Evidence map›Paper›PMID 35302460›Full record

Observational studyThe western journal of emergency medicine2022

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State.

Muhammad Waseem, Nidhi Garg, Bernard P Chang, Juan Acosta, John DeAngelis, Mary E McLean, Laura D Melville, Timothy Pistor, Kaushal H Shah, JoAnne Tarantelli and 2 more

Abstract readObservational Study
In one paragraph

Observational study in The western journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

12 authors.

Muhammad WaseemLincoln Medical and Mental Health Center, Department of Pediatrics and Emergency Medicine, Bronx, New York.
Nidhi GargDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
Bernard P ChangColumbia University Medical Center, Department of Emergency Medicine, New York, New York.
Juan AcostaSaint Catherine of Siena Medical Center, Department of Emergency Medicine, Smithtown, New York.
John DeAngelisUniversity of Rochester, Department of Emergency Medicine, Rochester, New York.
Mary E McLeanSt. John's Riverside Hospital, Department of Emergency Medicine, Yonkers, New York.
Laura D MelvilleNew York Chapter American College of Emergency Physicians, Webster, New York.
Timothy PistorNew York Chapter American College of Emergency Physicians, Webster, New York.
Kaushal H ShahWeill Cornell Medicine, Department of Pediatric Emergency Medicine, New York, New York.
JoAnne TarantelliNew York Chapter American College of Emergency Physicians, Webster, New York.
Susan M WojcikSUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York.
James Gerard RyanSaint Catherine of Siena Medical Center, Department of Emergency Medicine, Smithtown, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2019 novel coronavirus pandemic has caused significant disruptions in the clinical operations of hospitals as well as clinical education, training, and research at academic centers. New York State was among the first and largest epicenters of the pandemic, resulting in significant disruptions across its 29 emergency medicine (EM) residency programs. We conducted a cross-sectional observational study of EM residency programs in New York State to assess the impact of the pandemic on resident education and training programs.

methodsWe surveyed a cross-sectional sample of residency programs throughout New York State in June 2020, in the timeframe immediately after the state's first "wave" of the pandemic. The survey was distributed to program leadership and elicited information on pandemic-prompted curricular modifications and other educational changes. The survey covered topics related to disruptions in medical education and sought details on solutions to educational issues encountered by programs.

resultsOf the 29 accredited EM residency programs in New York State, leadership from 22 (76%) responded. Of these participating programs, 11 (50%) experienced high pandemic impact on clinical services, 21 (95%) canceled their own trainees' off-service rotations, 22 (100%) canceled or postponed visiting medical student rotations, 22 (100%) adopted virtual conference formats (most within the first week of the pandemic wave), and 11 (50%) stopped all prospective research (excluding COVID-19 research), while most programs continued retrospective research.

conclusionThis study highlights the profound educational impact of the pandemic on residency programs in one of the hardest- and earliest-hit regions in the United States. Specifically, it highlights the ubiquity of virtual conferencing, the significant impact on research, and the concerns about canceled rotations and missed training opportunities for residents, as well as prehospital and non-physician practitioner trainees. This data should be used to prompt discussion regarding the necessity of alternate educational modalities for pandemic times and the sequelae of implementing these plans.

Indexed as

COVID-19Emergency MedicineInternship and ResidencyCross-Sectional StudiesHumansNew YorkProspective StudiesRetrospective StudiesUnited States

Identifiers

PMID35302460
PMCPMC8967458

What OpenQuestion holds

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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.