Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study
Purpose: Airborne pandemics illustrate a significant problem in training grounds. From the endocrine surgery point of view, we scrutinized the impact of Covid-19 on general surgery residency training in our university hospital. Methods: The number of endocrine procedure curves was forecasted using t...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-10-01
|
| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423002993 |
| _version_ | 1797670002671747072 |
|---|---|
| author | Demet Sarıdemir Ünal Volkan Doğru Ali Avanaz Cumhur Arıcı |
| author_facet | Demet Sarıdemir Ünal Volkan Doğru Ali Avanaz Cumhur Arıcı |
| author_sort | Demet Sarıdemir Ünal |
| collection | DOAJ |
| description | Purpose: Airborne pandemics illustrate a significant problem in training grounds. From the endocrine surgery point of view, we scrutinized the impact of Covid-19 on general surgery residency training in our university hospital. Methods: The number of endocrine procedure curves was forecasted using the expert modeler in a time series model from March to September 2020 based on data from previous years. We then compared the estimation curves to actual numbers. Results: There were 1340 resident participants in thyroid procedures, 405 in parathyroid procedures, 65 in other neck procedures, and 304 in adrenal procedures. In 884 of the endocrine procedures, the operating surgeon was a resident. The median experience of operating residents in endocrine procedures was 3.2 years (interquartile range 2.7–3.6) before the impact and 3.8 years (interquartile range 3.1–4.1) after it (p = 0.023). The monthly number of actual procedures with at least one resident participation in the Covid-19 period was significantly lower (8.7 ± 7.5 vs. 19.9 ± 3.7, p = 0.012) than the forecasted numbers. There were no semi-autonomous operating chief residents, although we expected a moderate level (0 actual vs. 0.5 ± 0.2 predicted, p = 0.002). Conclusion: This study clearly represents sustainability in surgical training and includes usual trends. Essential endocrine surgical procedures the pandemic disrupted the most were the treatment of thyroid and parathyroid diseases. Covid-19 reduced our surgical volume and resulted in delays in training. A full-scale disaster plan is necessary for possible crises threatening surgical education. |
| first_indexed | 2024-03-11T20:53:12Z |
| format | Article |
| id | doaj.art-ec460f5d96ba49e8a12f3e2f60981d18 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-11T20:53:12Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-ec460f5d96ba49e8a12f3e2f60981d182023-10-01T05:57:37ZengElsevierAsian Journal of Surgery1015-95842023-10-01461042834289Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort studyDemet Sarıdemir Ünal0Volkan Doğru1Ali Avanaz2Cumhur Arıcı3Corresponding author. Department of General Surgery, Akdeniz University School of Medicine, Akdeniz Üniversitesi Hastanesi, Genel Cerrahi Kliniği, Antalya, Turkey.; Department of General Surgery, Akdeniz University School of Medicine, Antalya, TurkeyDepartment of General Surgery, Akdeniz University School of Medicine, Antalya, TurkeyDepartment of General Surgery, Akdeniz University School of Medicine, Antalya, TurkeyDepartment of General Surgery, Akdeniz University School of Medicine, Antalya, TurkeyPurpose: Airborne pandemics illustrate a significant problem in training grounds. From the endocrine surgery point of view, we scrutinized the impact of Covid-19 on general surgery residency training in our university hospital. Methods: The number of endocrine procedure curves was forecasted using the expert modeler in a time series model from March to September 2020 based on data from previous years. We then compared the estimation curves to actual numbers. Results: There were 1340 resident participants in thyroid procedures, 405 in parathyroid procedures, 65 in other neck procedures, and 304 in adrenal procedures. In 884 of the endocrine procedures, the operating surgeon was a resident. The median experience of operating residents in endocrine procedures was 3.2 years (interquartile range 2.7–3.6) before the impact and 3.8 years (interquartile range 3.1–4.1) after it (p = 0.023). The monthly number of actual procedures with at least one resident participation in the Covid-19 period was significantly lower (8.7 ± 7.5 vs. 19.9 ± 3.7, p = 0.012) than the forecasted numbers. There were no semi-autonomous operating chief residents, although we expected a moderate level (0 actual vs. 0.5 ± 0.2 predicted, p = 0.002). Conclusion: This study clearly represents sustainability in surgical training and includes usual trends. Essential endocrine surgical procedures the pandemic disrupted the most were the treatment of thyroid and parathyroid diseases. Covid-19 reduced our surgical volume and resulted in delays in training. A full-scale disaster plan is necessary for possible crises threatening surgical education.http://www.sciencedirect.com/science/article/pii/S1015958423002993Covid-19 pandemicEndocrine surgical proceduresResidencyTraining programsGeneral surgery |
| spellingShingle | Demet Sarıdemir Ünal Volkan Doğru Ali Avanaz Cumhur Arıcı Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study Asian Journal of Surgery Covid-19 pandemic Endocrine surgical procedures Residency Training programs General surgery |
| title | Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study |
| title_full | Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study |
| title_fullStr | Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study |
| title_full_unstemmed | Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study |
| title_short | Impact of COVID-19 on operating assignments in residency training of endocrine surgery: A retrospective cohort study |
| title_sort | impact of covid 19 on operating assignments in residency training of endocrine surgery a retrospective cohort study |
| topic | Covid-19 pandemic Endocrine surgical procedures Residency Training programs General surgery |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423002993 |
| work_keys_str_mv | AT demetsarıdemirunal impactofcovid19onoperatingassignmentsinresidencytrainingofendocrinesurgeryaretrospectivecohortstudy AT volkandogru impactofcovid19onoperatingassignmentsinresidencytrainingofendocrinesurgeryaretrospectivecohortstudy AT aliavanaz impactofcovid19onoperatingassignmentsinresidencytrainingofendocrinesurgeryaretrospectivecohortstudy AT cumhurarıcı impactofcovid19onoperatingassignmentsinresidencytrainingofendocrinesurgeryaretrospectivecohortstudy |