Early Changes to Neurosurgery Resident Training During the COVID-19 Pandemic at a Large U.S. Academic Medical Center.

Tytuł:: Early Changes to Neurosurgery Resident Training During the COVID-19 Pandemic at a Large U.S. Academic Medical Center.
Autorzy:: Burks JD; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address: .
Luther EM; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Govindarajan V; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Shah AH; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Levi AD; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Komotar RJ; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Źródło:: World neurosurgery [World Neurosurg] 2020 Dec; Vol. 144, pp. e926-e933. Date of Electronic Publication: 2020 Sep 28.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: New York : Elsevier
MeSH Terms:: Academic Medical Centers*
COVID-19/*epidemiology
Education, Medical, Graduate/*statistics & numerical data
Elective Surgical Procedures/*statistics & numerical data
Neurosurgery/*education
Neurosurgical Procedures/*statistics & numerical data
Education, Medical, Graduate/organization & administration ; Florida/epidemiology ; Humans ; Internship and Residency ; Neurosurgery/organization & administration ; Neurosurgical Procedures/education ; Personnel Staffing and Scheduling/organization & administration ; United States/epidemiology
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Contributed Indexing:: Keywords: COVID-19; Operative; Pandemic; Residency; Surgery; Training
Entry Date(s):: Date Created: 20200929 Date Completed: 20201204 Latest Revision: 20211118
Update Code:: 20240105
PubMed Central ID:: PMC7521299
DOI:: 10.1016/j.wneu.2020.09.125
PMID:: 32992058
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Background: The coronavirus disease 2019 pandemic has led to sweeping changes in residency programs across the world, including cancellation of elective cases. The effects of safety measures on neurosurgical training remain unclear. To understand how neurosurgical residents have been affected, we analyzed the operative experience in the months leading up to and during the pandemic.
Methods: The resident and institutional case totals were tallied for a single residency program in Miami-Dade County from January 1, 2019 to June 30, 2020. A matched cohort analysis was performed before and during the pandemic to assess the effects on resident surgical training.
Results: The case totals for all levels of training were lower when restrictions were placed on elective surgeries. An average of 11 cases was logged in April 2020, a decrease from 26 cases in April 2019 (95% confidence interval, 8.7-22; P < 0.01). An average of 20 cases was logged in May 2020, a decrease from 25 cases in May 2019 (95% confidence interval, 1.2-8.8; P = 0.01). In April and May 2020, 299 (66%) and 148 (50%) fewer cases had been performed at our institution compared with April and May 2109.
Conclusions: Operative experience was reduced for residents during the months when the performance of elective cases was restricted. Our data suggest experience in some areas of neurosurgery were more affected than were others, and residents at different levels of training were also affected differently. However, the extent of the coronavirus disease 2019 pandemic on neurosurgical training is unlikely to be understood in the short term.
(Copyright © 2020 Elsevier Inc. All rights reserved.)

Comment in: World Neurosurg. 2021 Feb;146:420-422. (PMID: 33229250)
Comment in: World Neurosurg. 2021 Feb;146:423. (PMID: 33607745)
Comment in: World Neurosurg. 2021 Oct;154:181. (PMID: 34583478)

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