MP20-16 COVID-19 IMPACT ON UROLOGY RESIDENT ROTATION CASE VOLUME

Abstract

You have accessJournal of UrologyEducation Research III (MP20)1 Sep 2021MP20-16 COVID-19 IMPACT ON UROLOGY RESIDENT ROTATION CASE VOLUME Dora Jericevic, Jamie Kanofsky, Benjamin Brucker, Herbert Lepor, and William Huang Dora JericevicDora Jericevic More articles by this author , Jamie KanofskyJamie Kanofsky More articles by this author , Benjamin BruckerBenjamin Brucker More articles by this author , Herbert LeporHerbert Lepor More articles by this author , and William HuangWilliam Huang More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002005.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Like most surgical specialties, the volume of urology was affected by the COVID19 pandemic with the temporary suspension of all elective surgeries in March 2020. Our study’s objectives were to describe surgical volume across urologic subspecialties and its impact on graduating chief residents, and to assess for any changes in our patient population during the pandemic. METHODS: A retrospective analysis was conducted using our institution’s quality dashboards. The analysis includes all surgery cases at a single site tertiary referral center in NYC across urologic subspecialities. The periods between January 1 and Dec 31 in 2020 and 2019 were chosen. We chose the same period in 2019 as the control to account for seasonal factors affecting surgical volume. RESULTS: There was a significant decline across all subspecialties in 2020 compared to 2019 (-19%; 2,922 vs 2,359). There was no statistically significant difference in the proportion of robotic surgery, elective surgery, and cases by subspecialty. The 2019 and 2020 patient cohorts were comparable (table 1). Controlling for surgeon preference in booking cases, endourology and oncology cases were the least likely to exhibit declines in volume (OR 1.2, 1.1-1.3; p<0.01). After elective surgeries were allowed to resume in May 2020, surgical volume recovered within 4-6 weeks. Overall, no rebound in surgical volume to correct for the suspension period was observed (figure 1). The 2020 graduating chief class logged 17% fewer cases in residency years U4 and U5 compared to the 2019 class (624 vs 753 cases), but minimum ACGME case counts at the time of graduation were met without issue. CONCLUSIONS: The COVID19 pandemic had a marked impact on urology resident rotation surgical volume with no rebound effect observed. A broader analysis across training sites is needed to estimate the full impact on the residency program. The effect of the lockdown measures on outcomes for untreated or underdiagnosed patients has yet to be established. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e343-e343 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dora Jericevic More articles by this author Jamie Kanofsky More articles by this author Benjamin Brucker More articles by this author Herbert Lepor More articles by this author William Huang More articles by this author Expand All Advertisement PDF downloadLoading ...