Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America

ABSTRACT Background: The COVID‐19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID‐19 has affected pediatric gastroenterology...

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Veröffentlicht in:Journal of pediatric gastroenterology and nutrition 2020-07, Vol.71 (1), p.6-11
Hauptverfasser: Mallon, Daniel, Pohl, John F., Phatak, Uma P., Fernandes, Melissa, Rosen, John M., Lusman, Sarah S., Nylund, Cade M., Jump, Candi S., Solomon, Aliza B., Srinath, Arvind, Singer, Andrew, Harb, Rula, Rodriguez‐Baez, Norberto, Whitfield Van Buren, Kristin L., Koyfman, Shifra, Bhatt, Riha, Soler‐Rodriguez, Dellys M., Sivagnanam, Mamata, Lee, Christine K.
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container_end_page 11
container_issue 1
container_start_page 6
container_title Journal of pediatric gastroenterology and nutrition
container_volume 71
creator Mallon, Daniel
Pohl, John F.
Phatak, Uma P.
Fernandes, Melissa
Rosen, John M.
Lusman, Sarah S.
Nylund, Cade M.
Jump, Candi S.
Solomon, Aliza B.
Srinath, Arvind
Singer, Andrew
Harb, Rula
Rodriguez‐Baez, Norberto
Whitfield Van Buren, Kristin L.
Koyfman, Shifra
Bhatt, Riha
Soler‐Rodriguez, Dellys M.
Sivagnanam, Mamata
Lee, Christine K.
description ABSTRACT Background: The COVID‐19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID‐19 has affected pediatric gastroenterology fellowship training. Methods: A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics. Results: Fifty‐one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty‐six of 51 (90%) PDs reported that they were under a “stay‐at‐home” order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID‐19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted. Conclusions: This report provides early information of the impact of COVID‐19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.
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The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID‐19 has affected pediatric gastroenterology fellowship training. Methods: A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics. Results: Fifty‐one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty‐six of 51 (90%) PDs reported that they were under a “stay‐at‐home” order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID‐19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted. Conclusions: This report provides early information of the impact of COVID‐19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.</description><identifier>ISSN: 0277-2116</identifier><identifier>EISSN: 1536-4801</identifier><identifier>DOI: 10.1097/MPG.0000000000002768</identifier><identifier>PMID: 32369320</identifier><language>eng</language><publisher>United States: by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</publisher><subject>Betacoronavirus ; Coronavirus Infections - prevention &amp; control ; COVID-19 ; Education, Medical, Graduate - methods ; fellowship ; Fellowships and Scholarships ; Gastroenterology - education ; graduate medical education ; Humans ; North America ; Pandemics - prevention &amp; control ; Pediatrics - education ; Pneumonia, Viral - prevention &amp; control ; Rapid Communication ; SARS-CoV-2 ; Societies, Medical ; Surveys and Questionnaires ; telehealth ; Telemedicine - methods</subject><ispartof>Journal of pediatric gastroenterology and nutrition, 2020-07, Vol.71 (1), p.6-11</ispartof><rights>2020 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</rights><rights>by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</rights><rights>2020 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology</rights><rights>Copyright © 2020 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5568-5d2ba78ce324a91802ad2df76563ab77ee16f30b8e0cf8fc021335ffe779f47c3</citedby><cites>FETCH-LOGICAL-c5568-5d2ba78ce324a91802ad2df76563ab77ee16f30b8e0cf8fc021335ffe779f47c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2FMPG.0000000000002768$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2FMPG.0000000000002768$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32369320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mallon, Daniel</creatorcontrib><creatorcontrib>Pohl, John F.</creatorcontrib><creatorcontrib>Phatak, Uma P.</creatorcontrib><creatorcontrib>Fernandes, Melissa</creatorcontrib><creatorcontrib>Rosen, John M.</creatorcontrib><creatorcontrib>Lusman, Sarah S.</creatorcontrib><creatorcontrib>Nylund, Cade M.</creatorcontrib><creatorcontrib>Jump, Candi S.</creatorcontrib><creatorcontrib>Solomon, Aliza B.</creatorcontrib><creatorcontrib>Srinath, Arvind</creatorcontrib><creatorcontrib>Singer, Andrew</creatorcontrib><creatorcontrib>Harb, Rula</creatorcontrib><creatorcontrib>Rodriguez‐Baez, Norberto</creatorcontrib><creatorcontrib>Whitfield Van Buren, Kristin L.</creatorcontrib><creatorcontrib>Koyfman, Shifra</creatorcontrib><creatorcontrib>Bhatt, Riha</creatorcontrib><creatorcontrib>Soler‐Rodriguez, Dellys M.</creatorcontrib><creatorcontrib>Sivagnanam, Mamata</creatorcontrib><creatorcontrib>Lee, Christine K.</creatorcontrib><creatorcontrib>NASPGHAN Training Committee COVID-19 Survey Working Group</creatorcontrib><creatorcontrib>NASPGHAN Training Committee COVID‐19 Survey Working Group</creatorcontrib><title>Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America</title><title>Journal of pediatric gastroenterology and nutrition</title><addtitle>J Pediatr Gastroenterol Nutr</addtitle><description>ABSTRACT Background: The COVID‐19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID‐19 has affected pediatric gastroenterology fellowship training. Methods: A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics. Results: Fifty‐one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty‐six of 51 (90%) PDs reported that they were under a “stay‐at‐home” order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID‐19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted. Conclusions: This report provides early information of the impact of COVID‐19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.</description><subject>Betacoronavirus</subject><subject>Coronavirus Infections - prevention &amp; control</subject><subject>COVID-19</subject><subject>Education, Medical, Graduate - methods</subject><subject>fellowship</subject><subject>Fellowships and Scholarships</subject><subject>Gastroenterology - education</subject><subject>graduate medical education</subject><subject>Humans</subject><subject>North America</subject><subject>Pandemics - prevention &amp; control</subject><subject>Pediatrics - education</subject><subject>Pneumonia, Viral - prevention &amp; control</subject><subject>Rapid Communication</subject><subject>SARS-CoV-2</subject><subject>Societies, Medical</subject><subject>Surveys and Questionnaires</subject><subject>telehealth</subject><subject>Telemedicine - methods</subject><issn>0277-2116</issn><issn>1536-4801</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS0EoqHwBgh5yWaKf8b2eAFSG0gIKm0kClvL8diJwTMO9oQoOx6BZ-RJcEmoCgvAG8vX5zu-1weAxxidYCTFs7fz6Qm6tYjgzR0wwozyqm4QvgtGpSYqgjE_Ag9y_lhEomboPjiihHJJCRqBd7Nurc0Ao4Pjyw-zl9-_fsMSxh7Obev1kLyBU52HFG0_2BRDXO7gxIYQt_Aqad_7fgl9Dy9iGlbwtLMF0A_BPadDto8O-zF4P3l1NX5dnV9OZ-PT88owxpuKtWShRWMsJbWWuEFEt6R1gjNO9UIIazF3FC0ai4xrnEEEU8qcs0JIVwtDj8GLve96s-hsa0qLSQe1Tr7Taaei9ur3m96v1DJ-UYIIKikvBk8PBil-3tg8qM5nU6bTvY2brAiVkrDygbhI673UpJhzsu7mGYzUdR6q5KH-zKNgT263eAP9CqAImr1gG0P54PwpbLY2qZXVYVj9y7v-C3otY1jwiiBSci-n6mepYM8PmA92919jqDfzC3o2QVhyRH8AE7y5JQ</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Mallon, Daniel</creator><creator>Pohl, John F.</creator><creator>Phatak, Uma P.</creator><creator>Fernandes, Melissa</creator><creator>Rosen, John M.</creator><creator>Lusman, Sarah S.</creator><creator>Nylund, Cade M.</creator><creator>Jump, Candi S.</creator><creator>Solomon, Aliza B.</creator><creator>Srinath, Arvind</creator><creator>Singer, Andrew</creator><creator>Harb, Rula</creator><creator>Rodriguez‐Baez, Norberto</creator><creator>Whitfield Van Buren, Kristin L.</creator><creator>Koyfman, Shifra</creator><creator>Bhatt, Riha</creator><creator>Soler‐Rodriguez, Dellys M.</creator><creator>Sivagnanam, Mamata</creator><creator>Lee, Christine K.</creator><general>by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</general><general>by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology</general><general>Lippincott Williams &amp; Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202007</creationdate><title>Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America</title><author>Mallon, Daniel ; Pohl, John F. ; Phatak, Uma P. ; Fernandes, Melissa ; Rosen, John M. ; Lusman, Sarah S. ; Nylund, Cade M. ; Jump, Candi S. ; Solomon, Aliza B. ; Srinath, Arvind ; Singer, Andrew ; Harb, Rula ; Rodriguez‐Baez, Norberto ; Whitfield Van Buren, Kristin L. ; Koyfman, Shifra ; Bhatt, Riha ; Soler‐Rodriguez, Dellys M. ; Sivagnanam, Mamata ; Lee, Christine K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5568-5d2ba78ce324a91802ad2df76563ab77ee16f30b8e0cf8fc021335ffe779f47c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Betacoronavirus</topic><topic>Coronavirus Infections - prevention &amp; control</topic><topic>COVID-19</topic><topic>Education, Medical, Graduate - methods</topic><topic>fellowship</topic><topic>Fellowships and Scholarships</topic><topic>Gastroenterology - education</topic><topic>graduate medical education</topic><topic>Humans</topic><topic>North America</topic><topic>Pandemics - prevention &amp; control</topic><topic>Pediatrics - education</topic><topic>Pneumonia, Viral - prevention &amp; control</topic><topic>Rapid Communication</topic><topic>SARS-CoV-2</topic><topic>Societies, Medical</topic><topic>Surveys and Questionnaires</topic><topic>telehealth</topic><topic>Telemedicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallon, Daniel</creatorcontrib><creatorcontrib>Pohl, John F.</creatorcontrib><creatorcontrib>Phatak, Uma P.</creatorcontrib><creatorcontrib>Fernandes, Melissa</creatorcontrib><creatorcontrib>Rosen, John M.</creatorcontrib><creatorcontrib>Lusman, Sarah S.</creatorcontrib><creatorcontrib>Nylund, Cade M.</creatorcontrib><creatorcontrib>Jump, Candi S.</creatorcontrib><creatorcontrib>Solomon, Aliza B.</creatorcontrib><creatorcontrib>Srinath, Arvind</creatorcontrib><creatorcontrib>Singer, Andrew</creatorcontrib><creatorcontrib>Harb, Rula</creatorcontrib><creatorcontrib>Rodriguez‐Baez, Norberto</creatorcontrib><creatorcontrib>Whitfield Van Buren, Kristin L.</creatorcontrib><creatorcontrib>Koyfman, Shifra</creatorcontrib><creatorcontrib>Bhatt, Riha</creatorcontrib><creatorcontrib>Soler‐Rodriguez, Dellys M.</creatorcontrib><creatorcontrib>Sivagnanam, Mamata</creatorcontrib><creatorcontrib>Lee, Christine K.</creatorcontrib><creatorcontrib>NASPGHAN Training Committee COVID-19 Survey Working Group</creatorcontrib><creatorcontrib>NASPGHAN Training Committee COVID‐19 Survey Working Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallon, Daniel</au><au>Pohl, John F.</au><au>Phatak, Uma P.</au><au>Fernandes, Melissa</au><au>Rosen, John M.</au><au>Lusman, Sarah S.</au><au>Nylund, Cade M.</au><au>Jump, Candi S.</au><au>Solomon, Aliza B.</au><au>Srinath, Arvind</au><au>Singer, Andrew</au><au>Harb, Rula</au><au>Rodriguez‐Baez, Norberto</au><au>Whitfield Van Buren, Kristin L.</au><au>Koyfman, Shifra</au><au>Bhatt, Riha</au><au>Soler‐Rodriguez, Dellys M.</au><au>Sivagnanam, Mamata</au><au>Lee, Christine K.</au><aucorp>NASPGHAN Training Committee COVID-19 Survey Working Group</aucorp><aucorp>NASPGHAN Training Committee COVID‐19 Survey Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America</atitle><jtitle>Journal of pediatric gastroenterology and nutrition</jtitle><addtitle>J Pediatr Gastroenterol Nutr</addtitle><date>2020-07</date><risdate>2020</risdate><volume>71</volume><issue>1</issue><spage>6</spage><epage>11</epage><pages>6-11</pages><issn>0277-2116</issn><eissn>1536-4801</eissn><abstract>ABSTRACT Background: The COVID‐19 pandemic has drastically changed healthcare systems and training around the world. The Training Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition sought to understand how COVID‐19 has affected pediatric gastroenterology fellowship training. Methods: A 21 question survey was distributed to all 77 pediatric gastroenterology fellowship program directors (PDs) in the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition program director database via email on April 7. Responses collected through April 19, 2020 were analyzed using descriptive statistics. Results: Fifty‐one of 77 (66%) PDs from the United States, Canada, and Mexico responded to the survey. Forty‐six of 51 (90%) PDs reported that they were under a “stay‐at‐home” order for a median of 4 weeks at the time of the survey. Two of the 51 (4%) programs had fellows participating in outpatient telehealth before COVID‐19 and 39 of 51 (76%) at the time of the survey. Fellows stopped participating in outpatient clinics in 22 of 51 (43%) programs and endoscopy in 26 of 51 (52%) programs. Changes to inpatient care included reduced fellow staffing, limiting who entered patient rooms, and rounding remotely. Fellows in 3 New York programs were deployed to adult medicine units. Didactics were moved to virtual conferences in 47 of 51 (94%) programs, and fellows used various online resources. Clinical research and, disproportionately, bench research were restricted. Conclusions: This report provides early information of the impact of COVID‐19 on pediatric fellowship training. Rapid adoption of telehealth and reduced clinical and research experiences were important changes. Survey information may spur communication and innovation to help educators adapt.</abstract><cop>United States</cop><pub>by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition</pub><pmid>32369320</pmid><doi>10.1097/MPG.0000000000002768</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Betacoronavirus
Coronavirus Infections - prevention & control
COVID-19
Education, Medical, Graduate - methods
fellowship
Fellowships and Scholarships
Gastroenterology - education
graduate medical education
Humans
North America
Pandemics - prevention & control
Pediatrics - education
Pneumonia, Viral - prevention & control
Rapid Communication
SARS-CoV-2
Societies, Medical
Surveys and Questionnaires
telehealth
Telemedicine - methods
title Impact of COVID‐19 on Pediatric Gastroenterology Fellow Training in North America
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