Effect of COVID-19 on Graduating Urology Resident Case Logs: Analysis of the Accreditation Council of Graduate Medical Education National Data Reports

Daily, Adam; DiNatale, Renzo G.; Koenig, Hannah; Lee, Una; Fuller, Thomas W.

doi:10.1016/j.urology.2022.05.037

Cited by 3 publications

(2 citation statements)

References 19 publications

(29 reference statements)

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“…All tracked index categories did not statistically differ between the pre‐COVID cohort and the COVID‐affected cohorts of urology and OBGYN FPMRS fellows. This is similar to stable case volumes noted in trainee case logs including urology residents, Society of Urologic Oncology fellows, and general surgery residents 10–12 . However, for some surgical specialties, there were significant decreases in volume including ophthalmology and otolaryngology 13,14 .…”

Section: Discussionsupporting

confidence: 64%

“…This is similar to stable case volumes noted in trainee case logs including urology residents, Society of Urologic Oncology fellows, and general surgery residents. [10][11][12] However, for some surgical specialties, there were significant decreases in volume including ophthalmology and otolaryngology. 13,14 This may reflect differences in the proportion of elective cases as well as the relative risk of COVID-19 transmission during the procedures.…”

Section: Discussionmentioning

confidence: 99%

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Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Daily,

Popat,

Koenig

et al. 2023

Neurourology and Urodynamics

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IntroductionDuring the COVID‐19 pandemic and subsequent staffing shortages there was concern about the case volume, and thus competency, of graduating trainees due to reduced surgical volumes. Elective procedures were particularly affected, which includes Female Pelvic Medicine and Reconstructive Surgery (FPMRS) cases. To understand whether FPMRS fellows were affected, we assessed their case logs for changes during the pandemic.MethodsThe nationally aggregated case logs of graduating FPMRS fellows, both urology and obstetrics and gynecology (OBGYN), were obtained from the Accreditation Council for Graduate Medical Education. The available academic years (AYs) included 2018−2019, 2019−2020, and 2020−2021. Standard deviation for each index category was derived from the average and 90th percentile data. One‐way analysis of variance was used to compare differences in case volumes for tracked index categories between AYs.ResultsGraduating fellows logged an average of 517.4 (standard deviation [SD] 28.6) and 818.0 (SD 37.9) cases, for urology and OBGYN respectively, over their fellowship training during the examined period. No significant differences in total surgical procedures were found for either specialty between pre‐COVID AY 2018−2019 and COVID‐affected AYs 2019−2020 and 2020‐2021. For urology fellows, gastrointestinal (GI) procedures was the only index case category with a significant difference, and it was a decrease between the two COVID‐affected AYs: 2020‐2021 compared to 2019−2020 (8.9 vs. 4.2, p = 0.04). For both urology and OBGYN fellows, there was a statistically significant decrease in graft/mesh augmentation procedures from COVID‐affected AY 2019−2020 to AY 2020−2021. This may be attributed to the reclassification of mesh removal cases from graft/mesh augmentation procedures to genital procedures in 2020−2021. There was not a significant decrease in these procedures from pre‐COVID AY 2018‐2019 to the COVID‐affected AYs. There were no other statistically significant differences between AYs for OBGYN fellows.ConclusionsSurgical case volumes for FPMRS urology and OBGYN fellows who trained during the COVID‐19 pandemic were comparable to those of their pre‐pandemic peers. No significant differences between pre‐COVID and COVID‐affected years were found for either total surgical procedures or index case categories. Despite disruptions in health care nationwide, FPMRS trainee case volumes were largely unaffected.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Daily,

Popat,

Koenig

et al. 2023

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

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Trends in orthopaedic surgery resident case volume and the impact of COVID-19 on resident education

Morrisey,

Carroll,

Castle

et al. 2024

Journal of Orthopaedics

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The Impact of COVID-19 on Surgical Training and Education

Islam

Singer

et al. 2023

Cancers

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The COVID-19 pandemic disrupted conventional medical education for surgical trainees with respect to clinical training, didactics, and research. While the effects of the COVID-19 pandemic on surgical trainees were variable, some common themes are identifiable. As hordes of COVID-19 patients entered hospitals, many surgical trainees stepped away from their curricula and were redeployed to other hospital units to care for COVID-19 patients. Moreover, the need for social distancing limited traditional educational activities. Regarding clinical training, some trainees demonstrated reduced case logs and decreased surgical confidence. For residents, fellows, and medical students alike, most didactic education transitioned to virtual platforms, leading to an increase in remote educational resources and an increased emphasis on surgical simulation. Resident research productivity initially declined, although the onset of virtual conferences provided new opportunities for trainees to present their work. Finally, the pandemic was associated with increased anxiety, depression, and substance use for some trainees. Ultimately, we are still growing our understanding of how the COVID-19 pandemic has redefined surgical training and how to best implement the lessons we have learned.

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Effect of COVID-19 on Graduating Urology Resident Case Logs: Analysis of the Accreditation Council of Graduate Medical Education National Data Reports

Cited by 3 publications

References 19 publications

Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Female pelvic medicine and reconstructive surgery fellows' case logs remained stable during the COVID‐19 pandemic

Trends in orthopaedic surgery resident case volume and the impact of COVID-19 on resident education

The Impact of COVID-19 on Surgical Training and Education

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