Evidence map›Paper›PMID 34173279›Full record

ArticleJournal of cardiac surgery2021

COVID-19 and cardiothoracic surgery: Effects on training and workforce utilization in a global pandemic.

Benjamin Smood, John R Spratt, J Hunter Mehaffey, Jessica G Y Luc, Eric E Vinck, Miia L Lehtinen, Tyler J Wallen, Charles G Jenkinson, Woojung Kim, Emeka B Kesieme and 8 more

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

18 authors.

Benjamin SmoodDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-8667-6591
John R SprattDepartment of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
J Hunter MehaffeyDepartment of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia, USA.
Jessica G Y LucDepartment of Surgery, Division of Cardiovascular Surgery, University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0002-3567-3796
Eric E VinckDepartment of Surgery, Division of Cardiovascular Surgery, Clínica Cardio VID, Pontifical Bolivarian University, Medellín, Colombia.
Miia L LehtinenDepartment of Cardiac Surgery, Helsinki University Hospital, Helsinki, Finland.
Tyler J WallenDepartment of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
Charles G JenkinsonSt. Vincent's Hospital, Sydney, Australia.
Woojung KimDepartment of Thoracic and Cardiovascular Surgery, National University Hospital, Seoul, Republic of Korea.
Emeka B KesiemeDepartment of Surgery, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Jason J HanDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Mark R HelmersDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Amit IyengarDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
William L PatrickDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
John J KellyDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ammara A WatkinsDepartment of Surgery, Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Marisa CevascoDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Matthew L WilliamsDepartment of Surgery, Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsA 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.

resultsFinal 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.

conclusionsCTS 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.

Indexed as

COVID-19Internship and ResidencySpecialties, SurgicalHumansPandemicsSARS-CoV-2Surveys and QuestionnairesUnited StatesWorkforceCOVID-19educationglobal surgery

Identifiers

PMID34173279
PMCPMC8447436

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.