COVID-19 Impact on Interventional Pulmonology Training

Or Kalchiem-Deke; Audra J. Schwalk; Niral M. Patel; I. Hsin Lin; Jason A. Beattie; Bryan C. Husta; Mohit Chawla; Ashutosh Sachdeva; Jason A. Akulian; Ali I. Musani; A. Christine Argento; Hans J. Lee; John J. Mullon; Neeraj R. Desai; David W. Hsia; Robert P. Lee

doi:10.34197/ats-scholar.2020-0126OC

COVID-19 Impact on Interventional Pulmonology Training

Or Kalchiem-Deke, Audra J. Schwalk, Niral M. Patel, I. Hsin Lin, Jason A. Beattie, Bryan C. Husta, Mohit Chawla, Ashutosh Sachdeva, Jason A. Akulian, Ali I. Musani, A. Christine Argento, Hans J. Lee, John J. Mullon, Neeraj R. Desai, David W. Hsia, Robert P. Lee

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: The impact of the coronavirus disease (COVID-19) pandemic extends beyond the realms of patient care and healthcare resource use to include medical education; however, the repercussions of COVID-19 on the quality of training and trainee perceptions have yet to be explored. Objective: The purpose of this study was to determine the degree of interventional pulmonology (IP) fellows' involvement in the care of COVID-19 and its impact on fellows' clinical education, procedure skills, and postgraduation employment search. Methods: An internet-based survey was validated and distributed among IP fellows in North American fellowship training programs. Results: Of 40 eligible fellows, 38 (95%) completed the survey. A majority of fellows (76%) reported involvement in the care of patients with COVID-19. Fellows training in the Northeast United States reported involvement in the care of a higher number of patients with COVID-19 than in other regions (median, 30 [interquartile range, 20-50] vs. 10 [5-13], respectively; P <0.01). Fifty-two percent of fellows reported redeployment outside IP during COVID-19, mostly into intensive care units. IP procedure volume decreased by 21% during COVID-19 compared with pre-COVID-19 volume. This decrease was mainly accounted for by a reduction in bronchoscopies. A majority of fellows (82%) reported retainment of outpatient clinics during COVID-19 with the transition from face-to-face to telehealth-predominant format. Continuation of academic and research activities during COVID-19 was reported by 86% and 82% of fellows, respectively. After graduation, all fellows reported having secured employment positions. Conclusion: Although IP fellows were extensively involved in the care of patients with COVID-19, most IP programs retained educational activities through the COVID-19 outbreak. The impact of the decrease in procedure volume on trainee competency would be best addressed individually within each training program. These data may assist in focusing efforts regarding the education of medical trainees during the current and future healthcare crises.

Original language	English (US)
Pages (from-to)	236-248
Number of pages	13
Journal	ATS Scholar
Volume	2
Issue number	2
DOIs	https://doi.org/10.34197/ats-scholar.2020-0126OC
State	Published - Jun 2021
Externally published	Yes

Keywords

COVID-19
interventional pulmonology
survey
training

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine
Clinical Neurology
Education
Pulmonary and Respiratory Medicine

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10.34197/ats-scholar.2020-0126OC

Cite this

Kalchiem-Deke, O., Schwalk, A. J., Patel, N. M., Lin, I. H., Beattie, J. A., Husta, B. C., Chawla, M., Sachdeva, A., Akulian, J. A., Musani, A. I., Argento, A. C., Lee, H. J., Mullon, J. J., Desai, N. R., Hsia, D. W., & Lee, R. P. (2021). COVID-19 Impact on Interventional Pulmonology Training. ATS Scholar, 2(2), 236-248. https://doi.org/10.34197/ats-scholar.2020-0126OC

@article{180f6539587342bbb07ed4501ceef290,

title = "COVID-19 Impact on Interventional Pulmonology Training",

abstract = "Background: The impact of the coronavirus disease (COVID-19) pandemic extends beyond the realms of patient care and healthcare resource use to include medical education; however, the repercussions of COVID-19 on the quality of training and trainee perceptions have yet to be explored. Objective: The purpose of this study was to determine the degree of interventional pulmonology (IP) fellows' involvement in the care of COVID-19 and its impact on fellows' clinical education, procedure skills, and postgraduation employment search. Methods: An internet-based survey was validated and distributed among IP fellows in North American fellowship training programs. Results: Of 40 eligible fellows, 38 (95%) completed the survey. A majority of fellows (76%) reported involvement in the care of patients with COVID-19. Fellows training in the Northeast United States reported involvement in the care of a higher number of patients with COVID-19 than in other regions (median, 30 [interquartile range, 20-50] vs. 10 [5-13], respectively; P <0.01). Fifty-two percent of fellows reported redeployment outside IP during COVID-19, mostly into intensive care units. IP procedure volume decreased by 21% during COVID-19 compared with pre-COVID-19 volume. This decrease was mainly accounted for by a reduction in bronchoscopies. A majority of fellows (82%) reported retainment of outpatient clinics during COVID-19 with the transition from face-to-face to telehealth-predominant format. Continuation of academic and research activities during COVID-19 was reported by 86% and 82% of fellows, respectively. After graduation, all fellows reported having secured employment positions. Conclusion: Although IP fellows were extensively involved in the care of patients with COVID-19, most IP programs retained educational activities through the COVID-19 outbreak. The impact of the decrease in procedure volume on trainee competency would be best addressed individually within each training program. These data may assist in focusing efforts regarding the education of medical trainees during the current and future healthcare crises.",

keywords = "COVID-19, interventional pulmonology, survey, training",

author = "Or Kalchiem-Deke and Schwalk, {Audra J.} and Patel, {Niral M.} and Lin, {I. Hsin} and Beattie, {Jason A.} and Husta, {Bryan C.} and Mohit Chawla and Ashutosh Sachdeva and Akulian, {Jason A.} and Musani, {Ali I.} and Argento, {A. Christine} and Lee, {Hans J.} and Mullon, {John J.} and Desai, {Neeraj R.} and Hsia, {David W.} and Lee, {Robert P.}",

note = "Funding Information: Supported by the Memorial Sloan Kettering Cancer Center Support grant/Core grant P30 CA008748. Publisher Copyright: Copyright {\textcopyright} 2021 by the American Thoracic Society.",

year = "2021",

month = jun,

doi = "10.34197/ats-scholar.2020-0126OC",

language = "English (US)",

volume = "2",

pages = "236--248",

journal = "ATS Scholar",

issn = "2690-7097",

publisher = "American Thoracic Society",

number = "2",

}

TY - JOUR

T1 - COVID-19 Impact on Interventional Pulmonology Training

AU - Kalchiem-Deke, Or

AU - Schwalk, Audra J.

AU - Patel, Niral M.

AU - Lin, I. Hsin

AU - Beattie, Jason A.

AU - Husta, Bryan C.

AU - Chawla, Mohit

AU - Sachdeva, Ashutosh

AU - Akulian, Jason A.

AU - Musani, Ali I.

AU - Argento, A. Christine

AU - Lee, Hans J.

AU - Mullon, John J.

AU - Desai, Neeraj R.

AU - Hsia, David W.

AU - Lee, Robert P.

PY - 2021/6

Y1 - 2021/6

N2 - Background: The impact of the coronavirus disease (COVID-19) pandemic extends beyond the realms of patient care and healthcare resource use to include medical education; however, the repercussions of COVID-19 on the quality of training and trainee perceptions have yet to be explored. Objective: The purpose of this study was to determine the degree of interventional pulmonology (IP) fellows' involvement in the care of COVID-19 and its impact on fellows' clinical education, procedure skills, and postgraduation employment search. Methods: An internet-based survey was validated and distributed among IP fellows in North American fellowship training programs. Results: Of 40 eligible fellows, 38 (95%) completed the survey. A majority of fellows (76%) reported involvement in the care of patients with COVID-19. Fellows training in the Northeast United States reported involvement in the care of a higher number of patients with COVID-19 than in other regions (median, 30 [interquartile range, 20-50] vs. 10 [5-13], respectively; P <0.01). Fifty-two percent of fellows reported redeployment outside IP during COVID-19, mostly into intensive care units. IP procedure volume decreased by 21% during COVID-19 compared with pre-COVID-19 volume. This decrease was mainly accounted for by a reduction in bronchoscopies. A majority of fellows (82%) reported retainment of outpatient clinics during COVID-19 with the transition from face-to-face to telehealth-predominant format. Continuation of academic and research activities during COVID-19 was reported by 86% and 82% of fellows, respectively. After graduation, all fellows reported having secured employment positions. Conclusion: Although IP fellows were extensively involved in the care of patients with COVID-19, most IP programs retained educational activities through the COVID-19 outbreak. The impact of the decrease in procedure volume on trainee competency would be best addressed individually within each training program. These data may assist in focusing efforts regarding the education of medical trainees during the current and future healthcare crises.

AB - Background: The impact of the coronavirus disease (COVID-19) pandemic extends beyond the realms of patient care and healthcare resource use to include medical education; however, the repercussions of COVID-19 on the quality of training and trainee perceptions have yet to be explored. Objective: The purpose of this study was to determine the degree of interventional pulmonology (IP) fellows' involvement in the care of COVID-19 and its impact on fellows' clinical education, procedure skills, and postgraduation employment search. Methods: An internet-based survey was validated and distributed among IP fellows in North American fellowship training programs. Results: Of 40 eligible fellows, 38 (95%) completed the survey. A majority of fellows (76%) reported involvement in the care of patients with COVID-19. Fellows training in the Northeast United States reported involvement in the care of a higher number of patients with COVID-19 than in other regions (median, 30 [interquartile range, 20-50] vs. 10 [5-13], respectively; P <0.01). Fifty-two percent of fellows reported redeployment outside IP during COVID-19, mostly into intensive care units. IP procedure volume decreased by 21% during COVID-19 compared with pre-COVID-19 volume. This decrease was mainly accounted for by a reduction in bronchoscopies. A majority of fellows (82%) reported retainment of outpatient clinics during COVID-19 with the transition from face-to-face to telehealth-predominant format. Continuation of academic and research activities during COVID-19 was reported by 86% and 82% of fellows, respectively. After graduation, all fellows reported having secured employment positions. Conclusion: Although IP fellows were extensively involved in the care of patients with COVID-19, most IP programs retained educational activities through the COVID-19 outbreak. The impact of the decrease in procedure volume on trainee competency would be best addressed individually within each training program. These data may assist in focusing efforts regarding the education of medical trainees during the current and future healthcare crises.

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KW - interventional pulmonology

KW - survey

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ER -

COVID-19 Impact on Interventional Pulmonology Training

Abstract

Keywords

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