Impact of the <scp>COVID</scp>‐19 pandemic on interventional cardiology training in the United States

Shah, Samit; Castro‐Dominguez, Yulanka; Gupta, Tanush; Attaran, Robert R.; Byrum, Graham V.; Taleb, Adam; Pettyjohn, Amanda; Bartel, Robert C.; Szerlip, Molly; Henry, Timothy D.; Mahmud, Ehtisham; Applegate, Robert J.

doi:10.1002/ccd.29198

Cited by 25 publications

(35 citation statements)

References 11 publications

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“…Specific to COVID-19, physicians in China [ 56 ], France [ 196 ], India [ 40 , 50 , 58 ], Pakistan [ 157 , 192 ], South Korea [ 184 ], Tunisia [ 192 ], Turkey [ 44 ], and USA [ 99 , 103 , 105 , 203 ] expressed desire for their organizations to provide access to psychological support through counselling programs or support hotlines ( n = 13). Communication and appreciation from hospital administrators ( n = 4) was indicated as an important gesture to help foster feelings of gratitude for physicians in China [ 108 , 115 ], Colombia [ 201 ], and the USA [ 52 ] [ 52 , 58 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

“…The most common psychological symptoms measured with surveys or validated questionnaires reported included anxiety (n = 103), depression (n = 73), stress (n = 68), fear (n = 61), burnout (n = 25), mental distress/health (n = 21), and post-traumatic stress disorder (PTSD) (n = 14) (Additional File 3). Most COVID-19 studies reported on physicians from USA (n = 23) [41,52,66,70,77,[90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107], China (n = 22) [15, 49, 54-56, 65, 68, 73, 86, 89, 102, 108-118] followed by India (n = 21) [40,50,58,63,67,71,102,[119][120][121][122][123][124][125][126][127][128][129][130][131][132] [41,52,…”

Section: Experiences With Physician Psychological Symptoms During Infectious Disease Outbreaksmentioning

confidence: 99%

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Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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Background Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. Methods We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. Results From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Interpretation Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.

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Section: Resultsmentioning

confidence: 99%

Section: Experiences With Physician Psychological Symptoms During Infectious Disease Outbreaksmentioning

confidence: 99%

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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“…4,5 The predictable downstream financial effects of these constraints have been discussed, 6 and there is much concern about the impact on trainees. [7][8][9] To our knowledge, our survey is the first to document specific changes in procedural and clinical exposure for CCEP trainees due to the pandemic. July 2020 were ready for independent practice.…”

Section: Methodsmentioning

confidence: 99%

The Impact of the COVID‐19 Pandemic on Cardiac Electrophysiology Training: A Survey Study

Singla

Jain

Ganeshan

et al. 2020

Cardiovasc electrophysiol

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Introduction: The coronavirus disease 2019 (COVID-19) pandemic has resulted in a significant decrease in volume of electrophysiology (EP) procedures. There has been concern that trainees may not achieve the procedural numbers required to graduate as independent electrophysiologists within the usual timeline. We sought to determine the impact of the COVID-19 pandemic on the percentage of clinical cardiac EP (CCEP) fellows in jeopardy of not meeting procedural volume requirements and overall sentiments regarding preparedness of fellows for independent practice. Methods: We surveyed CCEP fellows and program directors about baseline procedural volumes, curriculum changes due to the pandemic, and attitudes about preparedness for board examinations and independent practice. Results: Ninety-nine fellows and 27 program directors responded to the survey. Ninety-eight percent of responding fellows reported a decrease in procedural volume as a result of the pandemic. Program directors reported an overall decrease in annual number of ablations and device procedures performed by each fellow during the 2019-2020 academic year compared to the preceding year. Despite this, a minority of fellows and program directors reported concerns about meeting Accreditation Council for Graduate Medical Education procedural requirements for devices (9% and 4%, respectively) and ablation (19% and 9%) or preparedness for independent practice after a 2-year fellowship. Conclusions: The COVID-19 pandemic has resulted in a decrease in procedural volume for CCEP trainees, but the majority of fellows and program directors do not anticipate major barriers to timely graduation. This may change with COVID-19 resurgence and further interruptions in training.

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“…The virus spread and resulted in a marked upsurge in hospitalizations and deaths worldwide, stretching health care services to a breaking point, even in countries with very robust health care infrastructures [7]. There was thus a redistribution of health care resources to cater to the burgeoning number of COVID 19 infections to the detriment of other services [8] [9] [10].…”

Section: Introductionmentioning

confidence: 99%

The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

Ode¹,

Shitta²,

Peter³

et al. 2021

JBM

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Background. The COVID 19 pandemic affected healthcare delivery systems worldwide. There was a redistribution of health care resources in order to deal with the effects of the pandemic, with a corresponding consequence on other clinical services rendered. The extent of this effect on other non COVID 19 related services has been reported in other centres worldwide. In our own setting, health care resources are limited with suboptimal access even in normal situations. Objective. We sought to evaluate the effects of the COVID 19 pandemic on elective surgical services in our hospital. Methods. This was a cross sectional comparative study carried out at the Jos University Teaching hospital, (North central, Nigeria) of the elective surgical services rendered during the first wave of the COVID 19 pandemic lockdown covering the period April to June 2020 with a corresponding period of the preceding year 2019. Data was obtained from the hospital records department, theatres and service areas for clinic attendance, elective surgeries and ward occupancy. The paired sample t-test was used to compare the assessed variables across the three months of both years with a level of significance of P < 0.05. Results. There was mean clinic attendance of 2859.33 ± 223.36 covering the three months in 2019 as against a mean attendance of 648.67 ± 578.24 covering a similar period in 2020, P = 0.037. The elective surgical procedures carried out across the surgical specialties over the period in 2019 gave a mean of 352.33 ± 44.60 as opposed to 64.001 ± 7.32 over the corresponding period in 2020, P = 0.018. Ward occupancy over April to June 2019 was a mean 297.33 ± 18.58 across the various surgical wards and 158.33 ± 25.70 in the same period in 2020, P = 0.007. Conclusion. There was a significant reduction in the elective surgical services rendered in the hospital during the first wave of the COVID 19

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Impact of the COVID‐19 pandemic on interventional cardiology training in the United States

Cited by 25 publications

References 11 publications

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

The Impact of the COVID‐19 Pandemic on Cardiac Electrophysiology Training: A Survey Study

The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

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