Evidence map›Paper›PMID 35246112›Full record

ArticleBMC medical education2022

The impact of COVID-19 on ophthalmology resident surgical experience: a retrospective cross-sectional analysis.

Hursuong Vongsachang, Michael J Fliotsos, Alice C Lorch, Eric L Singman, Fasika A Woreta, Grant A Justin

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Observational
  5. Observational
  6. Article
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

6 authors.

Hursuong VongsachangWilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA. hvongsa2@jhmi.edu.
Michael J FliotsosWilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA.
Alice C LorchDepartment of Ophthalmology, Massachusetts Eye and Ear Infirmary, 243 Charles St, MA, 02114, Boston, USA.
Eric L SingmanDepartment of Ophthalmology, University of Maryland School of Medicine, 655 W. Baltimore St, MD, 21201, Baltimore, USA.
Fasika A WoretaWilmer Eye Institute, Johns Hopkins University School of Medicine, 600 N. Wolfe St, MD, 21287, Baltimore, USA.
Grant A JustinDepartment of Ophthalmology, Walter Reed National Military Medical Center, 4494 Palmer Rd. N, MD, 20814, Bethesda, USA.

Funding

NRSA Training CoreTL1TR003100 · NCATS · JOHNS HOPKINS UNIVERSITY · PI SAHA, SOMNATH · 2019 to 2023
$4.5M
NCATS NIH HHS TL1 TR003100
6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic caused significant disruption to in-office and surgical procedures in the field of ophthalmology. The magnitude of the impact of the pandemic on surgical training among ophthalmology residents is not known. This study aims to quantify changes in average case logs among United States (U.S.) ophthalmology residency graduates prior to and during the COVID-19 pandemic.

methodsRetrospective, cross-sectional analysis of aggregate, national data on case logs of U.S. ophthalmology residency graduates from 2012 to 2020. The yearly percent change in the average number of procedures performed in the Accreditation Council for Graduate Medical Education (ACGME) ophthalmology resident case logs were analyzed using linear regression on log-transformed dependent variables. The average percent change from 2019 to 2020 was compared to the average yearly percent change from 2012 to 2019 for procedures performed as the primary surgeon, and primary surgeon and surgical assistant (S + A), as well as procedures for which there are ACGME minimum graduating numbers.

resultsAcross all procedures and roles, average case logs in 2020 were lower than the averages in 2019. While average total cases logged as primary surgeon increased yearly by 3.2% (95% CI: 2.7, 3.8%, p < 0.001) from 2012 to 2019, total primary surgeon case logs decreased by 11.2% from 2019 to 2020. Cataract (-22.0%) and keratorefractive (-21.1%) surgery experienced the greatest percent decrease in average primary surgeon cases logged from 2019 to 2020. Average total cases logged as S + A experienced an average yearly increase by 1.2% (95% CI: 0.9,1.6%, p < 0.001) prior to 2020, but decreased by 9.6% from 2019 to 2020. For ACGME minimum requirements, similar changes were observed. Specifically, the average case logs in YAG, SLT, filtering (glaucoma), and intravitreal injections had been increasing significantly prior to 2020 (p < 0.05 for all) but decreased in 2020.

conclusionsThese findings demonstrate the vulnerability of ophthalmology residency programs to a significant interruption in surgical volume. There is a critical need for development of competency-based, rather than volume-based, requirements to evaluate readiness for independent practice.

Indexed as

COVID-19Internship and ResidencyOphthalmologyAccreditationClinical CompetenceCross-Sectional StudiesEducation, Medical, GraduateHumansPandemicsRetrospective StudiesSARS-CoV-2United StatesWorkloadClinical competenceCOVID-19Graduate medical educationOphthalmologic surgical procedures

Identifiers

PMID35246112
PMCPMC8894550

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.