scholarly journals Impacts on Surgery Resident Education at a First Wave COVID-19 Epicenter

2020 ◽  
Vol 7 ◽  
pp. 238212052097502
Author(s):  
Alexander Ostapenko ◽  
Samantha McPeck ◽  
Shawn Liechty ◽  
Daniel Kleiner
Keyword(s):  
Resident Training ◽  
Surgical Resident ◽  
Training And Education ◽  
Surgical Residents ◽  
High Effect ◽  
Negative Effect ◽  
Case Logs ◽  
Surgery Resident ◽  
Junior Residents ◽  
Development Objective

Purpose: This study aims to identify the effects of the COVID-19 pandemic on surgical resident training and education at Danbury Hospital. Methods: We conducted an observational study at a Western Connecticut hospital heavily affected by the first wave of the COVID-19 pandemic to assess its effects on surgical residents, focusing on surgical education, clinical experience, and operative skills development. Objective data was available through recorded work hours, case logs, and formal didactics. In addition, we created an anonymous survey to assess resident perception of their residency experience during the pandemic. Results: There are 22 surgical residents at our institution; all were included in the study. Resident weekly duty hours decreased by 23.9 hours with the majority of clinical time redirected to caring for COVID-19 patients. Independent studying increased by 1.6 hours (26.2%) while weekly didactics decreased by 2.1 hours (35.6%). The operative volume per resident decreased by 65.7% from 35.0 to 12.0 cases for the period of interest, with a disproportionately high effect on junior residents, who experienced a 76.2% decrease. Unsurprisingly, 70% of residents reported a negative effect of the pandemic on their surgical skills. Conclusions: During the first wave of the COVID-19 pandemic, surgical residents’ usual workflows changed dramatically, as much of their time was dedicated to the critical care of patients with COVID-19. However, the consequent opportunity cost was to surgery-specific training; there was a significant decrease in operative cases and time spent in surgical didactics, along with elevated concern about overall preparedness for their intended career.

scholarly journals Impacts on Surgery Resident Education at a first wave COVID-19 epicenter

2020 ◽  
Author(s):  
Alexander Ostapenko ◽  
Samantha McPeck ◽  
Shawn Liechty ◽  
Daniel Kleiner
Keyword(s):  
Resident Training ◽  
Surgical Resident ◽  
Training And Education ◽  
Surgical Residents ◽  
High Effect ◽  
Negative Effect ◽  
Case Logs ◽  
Surgery Resident ◽  
Junior Residents ◽  
Development Objective

Background: This study aims to identify the effects of the COVID-19 pandemic on surgical resident training and education at Danbury Hospital. Methods: We conducted an observational study at a Western Connecticut hospital heavily affected by the first wave of the COVID-19 pandemic to assess its effects on surgical residents, focusing on surgical education, clinical experience, and operative skills development. Objective data was available through recorded work hours, case logs, and formal didactics. In addition, we created an anonymous survey to assess resident perception of their residency experience during the pandemic. Results: There are 22 surgical residents at our institution; all were included in the study. Resident weekly duty hours decreased by 23.9 hours with the majority of clinical time redirected to caring for COVID-19 patients. Independent studying increased by 1.6 hours (26.2%) while weekly didactics decreased by 2.1 hours (35.6%). The operative volume per resident decreased by 65.7% from 35.0 to 12.0 cases for the period of interest, with a disproportionately high effect on junior residents, who experienced a 76.2% decrease. Unsurprisingly, 70% of residents reported a negative effect of the pandemic on their surgical skills. Conclusions: During the first wave of the COVID-19 pandemic, surgical residents' usual workflows changed dramatically, as much of their time was dedicated to the critical care of patients with COVID-19. However, the consequent opportunity cost was to surgery-specific training; there was a significant decrease in operative cases and time spent in surgical didactics, along with elevated concern about overall preparedness for their intended career.

scholarly journals Impacts on Surgery Resident Education at a first wave COVID-19 Epicenter

2020 ◽  
Author(s):  
Alexander Ostapenko ◽  
Samantha McPeck ◽  
Shawn Liechty ◽  
Daniel Kleiner
Keyword(s):  
Resident Training ◽  
Surgical Resident ◽  
Training And Education ◽  
Surgical Residents ◽  
High Effect ◽  
Negative Effect ◽  
Case Logs ◽  
Surgery Resident ◽  
Junior Residents ◽  
Development Objective

Abstract Background: This study aims to identify the effects of the COVID-19 pandemic on surgical resident training and education at Danbury Hospital.Methods: We conducted an observational study at a Western Connecticut hospital heavily affected by the first wave of the COVID-19 pandemic to assess its effects on surgical residents, focusing on surgical education, clinical experience, and operative skills development. Objective data was available through recorded work hours, case logs, and formal didactics. In addition, we created an anonymous survey to assess resident perception of their residency experience during the pandemic. Results: There are 22 surgical residents at our institution; all were included in the study. Resident weekly duty hours decreased by 23.9 hours with the majority of clinical time redirected to caring for COVID-19 patients. Independent studying increased by 1.6 hours (26.2%) while weekly didactics decreased by 2.1 hours (35.6%). The operative volume per resident decreased by 65.7% from 35.0 to 12.0 cases for the period of interest, with a disproportionately high effect on junior residents, who experienced a 76.2% decrease. Unsurprisingly, 70% of residents reported a negative effect of the pandemic on their surgical skills.Conclusions: During the first wave of the COVID-19 pandemic, surgical residents’ usual workflows changed dramatically, as much of their time was dedicated to the critical care of patients with COVID-19. However, the consequent opportunity cost was to surgery-specific training; there was a significant decrease in operative cases and time spent in surgical didactics, along with elevated concern about overall preparedness for their intended career.

Attending Surgeon Variation in Operative Case Length: An Opportunity for Quality Improvement

2018 ◽  
Vol 84 (10) ◽  
pp. 1595-1599
Author(s):  
Kirollos S. Malek ◽  
Jukes P. Namm ◽  
Carlos A. Garberoglio ◽  
Maheswari Senthil ◽  
Naveen Solomon ◽  
...  
Keyword(s):  
Operative Time ◽  
Resident Training ◽  
Careful Consideration ◽  
Analysis Of Covariance ◽  
Surgical Resident ◽  
Or Efficiency ◽  
American Society ◽  
Case Logs ◽  
American Society Of Anesthesiologists ◽  
The Impact

Balancing resident education with operating room (OR) efficiency, while accommodating different styles of surgical educators and learners, is a challenging task. We sought to evaluate variability in operative time for breast surgery cases. Accreditation Council for Graduate Medical Education case logs of breast operations from 2011 to 2017 for current surgical residents at Loma Linda University were correlated with patient records. The main outcome measure was operative time. Breast cases were assessed as these operations are performed during all postgraduate years (PGY). Breast procedures were grouped according to similarity. Variables analyzed included attending surgeon, PGY level, procedure type, month of operation, and American Society of Anesthesiologists class. Of 606 breast cases reviewed, median overall operative time was 150 minutes (interquartile range 187–927). One-way analysis of covariance demonstrated statistically significant variation in operative time by attending surgeon controlling for covariates (PGY level, procedure, American Society of Anesthesiologists class, and month) ( P = 0.04). With institutional OR costs of $30 per minute, the average difference between slowest and fastest surgeon was $2400 per case [(218–138) minutes 3 $30/min]. Minimizing variability for common procedures performed by surgical educators may enhance OR efficiency. However, the impact of case length on surgical resident training requires careful consideration.

scholarly journals Analysis of Surgical Resident Operative Volumes on China’s Resident Training

2020 ◽  
Vol 7 ◽  
pp. 238212052094707
Author(s):  
Wei Liu ◽  
Xiaoling Han ◽  
Xu Zhou ◽  
Chongzhi Zhou ◽  
Min Wang
Keyword(s):  
General Hospital ◽  
Resident Training ◽  
Bachelor's Degree ◽  
Data Management System ◽  
Advanced Degree ◽  
Surgical Resident ◽  
Surgical Residency ◽  
System A ◽  
Surgical Residents ◽  
Educational Degree

Doctors entering surgical residency with different educational degrees and from different specialties is a unique feature of the Chinese medical system. The effect of this on the experience of surgical residents is not known. We retrospectively investigated whether residents’ operative volumes were based on highest educational degree or postgraduate specialty. Using our operating data management system, a retrospective analysis of surgical resident operative experience at Shanghai General Hospital from 2012 to 2017 was conducted. The overall monthly average operative volume for surgical residents was 17.7 (12.6-26.5), but this decreased with each advanced degree of education from 26.0 (19.2-34.5) for those with a bachelor’s degree only, to 19.5 (16.0-28.1) for a master’s degree, to 15.9 (12.2-22.9) for those with a doctorate. Regarding specialty, residents in plastic surgery had the highest operative volume, and those in cardiothoracic surgery and neurosurgery had the lowest. At Shanghai General Hospital, the operative volumes of surgical residents differed according to their highest educational degree and postgraduate specialty. This analysis should be useful for the future planning of surgical residency programs in China.

Narrowing of the surgical resident operative experience: A 27-year analysis of national ACGME case logs

Surgery ◽  
2018 ◽  
Vol 164 (3) ◽  
pp. 577-582 ◽  
Author(s):  
Alexander R. Cortez ◽  
Gianna D. Katsaros ◽  
Vikrom K. Dhar ◽  
F. Thurston Drake ◽  
Timothy A. Pritts ◽  
...  
Keyword(s):  
Surgical Resident ◽  
Operative Experience ◽  
Case Logs

Evolution of a competency committee (CC): enhancing resident training and education

2021 ◽  
Vol 43 (5) ◽  
pp. 657-658
Author(s):  
Nicolette Caccia ◽  
Rajiv Shah ◽  
Jill Tomac ◽  
Michele Farrugia ◽  
Donna Steele
Keyword(s):  
Resident Training ◽  
Training And Education

Surgery Resident Training in Endoscopy

2011 ◽  
Vol 146 (8) ◽  
pp. 899 ◽  
Author(s):  
Samir Johna
Keyword(s):  
Resident Training ◽  
Surgery Resident

Impact of COVID-19 Pandemic on Cardiology Resident Training and Education

2021 ◽  
Vol 2 (1) ◽  
pp. 6-7
Author(s):  
Prashanth Kulkarni ◽  
Manjappa Mahadevappa
Keyword(s):  
Global Health ◽  
Residency Program ◽  
Resident Training ◽  
The Novel ◽  
Training And Education ◽  
Educational Activities ◽  
Research Activities ◽  
Novel Coronavirus ◽  
A Current

The novel coronavirus (COVID-19) pandemic has created an unprecedented global health emergency. This crisis has impacted educational activities worldwide, including India. It is imperative to understand the challenges faced by institutions in imparting resident training when dealing with patients during this pandemic. This correspondence briefly discusses the effect on the cardiology residency program and research activities. It also highlights the measures to impart education safely amid a current pandemic.

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