Evidence map›Paper›PMID 32992058›Full record

ArticleWorld neurosurgery2020

Early Changes to Neurosurgery Resident Training During the COVID-19 Pandemic at a Large U.S. Academic Medical Center.

Joshua D Burks, Evan M Luther, Vaidya Govindarajan, Ashish H Shah, Allan D Levi, Ricardo J Komotar

Open access · greenAbstract read
In one paragraph

Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joshua D BurksDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address: joshua.burks@jhsmiami.org.
Evan M LutherDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Vaidya GovindarajanDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Ashish H ShahDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Allan D LeviDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Ricardo J KomotarDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
University of Miami · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 pandemic has led to sweeping changes in residency programs across the world, including cancellation of elective cases. The effects of safety measures on neurosurgical training remain unclear. To understand how neurosurgical residents have been affected, we analyzed the operative experience in the months leading up to and during the pandemic.

methodsThe resident and institutional case totals were tallied for a single residency program in Miami-Dade County from January 1, 2019 to June 30, 2020. A matched cohort analysis was performed before and during the pandemic to assess the effects on resident surgical training.

resultsThe case totals for all levels of training were lower when restrictions were placed on elective surgeries. An average of 11 cases was logged in April 2020, a decrease from 26 cases in April 2019 (95% confidence interval, 8.7-22; P < 0.01). An average of 20 cases was logged in May 2020, a decrease from 25 cases in May 2019 (95% confidence interval, 1.2-8.8; P = 0.01). In April and May 2020, 299 (66%) and 148 (50%) fewer cases had been performed at our institution compared with April and May 2109.

conclusionsOperative experience was reduced for residents during the months when the performance of elective cases was restricted. Our data suggest experience in some areas of neurosurgery were more affected than were others, and residents at different levels of training were also affected differently. However, the extent of the coronavirus disease 2019 pandemic on neurosurgical training is unlikely to be understood in the short term.

Indexed as

Academic Medical CentersCOVID-19Education, Medical, GraduateElective Surgical ProceduresFloridaHumansInternship and ResidencyNeurosurgeryNeurosurgical ProceduresPersonnel Staffing and SchedulingUnited StatesCOVID-19OperativePandemicResidencySurgeryTraining

Identifiers

PMID32992058
PMCPMC7521299
OpenAlexW3089334966

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.