Your browser doesn't support javascript.
COVID-19 and cardiothoracic surgery: Effects on training and workforce utilization in a global pandemic.
Smood, Benjamin; Spratt, John R; Mehaffey, J Hunter; Luc, Jessica G Y; Vinck, Eric E; Lehtinen, Miia L; Wallen, Tyler J; Jenkinson, Charles G; Kim, Woojung; Kesieme, Emeka B; Han, Jason J; Helmers, Mark R; Iyengar, Amit; Patrick, William L; Kelly, John J; Watkins, Ammara A; Cevasco, Marisa; Williams, Matthew L.
  • Smood B; Department of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Spratt JR; Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
  • Mehaffey JH; Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia, USA.
  • Luc JGY; Department of Surgery, Division of Cardiovascular Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
  • Vinck EE; Department of Surgery, Division of Cardiovascular Surgery, Clínica Cardio VID, Pontifical Bolivarian University, Medellín, Colombia.
  • Lehtinen ML; Department of Cardiac Surgery, Helsinki University Hospital, Helsinki, Finland.
  • Wallen TJ; Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
  • Jenkinson CG; St. Vincent's Hospital, Sydney, Australia.
  • Kim W; The University of Western Australia, Western Australia, Australia.
  • Kesieme EB; Murdoch University, Perth, Australia.
  • Han JJ; Heart and Lung Research Institute of Western Australia, Western Australia, Australia.
  • Helmers MR; The University of New South Wales, New South Wales, Australia.
  • Iyengar A; Department of Thoracic and Cardiovascular Surgery, National University Hospital, Seoul, Republic of Korea.
  • Patrick WL; Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
  • Kelly JJ; Department of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Watkins AA; Department of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Cevasco M; Department of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Williams ML; Department of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Card Surg ; 36(9): 3296-3305, 2021 Sep.
Article in English | MEDLINE | ID: covidwho-1282008
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has disrupted all aspects of healthcare, including cardiothoracic surgery (CTS). We sought to determine the pandemic's impact on CTS trainees' educational experiences.

METHODS:

A survey was developed and distributed to members of the Thoracic Surgery Residents Association and other international CTS trainees. Trainees were asked to evaluate their cumulative experiences and share their overall perceptions of how CTS training had been impacted during the earliest months of the COVID-19 pandemic (i.e., since March 01, 2020). Surveys were distributed and responses were recorded June 25-August 05, 2020. In total, 748 surveys were distributed and 166 responses were received (overall response rate 22.2%). Of these, 126 of 166 responses (75.9%) met inclusion criteria for final analysis.

RESULTS:

Final responses analyzed included 45 of 126 (35.7%) United States (US) and 81 of 126 (64.3%) international trainees, including 101 of 126 (80.2%) senior and 25 of 126 (19.8%) junior trainees. Most respondents (76/126, 43.2%) lost over 1 week in the hospital due to the pandemic. Juniors (12/25, 48.0%) were more likely than seniors (20/101, 19.8%) to be reassigned to COVID-19-specific units (p < .01). Half of trainees (63/126) reported their case volumes were reduced by over 50%. US trainees (42/45, 93.3%) were more likely than international trainees (58/81, 71.6%) to report reduced operative case volumes (p < .01). Most trainees (104/126, 83%) believed their overall clinical acumen was not adversely impacted by the pandemic.

CONCLUSIONS:

CTS trainees in the United States and abroad have been significantly impacted by the COVID-19 pandemic, with time lost in the hospital, decreased operative experiences, less time on CTS services, and frequent reassignment to COVID-19-specific care settings.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Specialties, Surgical / COVID-19 / Internship and Residency Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15773

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Specialties, Surgical / COVID-19 / Internship and Residency Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15773