在2020年初的8个美国神经外科住院医师培训计划中,确定2019年新型冠状病毒病(COVID-19)大流行对手术病例量的影响,并调查这些计划在此期间的培训活动。
对2019年和2020年1月至4月的8个住院计划的每月手术病例量和类型进行了回顾性审查。病例被分组为选择性颅骨,选修脊柱,和非选择性紧急情况。对项目进行了调查,了解居民对COVID-19对外科培训的影响的看法,说教,和研究参与。对各个程序的数据进行了分析,并在程序之间进行了汇总。
跨项目,2019年月平均±SD病例量为211±82;2020年1月平均±SD病例量,二月,March,4月分别为228±93、214±84、180±73和107±45。与2019年相比,2020年3月和4月平均病例下降了15%(P=0.003)和49%(P=0.002),分别。COVID-19影响所有项目的手术病例量;75%的报告说,教学法受到负面影响,90%的人报告COVID-19导致研究时间增加。一些神经外科住院医生需要进行COVID-19检测;然而,根据我们的知识,参与项目中只有1名居民检测呈阳性。
这项研究记录了在2020年初的8个神经外科住院医师培训项目中手术量的显著减少。在此期间,从事网络教学和研究相关活动的神经外科住院医师,报告提高了研究生产率。居民计划应收集数据,以确定COVID-19大流行对居民手术病例量的教育影响,识别缺陷,并制定计划以减轻任何影响。
To determine the impact of the 2019 novel coronavirus disease (COVID-19) pandemic on operative
case volume in 8 U.S. neurosurgical residency training programs in early 2020 and to survey these programs regarding training activities during this period.
A retrospective review was conducted of monthly operative
case volumes and types for 8 residency programs for 2019 and January through April 2020. Cases were grouped as elective cranial, elective spine, and nonelective emergent cases. Programs were surveyed regarding residents\' perceptions of the impact of COVID-19 on surgical training, didactics, and research participation. Data were analyzed for individual programs and pooled across programs.
Across programs, the 2019 monthly mean ± SD
case volume was 211 ± 82; 2020 mean ± SD
case volumes for January, February, March, and April were 228 ± 93, 214 ± 84, 180 ± 73, and 107 ± 45. Compared with 2019, March and April 2020 mean cases declined 15% (P = 0.003) and 49% (P = 0.002), respectively. COVID-19 affected surgical
case volume for all programs; 75% reported didactics negatively affected, and 90% reported COVID-19 resulted in increased research time. Several neurosurgery residents required COVID-19 testing; however, to our knowledge, only 1 resident from the participating programs tested positive.
This study documents a significant reduction in operative volume in 8 neurosurgery residency training programs in early 2020. During this time, neurosurgery residents engaged in online didactics and research-related activities, reporting increased research productivity. Residency programs should collect data to determine the educational impact of the COVID-19 pandemic on residents\' operative
case volumes, identify deficiencies, and develop plans to mitigate any effects.