Operative Case Volume for Vascular Integrated Residents and Fellows Following the Elective Surgery Shutdown due to COVID-19

Am Surg. 2023 Dec;89(12):6374-6377. doi: 10.1177/00031348231177935. Epub 2023 May 25.

Abstract

In response to the COVID-19 pandemic, nonemergent surgery was postponed in efforts to limit disease spread. To determine whether these changes affected vascular integrated resident (VR) and fellow (VF) operative volume, Accreditation Council for Graduate Medical Education (ACGME) case log data was reviewed. Case volume and standard deviation for each major category was for graduates of 2020 and 2021 were compared to the year prior to the pandemic, 2019. There were only 3 significant changes when comparing 2020/2021 to the prepandemic baseline of 2019, with increase in abdominal obstructive cases for VRs (8.1 in 2021 vs 5.9 in 2019, P = .021), an increase in upper extremity cases for VFs (18.9 in 2021 from 15.8 in 2019, P = .029), and a decrease in venous cases for VFs (39.6 in 2021 from 48.4 in 2019, P = .011). Postponing nonemergent surgery did not translate to significant changes in operative cases for graduating VRs and VFs.

Keywords: Vascular surgery; resident education; surgical education.

MeSH terms

  • Accreditation
  • COVID-19* / epidemiology
  • Clinical Competence
  • Education, Medical, Graduate
  • General Surgery* / education
  • Humans
  • Internship and Residency*
  • Pandemics
  • Workload