Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes
| Autor: | Raj C. Shah, Dalbir S. Sandhu, Ira Mayer, Swathi Paleti, Aditya Gutta, Thomas R. McCarty, Rajat Garg, Fateh Bazerbachi, Laith H. Jamil, Amir Masoud, Tarun Rustagi, Shreya Amin, Matthew D. Grunwald, Rajesh Konjeti, Karim Benrajab, Ali Ahmed, Hirsh D. Trivedi, Shruti Mony, Shreyas Saligram, Chinemerem Okwara, Arpan Mohanty, Venkata S. Akshintala, Thayer Nasereddin, Abhishek Agnihotri, Zain A. Sobani, Pradeep Kathi, Anas Gremida, Jessica X. Yu, Gursimran Kochhar, Randhir Jesudoss, Luke Gessel, Neil Vyas, Kenneth W. Hung, Venkat Nutalapati |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Original article
medicine.medical_specialty 2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Procedural training medicine.diagnostic_test business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Electronic medical record RC799-869 Diseases of the digestive system. Gastroenterology Gastroenterology Endoscopy Multicenter study Internal medicine medicine Pharmacology (medical) business Fellowship training |
| Zdroj: | Endoscopy International Open, Vol 09, Iss 10, Pp E1572-E1578 (2021) Endoscopy International Open |
| ISSN: | 2196-9736 2364-3722 |
| Popis: | Background and study aims The COVID-19 pandemic has had a profound impact on gastroenterology training programs. We aimed to objectively evaluate procedural training volume and impact of COVID-19 on gastroenterology fellowship programs in the United States. Methods This was a retrospective, multicenter study. Procedure volume data on upper and lower endoscopies performed by gastroenterology fellows was abstracted directly from the electronic medical record. The study period was stratified into 2 time periods: Study Period 1, SP1 (03/15/2020 to 06/30/2020) and Study Period 2, SP2 (07/01/2020 to 12/15/2020). Procedure volumes during SP1 and SP2 were compared to Historic Period 1 (HP1) (03/15/2019 to 06/30/2019) and Historic Period 2 (HP2) (07/01/2019 to 12/15/2019) as historical reference. Results Data from 23 gastroenterology fellowship programs (total procedures = 127,958) with a median of 284 fellows (range 273–289; representing 17.8 % of all trainees in the United States) were collected. Compared to HP1, fellows performed 53.6 % less procedures in SP1 (total volume: 28,808 vs 13,378; mean 105.52 ± 71.94 vs 47.61 ± 41.43 per fellow; P Conclusions Although there was a significant reduction in fellows’ endoscopy volume in the initial stages of the pandemic, adaptive mechanisms have resulted in a return of procedure volume to near baseline without ongoing impact on endoscopy training. |
| Databáze: | OpenAIRE |
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