Adapting a GI Fellowship to a Pandemic: Novel Approaches to Accommodating a Novel Virus

Palchaudhuri, Sonali; Gabre, Joel; Prenner, Stacey; Klapproth, Jan–Michael A.

doi:10.1007/s10620-020-06306-2

Cited by 11 publications

(12 citation statements)

References 4 publications

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“…10 These concerns can be further exacerbated by inconsistency in scheduling, both because of trainees being quarantined and redeployed to other services. 11 Finally, trainees may be concerned about delays in competency acquisition and future job security.…”

mentioning

confidence: 99%

Impact of COVID-19 on endoscopy trainees: an international survey

Pawlak

Král

Khan

et al. 2020

Gastrointestinal Endoscopy

100

139

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Background and Aims: Although coronavirus disease 2019 (COVID-19) has affected endoscopy services globally, the impact on trainees has not been evaluated. We aimed to assess the impact of COVID-19 on procedural volumes and on the emotional well-being of endoscopy trainees worldwide. Methods: An international survey was disseminated over a 3-week period in April 2020. The primary outcome was the percentage reduction in monthly procedure volume before and during COVID-19. Secondary outcomes included potential variation of COVID-19 impact between different continents and rates and predictors of anxiety and burnout among trainees. Results: Across 770 trainees from 63 countries, 93.8% reported a reduction in endoscopy case volume. The median percentage reduction in total procedures was 99% (interquartile range, 85%-100%), which varied internationally (P < .001) and was greatest for colonoscopy procedures. Restrictions in case volume and trainee activity were common barriers. A total of 71.9% were concerned that the COVID-19 pandemic could prolonged training. Anxiety was reported in 52.4% of respondents and burnout in 18.8%. Anxiety was independently associated with female gender (odds ratio [OR], 2.15; P < .001), adequacy of personal protective equipment (OR, 1.75; P Z .005), lack of institutional support for emotional health (OR, 1.67; P Z .008), and concerns regarding prolongation of training (OR, 1.60; P Z .013). Modifying existing national guidelines to support adequate endoscopy training during the pandemic was supported by 68.9%. Conclusions: The COVID-19 pandemic has led to restrictions in endoscopic volumes and endoscopy training, with high rates of anxiety and burnout among endoscopy trainees worldwide. Targeted measures by training programs to address these key issues are warranted to improve trainee well-being and support trainee education.

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mentioning

confidence: 99%

Impact of COVID-19 on endoscopy trainees: an international survey

Pawlak

Král

Khan

et al. 2020

Gastrointestinal Endoscopy

100

139

View full text Add to dashboard Cite

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“…end-stage liver disease complications) continued their rotations in wards when not transformed to COVID-19 units. However, to guarantee the safety of patients and trainees, the organization charts were reviewed to minimize overlapping of team members with a weekly schedule that minimized team handoffs 5 .…”

Section: Medical and Gastroenterological Education During The Covid-1mentioning

confidence: 99%

“…Similarly, in a gastroenterology unit in Philadelphia, USA, they provided fellows of the American Society for Gastrointestinal Endoscopy with video sessions that reviewed common technical aspects of endoscopy 5 . For third-year fellows still looking to meet requirements for less commonly performed procedures, such as percutaneous endoscopic gastrostomies, they reached out to their surgical colleagues with the hope of gaining access to a greater volume of these procedures when able to participate in procedures again.…”

Section: Medical and Gastroenterological Education During The Covid-1mentioning

confidence: 99%

Medical and gastroenterological education during the COVID-19 outbreak

Barberio

Massimi

Dipace

et al. 2020

Nat Rev Gastroenterol Hepatol

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“…Although the current novel Coronavirus Disease of 2019 (COVID-19) pandemic has significantly impacted all training programs throughout the country, procedure-based specialties such as gastroenterology are particularly affected. Given the initial need to limit trainee exposure to infected patients, preserve personal protective equipment (PPE), and perform only urgent procedures, gastroenterology and advanced endoscopy fellows significantly reduced their hands-on endoscopy experience [1][2][3]. The decreased number of procedures has been of great concern to our GI fellows regardless of their year of training and has been particularly worrisome for our advanced endoscopy fellows due to the short, one-year training period allotted to acquire these specialized skills.…”

Section: Introductionmentioning

confidence: 99%