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Impact of COVID-19 on Pediatric Gastroenterology Fellow Training in North America.
J Pediatr Gastroenterol Nutr. 2020 07; 71(1):6-11.JP

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.

Authors+Show Affiliations

Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH.Division of Gastroenterology, Hepatology and Nutrition, University of Utah, Salt Lake City, UT.Division of Gastroenterology, Hepatology and Nutrition, Yale University School of Medicine, New Haven.Division of Digestive Diseases, Hepatology, and Nutrition, Connecticut Children's Medical Center, Hartford, CT.Division of Gastroenterology, Hepatology and Nutrition, Children's Mercy Kansas City, Kansas City, MO.Division of Gastroenterology, Hepatology and Nutrition, Columbia University Medical Center, New York, NY.Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD.Division of Gastroenterology, Hepatology and Nutrition, Medical University of South Carolina, Charleston, SC.Pediatric Gastroenterology and Nutrition, Weill Cornell Medicine, New York, NY.Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, Pittsburgh, PA.Division of Pediatric Gastroenterology, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI.Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Children's Hospital Los Angeles, Los Angeles, CA.Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Texas Southwestern Medical Center, Dallas.Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine/Texas Children's Hospital, Houston, TX.Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nicklaus Children's Hospital, Miami, FL.Division of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carell Jr Children's Hospital at Vanderbilt, Vanderbilt University School of Medicine, Nashville, TN.Division of Pediatric Gastroenterology, Hepatology and Nutrition, Emory University School of Medicine, Atlanta, GA.Department of Pediatrics, University of California, San Diego, La Jolla CA, Rady Children's Hospital, San Diego, CA.Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32369320

Citation

Mallon, Daniel, et al. "Impact of COVID-19 On Pediatric Gastroenterology Fellow Training in North America." Journal of Pediatric Gastroenterology and Nutrition, vol. 71, no. 1, 2020, pp. 6-11.
Mallon D, Pohl JF, Phatak UP, et al. Impact of COVID-19 on Pediatric Gastroenterology Fellow Training in North America. J Pediatr Gastroenterol Nutr. 2020;71(1):6-11.
Mallon, D., Pohl, J. F., Phatak, U. P., Fernandes, M., Rosen, J. M., Lusman, S. S., Nylund, C. M., Jump, C. S., Solomon, A. B., Srinath, A., Singer, A., Harb, R., Rodriguez-Baez, N., Whitfield Van Buren, K. L., Koyfman, S., Bhatt, R., Soler-Rodriguez, D. M., Sivagnanam, M., & Lee, C. K. (2020). Impact of COVID-19 on Pediatric Gastroenterology Fellow Training in North America. Journal of Pediatric Gastroenterology and Nutrition, 71(1), 6-11. https://doi.org/10.1097/MPG.0000000000002768
Mallon D, et al. Impact of COVID-19 On Pediatric Gastroenterology Fellow Training in North America. J Pediatr Gastroenterol Nutr. 2020;71(1):6-11. PubMed PMID: 32369320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of COVID-19 on Pediatric Gastroenterology Fellow Training in North America. AU - Mallon,Daniel, AU - Pohl,John F, AU - Phatak,Uma P, AU - Fernandes,Melissa, AU - Rosen,John M, AU - Lusman,Sarah S, AU - Nylund,Cade M, AU - Jump,Candi S, AU - Solomon,Aliza B, AU - Srinath,Arvind, AU - Singer,Andrew, AU - Harb,Rula, AU - Rodriguez-Baez,Norberto, AU - Whitfield Van Buren,Kristin L, AU - Koyfman,Shifra, AU - Bhatt,Riha, AU - Soler-Rodriguez,Dellys M, AU - Sivagnanam,Mamata, AU - Lee,Christine K, AU - ,, PY - 2020/5/6/pubmed PY - 2020/7/9/medline PY - 2020/5/6/entrez SP - 6 EP - 11 JF - Journal of pediatric gastroenterology and nutrition JO - J Pediatr Gastroenterol Nutr VL - 71 IS - 1 N2 - 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. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/32369320/Impact_of_COVID_19_on_Pediatric_Gastroenterology_Fellow_Training_in_North_America_ L2 - https://doi.org/10.1097/MPG.0000000000002768 DB - PRIME DP - Unbound Medicine ER -