Impact of the COVID-19 Pandemic on Physical Medicine and Rehabilitation Residency in the Epicenter of the Outbreak

Seidel, Benjamin; Trovato, Erika; Elashvili, Mery; Bartels, Matthew N.; Oh‐Park, Mooyeon; Thomas, Mark A.; Giannoni, Cheryl

doi:10.1097/phm.0000000000001517

Cited by 4 publications

(4 citation statements)

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“…19 Other reports have described the impact of the COVID pandemic on training in PM&R. A study by Escalon et al 20 highlighted the changes in attitudes and experience across all levels of training in PM&R, emphasizing the use of virtual didactics, changes in distribution of inpatient and outpatient clinical experience, and cancellation of licensing examinations. Seidel et al 21 underscored the response of the training program to the pandemic, including communication strategies, wellness initiatives, initiation of virtual didactics, and distribution of personal protective equipment. To our knowledge, this is the first study quantitatively describing the impact of the pandemic specifically on inpatient PM&R resident clinical experience.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the Early COVID-19 Pandemic on Inpatient Clinical Experience for Physical Medicine and Rehabilitation Resident Physicians

Deo

Sliwa

2022

Am J Phys Med Rehabil

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The objective of this retrospective, observational study was to quantitatively study the impact of the early COVID-19 pandemic on the inpatient clinical experience of Physical Medicine and Rehabilitation resident physicians in an inpatient rehabilitation facility setting. Inpatient clinical experience as evidenced by admissions, rehabilitation diagnosis, medical emergencies, acute care transfers, and resident work hours from January to June 2019 (prepandemic) were compared January to June 2020 (immediately before and during pandemic). There was a statistically significant decrease in the mean daily admissions in April 2020 and a significant increase in medically complex admissions in June 2020, reflective of medical patterns due to the pandemic. There was a decrease in mean work hours during the pandemic, but no statistically significant difference in admission rate of other rehabilitation diagnoses, medical emergencies, or transfers to acute care. This study demonstrates no substantial pandemic-related impact on inpatient clinical experience for physical medicine and rehabilitation residents in the studied program.

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Section: Discussionmentioning

confidence: 99%

The Impact of the Early COVID-19 Pandemic on Inpatient Clinical Experience for Physical Medicine and Rehabilitation Resident Physicians

Deo

Sliwa

2022

Am J Phys Med Rehabil

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“…Exposure to a sufficient number of procedures during PM&R residency is increasingly difficult given increasing resident work hour restrictions and concerns for patient safety. With the advent of global pandemics like COVID‐19, resident education has become even more challenging, which has catalyzed the use of virtual technologies 10 . Yet, hands‐on procedural training remains a fundamental focus of PM&R residency training.…”

Section: Discussionmentioning

confidence: 99%

“…National case logs were available for analysis, which provide descriptive statistics at the resident level. It is notable that this time frame included March 2020, which corresponded to the outbreak of the coronavirus disease 2019 (COVID‐19) pandemic and subsequent challenges in the delivery of elective healthcare 10 . Procedures are self‐reported, reviewed by faculty, and audited by national accrediting parties.…”

Section: Methodsmentioning

confidence: 99%

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Variability in procedure volume of physical medicine and rehabilitation residents graduating from 2014 to 2021

Silvestre

Nelson

Kalyanam

et al. 2022

PM&R

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BackgroundAdequate exposure to commonly performed procedures during physical medicine and rehabilitation (PM&R) residency is an important issue.ObjectiveTo assess temporal trends and variabilities in reported procedural volumes, including the number of residents achieving procedure minimum requirements as established by the Accredited Council for Graduate Medical Education (ACGME) PM&R Residency Review Committee.DesignThis was a retrospective cohort study of PM&R residents graduating from 2013–2014 to 2020–2021. Descriptive statistics were calculated for tracked procedures and compared over time with analysis of variance (ANOVA) tests. Variability was calculated as the procedure volume difference between the 90th and 10th percentile groups.SettingACGME‐accredited PM&R residency training programs.ParticipantsA total of 3231 PM&R residents graduating from 2014 to 2021.InterventionsNot applicable.Main outcome measuresReported procedure volume and number of residents achieving minimum requirements.ResultsTotal procedure volume increased over the study period (436 ± 225 to 523 ± 238, p = .013). The percentage of all procedures that were performed versus observed was stable over the study period (81%–77%, p = .234). Variability in total reported procedure volume remained stable over the study period. The percentage of PM&R residents not achieving minimum requirements ranged from 2% for peripheral joint injections to 22% for ultrasound in the contemporary training period.ConclusionsThe volume of reported procedures has increased along with the number of PM&R residency programs and residents. Variabilities in total reported procedure volume were stable over time, but PM&R residents struggle to obtain minimum requirements for ultrasound procedures.

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Percepción de residentes de Medicina Física y Rehabilitación del Perú sobre su residencia médica durante la pandemia por COVID-19

2023

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Impact of the COVID-19 Pandemic on Physical Medicine and Rehabilitation Residency in the Epicenter of the Outbreak

Cited by 4 publications

References 1 publication

The Impact of the Early COVID-19 Pandemic on Inpatient Clinical Experience for Physical Medicine and Rehabilitation Resident Physicians

The Impact of the Early COVID-19 Pandemic on Inpatient Clinical Experience for Physical Medicine and Rehabilitation Resident Physicians

Variability in procedure volume of physical medicine and rehabilitation residents graduating from 2014 to 2021

Percepción de residentes de Medicina Física y Rehabilitación del Perú sobre su residencia médica durante la pandemia por COVID-19

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