Impact of COVID-19 on gastroenterology fellowship training: a multicenter analysis of endoscopy volumes

Abstract Background and study aims  The COVID-19 pandemic has had a profound impact on gastroenterology training programs. We aimed to objectively evaluate procedural training volume and impact of COVID-19 on gastroenterology fellowship programs in the United States. Methods  This was a retrospectiv...

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Published in:Endoscopy International Open 2021-10, Vol.9 (10), p.E1572-E1578
Main Authors: Paleti, Swathi, Sobani, Zain A., McCarty, Thomas R., Gutta, Aditya, Gremida, Anas, Shah, Raj, Nutalapati, Venkat, Bazerbachi, Fateh, Jesudoss, Randhir, Amin, Shreya, Okwara, Chinemerem, Kathi, Pradeep Reddy, Ahmed, Ali, Gessel, Luke, Hung, Kenneth, Masoud, Amir, Yu, Jessica, Mony, Shruti, Akshintala, Venkata, Jamil, Laith, Nasereddin, Thayer, Kochhar, Gursimran, Vyas, Neil, Saligram, Shreyas, Garg, Rajat, Sandhu, Dalbir, Benrajab, Karim, Konjeti, Rajesh, Agnihotri, Abhishek, Trivedi, Hirsh, Grunwald, Matthew, Mayer, Ira, Mohanty, Arpan, Rustagi, Tarun
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Language:English
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Summary:Abstract Background and study aims  The COVID-19 pandemic has had a profound impact on gastroenterology training programs. We aimed to objectively evaluate procedural training volume and impact of COVID-19 on gastroenterology fellowship programs in the United States. Methods  This was a retrospective, multicenter study. Procedure volume data on upper and lower endoscopies performed by gastroenterology fellows was abstracted directly from the electronic medical record. The study period was stratified into 2 time periods: Study Period 1, SP1 (03/15/2020 to 06/30/2020) and Study Period 2, SP2 (07/01/2020 to 12/15/2020). Procedure volumes during SP1 and SP2 were compared to Historic Period 1 (HP1) (03/15/2019 to 06/30/2019) and Historic Period 2 (HP2) (07/01/2019 to 12/15/2019) as historical reference. Results  Data from 23 gastroenterology fellowship programs (total procedures = 127,958) with a median of 284 fellows (range 273–289; representing 17.8 % of all trainees in the United States) were collected. Compared to HP1, fellows performed 53.6 % less procedures in SP1 (total volume: 28,808 vs 13,378; mean 105.52 ± 71.94 vs 47.61 ± 41.43 per fellow; P  
ISSN:2364-3722
2196-9736
DOI:10.1055/a-1526-1419