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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
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.
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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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