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Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes
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, multic...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445682/ https://www.ncbi.nlm.nih.gov/pubmed/34540553 http://dx.doi.org/10.1055/a-1526-1419 |
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author | Paleti, Swathi Sobani, Zain A. McCarty, Thomas R. Gutta, Aditya Gremida, Anas Shah, Raj Nutalapati, Venkat Bazerbachi, Fateh Jesudoss, Randhir Amin, Shreya Okwara, Chinemerem Kathi, Pradeep Reddy Ahmed, Ali Gessel, Luke Hung, Kenneth Masoud, Amir Yu, Jessica Mony, Shruti Akshintala, Venkata Jamil, Laith Nasereddin, Thayer Kochhar, Gursimran Vyas, Neil Saligram, Shreyas Garg, Rajat Sandhu, Dalbir Benrajab, Karim Konjeti, Rajesh Agnihotri, Abhishek Trivedi, Hirsh Grunwald, Matthew Mayer, Ira Mohanty, Arpan Rustagi, Tarun |
author_facet | Paleti, Swathi Sobani, Zain A. McCarty, Thomas R. Gutta, Aditya Gremida, Anas Shah, Raj Nutalapati, Venkat Bazerbachi, Fateh Jesudoss, Randhir Amin, Shreya Okwara, Chinemerem Kathi, Pradeep Reddy Ahmed, Ali Gessel, Luke Hung, Kenneth Masoud, Amir Yu, Jessica Mony, Shruti Akshintala, Venkata Jamil, Laith Nasereddin, Thayer Kochhar, Gursimran Vyas, Neil Saligram, Shreyas Garg, Rajat Sandhu, Dalbir Benrajab, Karim Konjeti, Rajesh Agnihotri, Abhishek Trivedi, Hirsh Grunwald, Matthew Mayer, Ira Mohanty, Arpan Rustagi, Tarun |
author_sort | Paleti, Swathi |
collection | PubMed |
description | 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 < 0.0001). This reduction was significant across all three training years and for both lower and upper endoscopies ( P < 0.0001). However, the reduction in volume was more pronounced for lower endoscopy compared to upper endoscopy [59.03 % (95 % CI: 58.2–59.86) vs 48.75 % (95 % CI: 47.96–49.54); P < 0.0001]. The procedure volume in SP2 returned to near baseline of HP2 (total volume: 42,497 vs 43,275; mean 147.05 ± 96.36 vs 150.78 ± 99.67; P = 0.65). 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. |
format | Online Article Text |
id | pubmed-8445682 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-84456822021-09-17 Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes Paleti, Swathi Sobani, Zain A. McCarty, Thomas R. Gutta, Aditya Gremida, Anas Shah, Raj Nutalapati, Venkat Bazerbachi, Fateh Jesudoss, Randhir Amin, Shreya Okwara, Chinemerem Kathi, Pradeep Reddy Ahmed, Ali Gessel, Luke Hung, Kenneth Masoud, Amir Yu, Jessica Mony, Shruti Akshintala, Venkata Jamil, Laith Nasereddin, Thayer Kochhar, Gursimran Vyas, Neil Saligram, Shreyas Garg, Rajat Sandhu, Dalbir Benrajab, Karim Konjeti, Rajesh Agnihotri, Abhishek Trivedi, Hirsh Grunwald, Matthew Mayer, Ira Mohanty, Arpan Rustagi, Tarun Endosc Int Open 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 < 0.0001). This reduction was significant across all three training years and for both lower and upper endoscopies ( P < 0.0001). However, the reduction in volume was more pronounced for lower endoscopy compared to upper endoscopy [59.03 % (95 % CI: 58.2–59.86) vs 48.75 % (95 % CI: 47.96–49.54); P < 0.0001]. The procedure volume in SP2 returned to near baseline of HP2 (total volume: 42,497 vs 43,275; mean 147.05 ± 96.36 vs 150.78 ± 99.67; P = 0.65). 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. Georg Thieme Verlag KG 2021-09-16 /pmc/articles/PMC8445682/ /pubmed/34540553 http://dx.doi.org/10.1055/a-1526-1419 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Paleti, Swathi Sobani, Zain A. McCarty, Thomas R. Gutta, Aditya Gremida, Anas Shah, Raj Nutalapati, Venkat Bazerbachi, Fateh Jesudoss, Randhir Amin, Shreya Okwara, Chinemerem Kathi, Pradeep Reddy Ahmed, Ali Gessel, Luke Hung, Kenneth Masoud, Amir Yu, Jessica Mony, Shruti Akshintala, Venkata Jamil, Laith Nasereddin, Thayer Kochhar, Gursimran Vyas, Neil Saligram, Shreyas Garg, Rajat Sandhu, Dalbir Benrajab, Karim Konjeti, Rajesh Agnihotri, Abhishek Trivedi, Hirsh Grunwald, Matthew Mayer, Ira Mohanty, Arpan Rustagi, Tarun Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title | Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title_full | Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title_fullStr | Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title_full_unstemmed | Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title_short | Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
title_sort | impact of covid-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445682/ https://www.ncbi.nlm.nih.gov/pubmed/34540553 http://dx.doi.org/10.1055/a-1526-1419 |
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