Evidence map›Paper›PMID 34169311›Full record

ArticleBJS open2021

The quantitative impact of COVID-19 on surgical training in the United Kingdom.

J M Clements, J R Burke, C Hope, D M Nally, B Doleman, L Giwa, G Griffiths, J N Lund

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Surgical trainee burnout during the COVID-19 pandemic: a systematic review.Annals of the Royal College of Surgeons of England · 2023
    Pooled it
  2. Trial
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  6. Balloon sinuplasty: does a model simulator improve ENT trainee competence?Annals of the Royal College of Surgeons of England · 2026
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  11. Review
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  13. An Analysis of Trainees' Operative Experiences Over the Past 16 Years Based on the Requirements of the New 2021 Cardiothoracic Surgery Curriculum in the United Kingdom and Ireland.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

J M ClementsThe Association of Surgeons in Training, London, UK.ORCID 0000-0001-7560-8377
J R BurkeThe Association of Surgeons in Training, London, UK.ORCID 0000-0003-4027-747X
C HopeDivision of Medical Sciences and Graduate Entry Medicine, School of Medicine, Royal Derby Hospital, Derby, UK.ORCID 0000-0002-2834-7933
D M NallyThe Association of Surgeons in Training, London, UK.
B DolemanDivision of Medical Sciences and Graduate Entry Medicine, School of Medicine, Royal Derby Hospital, Derby, UK.
L GiwaThe Association of Surgeons in Training, London, UK.
G GriffithsJoint Committee on Surgical Training, London, UK.
J N LundDivision of Medical Sciences and Graduate Entry Medicine, School of Medicine, Royal Derby Hospital, Derby, UK.
Association of Surgeons of Great Britain and Ireland · GBRoyal Derby Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has had a global impact on all aspects of healthcare including surgical training. This study aimed to quantify the impact of COVID-19 on operative case numbers recorded by surgeons in training, and annual review of competency progression (ARCP) outcomes in the UK.

methodsAnonymized operative logbook numbers were collated from electronic logbook and ARCP outcome data from the Intercollegiate Surgical Curriculum Programme database for trainees in the 10 surgical specialty training specialties.Operative logbook numbers and awarded ARCP outcomes were compared between predefined dates. Effect sizes are reported as incident rate ratios (IRR) with 95 per cent confidence intervals.

resultsSome 5599 surgical trainees in 2019, and 5310 in surgical specialty training in 2020 were included. The IRR was reduced across all specialties as a result of the COVID-19 pandemic (0.62; 95 per cent c.i. 0.60 to 0.64). Elective surgery (0.53; 95 per cent c.i. 0.50 to 0.56) was affected more than emergency surgery (0.85; 95 per cent c.i. 0.84 to 0.87). Regional variation indicating reduced operative activity was demonstrated across all specialties. More than 1 in 8 trainees in the final year of training have had their training extended and more than a quarter of trainees entering their final year of training are behind their expected training trajectory.

conclusionThe COVID-19 pandemic has had a major effect on surgical training in the UK. Urgent, coordinated action is required to minimize the impacts from the reduction in training in 2020.

Indexed as

Clinical CompetencePandemicsCOVID-19Elective Surgical ProceduresHumansSARS-CoV-2Specialties, SurgicalSurgical Procedures, OperativeUnited Kingdom

Identifiers

PMID34169311
PMCPMC8226285
OpenAlexW3173451591

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.