammatory bowel disease, hepatology); 3) impact on different aspects of endoscopy training; 4) impact on academic training; and 5) training perspectives for the post-pandemic era. Results A total of 77/128 fellows (60.1%) and 18/28 fellowship program directors (64.3%) responded. More fellows reported that the COVID-19 pandemic would have an adverse impact on fellowship training compared to their fellowship program directors (81.8% vs. 55.6%, P=0.038). This concern was mainly focused on endoscopy training (83.1% vs. 27.8%, P<0.001), with no difference regarding training in gastroenterology’s other specific fields. The difference was consistent for technical skills (79.2% vs. 38.9%, P=0.001), and for the performance of basic diagnostic (70.1% vs. 22.2%, P<0.001) and emergency (48.1% vs. 11.1%, P=0.004) procedures. Fellows and fellowship program directors identified the unknown timeframe of measure implementation and the postponement of scheduled endoscopic procedures as the main factors that negatively affected training. Extension of the fellowship training program was deemed the optimal option by fellows for addressing the training decrement in the post-pandemic era, while fellowship program directors favored an increase in workload. Conclusion Fellows and their fellowship program directors do not share the same concerns about the impact of COVID-19 pandemic on training programs and they propose different measures to remedy its effects.

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Section: Methodsmentioning

confidence: 99%

Differences between fellows and fellowship program directors in their perception of the impact of the COVID-19 pandemic on gastroenterology training: results from a nationwide survey in Greece

Karampekos¹,

Gkolfakis

Tziatzios

et al. 2020

aog

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“…It is clear that the institution used a worldwide trend. In a multicenter study carried out in pediatric gastroenterology training centers in North America, it was observed that 98% of the programs did not use telemedicine before the pandemic, whereas currently, 76% of them started using it 15 . Using a tool that can improve care at a lower financial cost during this period is something to be considered 16 .…”

Section: Discussionmentioning

confidence: 99%

Adaptações e repercussões nas vivências em escola de ensino híbrido durante a pandemia por Sars-CoV-2

Silva

Kubrusly

Júnior

et al. 2021

Rev. bras. educ. med.

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Introduction: The pandemic caused by the SARS-CoV-2 virus has accelerated an educational revolution, with implications for health care and medical education, generating some insecurities and uncertainties. The article reports the experience of Centro Universitário Christus (Unichristus) about the changes that occurred in the practical scenarios of clinical experiences during the first semester of 2020, marked by social distancing. Experience Report: The services at Clínica Escola de Saúde (CES) were suspended and the associated hospitals stopped receiving students, making the experience of real-life scenarios unfeasible, resulting in the beginning of a project characterized by care of patients with coronavirus infection through telemedicine. The face-to-face nursing team’s participation occurred concomitantly, while students attending the eighth semester of the medical course were present at the consultation through screen sharing using the Google Meet ® program. After the consultation was concluded, there was a discussion about the case and other relevant aspects, similarly to what would happen with a face-to-face experience. In parallel with the project, students also attended lectures that addressed aspects of the disease from primary to tertiary level of health care. Discussion: Patients received care and students were taught through a flexible, innovative, accessible and safe media, following a worldwide trend, generating opportunities for professional development and innovations in medical education. The experience with telemedicine can be complemented by e-learning, allowing the development of a new hybrid teaching model. Conclusion: The current circumstances may result in some educational loss, such as the impossibility to perform physical examinations and to interact better with the health care team and patients; however the technological resources can result in opportunities for changes, improvement and development of teaching methodologies, in line with the current generation of digital natives.

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“…During the initial phase of the pandemic, most endoscopy units implemented policies to have only essential fully trained staff to avoid exposure and reduce the turnover time (30). Multiple survey studies have demonstrated adverse effects on endoscopy training and an unexpectedly significant fear and anxiety during pandemic (35,67,68). Multiple GI and surgical societies have increased the availability of electronic resources to fill this gap in the training (69,70).…”

Section: Endoscopy Trainee Involvementmentioning

confidence: 99%

Gastrointestinal Endoscopy in the Era of COVID-19

2020

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Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which led to a worldwide pandemic that started in early 2020. Healthcare systems across the world encountered an unprecedented surge of COVID-19 patients resulting in more than half a million deaths globally. COVID-19 has affected multiple sub-specialties and procedure-related fields, including gastroenterology. Gastrointestinal (GI) endoscopy centers are specialized units where thousands of endoscopies are performed annually. A significant proportion of these procedures are affected due to the national and regional lockdowns across the globe. To adapt to this rapidly evolving situation, endoscopy centers have undergone significant changes and have taken unprecedented precautions to avoid the transmission of the virus. However, endoscopy centers are going through financial strain due to a reduction in the number of procedures from lockdowns and fear of virus transmission. Theoretically, endoscopies could add to the disease transmission as SARS-CoV-2 has shown to be present in the GI secretions. Multiple precautions such as mandatory use of face masks, safe distancing, use of barriers between the endoscopists and patients, negative pressure rooms, extended use of personal protective equipment, and volume reduction have been taken to decrease the risk of disease transmission by these centers. Moreover, pre-endoscopy COVID-19 testing has now become the norm. In this review, we highlight the significant changes assumed by the endoscopy center. Furthermore, we discuss cost-related concerns of pre-endoscopy COVID-19 testing, the downtime and delays related to the procedures, and effects of rescheduling. As the pandemic progresses through multiple phases, endoscopy centers should use a dynamic approach to adapt and strive to provide the best patient care.

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Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America

Cited by 41 publications

References 8 publications

Differences between fellows and fellowship program directors in their perception of the impact of the COVID-19 pandemic on gastroenterology training: results from a nationwide survey in Greece

Differences between fellows and fellowship program directors in their perception of the impact of the COVID-19 pandemic on gastroenterology training: results from a nationwide survey in Greece

Adaptações e repercussões nas vivências em escola de ensino híbrido durante a pandemia por Sars-CoV-2

Gastrointestinal Endoscopy in the Era of COVID-19

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