دورية أكاديمية
The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis.
| العنوان: | The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis. |
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| المؤلفون: | Vongsachang H; Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA. hvongsa2@jhmi.edu., Fliotsos MJ; Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA.; Present address: Department of Ophthalmology, Yale School of Medicine, 333 Cedar St, CT, 06510, New Haven, USA., Lorch AC; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, 243 Charles St, MA, 02114, Boston, USA., Singman EL; Department of Ophthalmology, University of Maryland School of Medicine, 655 W. Baltimore St, MD, 21201, Baltimore, USA., Woreta FA; Wilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA., Justin GA; Department of Ophthalmology, Walter Reed National Military Medical Center, 4494 Palmer Rd. N, MD, 20814, Bethesda, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Walter Reed, 4301 Jones Bridge Road, MD, 20814, Bethesda, USA. |
| المصدر: | BMC medical education [BMC Med Educ] 2022 Mar 04; Vol. 22 (1), pp. 142. Date of Electronic Publication: 2022 Mar 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , Internship and Residency* , Ophthalmology*/education, Accreditation ; Clinical Competence ; Cross-Sectional Studies ; Education, Medical, Graduate ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; United States/epidemiology ; Workload |
| مستخلص: | Background: The coronavirus disease 2019 (COVID-19) pandemic caused significant disruption to in-office and surgical procedures in the field of ophthalmology. The magnitude of the impact of the pandemic on surgical training among ophthalmology residents is not known. This study aims to quantify changes in average case logs among United States (U.S.) ophthalmology residency graduates prior to and during the COVID-19 pandemic. Methods: Retrospective, cross-sectional analysis of aggregate, national data on case logs of U.S. ophthalmology residency graduates from 2012 to 2020. The yearly percent change in the average number of procedures performed in the Accreditation Council for Graduate Medical Education (ACGME) ophthalmology resident case logs were analyzed using linear regression on log-transformed dependent variables. The average percent change from 2019 to 2020 was compared to the average yearly percent change from 2012 to 2019 for procedures performed as the primary surgeon, and primary surgeon and surgical assistant (S + A), as well as procedures for which there are ACGME minimum graduating numbers. Results: Across all procedures and roles, average case logs in 2020 were lower than the averages in 2019. While average total cases logged as primary surgeon increased yearly by 3.2% (95% CI: 2.7, 3.8%, p < 0.001) from 2012 to 2019, total primary surgeon case logs decreased by 11.2% from 2019 to 2020. Cataract (-22.0%) and keratorefractive (-21.1%) surgery experienced the greatest percent decrease in average primary surgeon cases logged from 2019 to 2020. Average total cases logged as S + A experienced an average yearly increase by 1.2% (95% CI: 0.9,1.6%, p < 0.001) prior to 2020, but decreased by 9.6% from 2019 to 2020. For ACGME minimum requirements, similar changes were observed. Specifically, the average case logs in YAG, SLT, filtering (glaucoma), and intravitreal injections had been increasing significantly prior to 2020 (p < 0.05 for all) but decreased in 2020. Conclusions: These findings demonstrate the vulnerability of ophthalmology residency programs to a significant interruption in surgical volume. There is a critical need for development of competency-based, rather than volume-based, requirements to evaluate readiness for independent practice. (© 2022. The Author(s).) |
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| معلومات مُعتمدة: | TL1 TR003100 United States TR NCATS NIH HHS |
| فهرسة مساهمة: | Keywords: COVID-19; Clinical competence; Graduate medical education; Ophthalmologic surgical procedures |
| تواريخ الأحداث: | Date Created: 20220305 Date Completed: 20220308 Latest Revision: 20220309 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8894550 |
| DOI: | 10.1186/s12909-022-03205-0 |
| PMID: | 35246112 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6920 |
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| DOI: | 10.1186/s12909-022-03205-0 |