The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis

Vongsachang, Hursuong; Fliotsos, Michael J.; Lorch, Alice C.; Singman, Eric L.; Woreta, Fasika A.; Justin, Grant A.

doi:10.1186/s12909-022-03205-0

Cited by 9 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, Vongsachang et al investigated the impact of the COVID-19 pandemic on ophthalmology residency training in the USA 14. The study included 195 ophthalmology residents who completed an online survey, and similar to our findings, the results showed that the pandemic had a significant impact on their training, particularly in terms of surgical volume and case diversity.…”

Section: Discussionsupporting

confidence: 77%

Impact of the economic crisis, COVID-19 and the Beirut explosion on ophthalmology training in Lebanon: an observational cohort survey-based study

Ghannam,

Ibrahim,

Hammoud

et al. 2024

BMJ Open

View full text Add to dashboard Cite

ObjectivesThe objective of the study is to investigate the effects of the COVID-19 pandemic, the economic crisis and the Beirut explosion on the training and work of ophthalmology residents and faculty in Lebanon.DesignThis is an observational cohort survey-based research conducted between January and December 2022.SettingThe study targeted all ophthalmology residents and core faculty in Lebanon.ParticipantsA total of 52 participants, including 27 residents and 25 core faculty members, completed the survey.Primary outcome measurePrimary outcomes comprised the subjectively reported effect of the three major external stressors on the training and well-being of ophthalmology trainees and educators in Lebanon.ResultsThe study found that the majority of ophthalmology residents and core faculty members were significantly affected by the COVID-19 pandemic, Beirut explosion and the economic crisis in Lebanon. Significant percentage reported financial burden, decrease in outpatient and surgical load and educational activities. Furthermore, most participants reported higher levels of stress, anxiety and depression during the time of crises.ConclusionsThis study emphasises the need to support healthcare professionals during times of crisis, as they are on the frontlines and can experience high levels of stress, anxiety and depression. By providing support and resources to healthcare professionals, they can better cope with the challenges they face and continue to provide essential care to their patients.

show abstract

Section: Discussionsupporting

confidence: 77%

Impact of the economic crisis, COVID-19 and the Beirut explosion on ophthalmology training in Lebanon: an observational cohort survey-based study

Ghannam,

Ibrahim,

Hammoud

et al. 2024

BMJ Open

View full text Add to dashboard Cite

show abstract

“…This is similar to stable case volumes noted in trainee case logs including urology residents, Society of Urologic Oncology fellows, and general surgery residents 10–12 . However, for some surgical specialties, there were significant decreases in volume including ophthalmology and otolaryngology 13,14 . This may reflect differences in the proportion of elective cases as well as the relative risk of COVID‐19 transmission during the procedures.…”

Section: Discussionsupporting

confidence: 62%

“…[10][11][12] However, for some surgical specialties, there were significant decreases in volume including ophthalmology and otolaryngology. 13,14 This may reflect differences in the proportion of elective cases as well as the relative risk of COVID-19 transmission during the procedures. For urology FPMRS fellows, there was a statistically significant decrease among two COVID-affected cohorts: GI procedures decreased for AY 2020−2021 from AY 2019−2020 (4.2 vs. 8.9, p = 0.04).…”

Section: Discussionmentioning

confidence: 99%

Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Daily,

Popat,

Koenig

et al. 2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

IntroductionDuring the COVID‐19 pandemic and subsequent staffing shortages there was concern about the case volume, and thus competency, of graduating trainees due to reduced surgical volumes. Elective procedures were particularly affected, which includes Female Pelvic Medicine and Reconstructive Surgery (FPMRS) cases. To understand whether FPMRS fellows were affected, we assessed their case logs for changes during the pandemic.MethodsThe nationally aggregated case logs of graduating FPMRS fellows, both urology and obstetrics and gynecology (OBGYN), were obtained from the Accreditation Council for Graduate Medical Education. The available academic years (AYs) included 2018−2019, 2019−2020, and 2020−2021. Standard deviation for each index category was derived from the average and 90th percentile data. One‐way analysis of variance was used to compare differences in case volumes for tracked index categories between AYs.ResultsGraduating fellows logged an average of 517.4 (standard deviation [SD] 28.6) and 818.0 (SD 37.9) cases, for urology and OBGYN respectively, over their fellowship training during the examined period. No significant differences in total surgical procedures were found for either specialty between pre‐COVID AY 2018−2019 and COVID‐affected AYs 2019−2020 and 2020‐2021. For urology fellows, gastrointestinal (GI) procedures was the only index case category with a significant difference, and it was a decrease between the two COVID‐affected AYs: 2020‐2021 compared to 2019−2020 (8.9 vs. 4.2, p = 0.04). For both urology and OBGYN fellows, there was a statistically significant decrease in graft/mesh augmentation procedures from COVID‐affected AY 2019−2020 to AY 2020−2021. This may be attributed to the reclassification of mesh removal cases from graft/mesh augmentation procedures to genital procedures in 2020−2021. There was not a significant decrease in these procedures from pre‐COVID AY 2018‐2019 to the COVID‐affected AYs. There were no other statistically significant differences between AYs for OBGYN fellows.ConclusionsSurgical case volumes for FPMRS urology and OBGYN fellows who trained during the COVID‐19 pandemic were comparable to those of their pre‐pandemic peers. No significant differences between pre‐COVID and COVID‐affected years were found for either total surgical procedures or index case categories. Despite disruptions in health care nationwide, FPMRS trainee case volumes were largely unaffected.

show abstract

“…[ 2 ] Surgical logs of trainees in the United States also showed a significant dip in the number of surgeries performed or assisted in 2020–2021 as compared to the previous years. [ 3 ]…”

mentioning

confidence: 99%

Embracing technology in cataract surgical training – The way forward

Lansingh

Ravindran

Garg

et al. 2022

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

While ophthalmology as a surgical branch itself has evolved technologically with newer instruments, techniques and procedures; ophthalmic surgical training appears to have stagnated in terms of how it is delivered and how trainees’ learning and performance are assessed. This collaborative editorial attempts to identify the lacunae in ophthalmic residency training and highlight how technological tools such as surgical simulators can be incorporated into ophthalmic training even in limited-resource settings with good results.

show abstract

The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis

Cited by 9 publications

References 14 publications

Impact of the economic crisis, COVID-19 and the Beirut explosion on ophthalmology training in Lebanon: an observational cohort survey-based study

Impact of the economic crisis, COVID-19 and the Beirut explosion on ophthalmology training in Lebanon: an observational cohort survey-based study

Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Embracing technology in cataract surgical training – The way forward

Contact Info

Product

Resources

About