Surgical EducationNCT04703400
Analysis of the Impact on Surgical Residency Programs in Times of Pandemic in Argentina
An observational study of Surgical Education, run by Clinica Universitaria Reina Fabiola, Universidad Catolica de Cordoba at 1 site in Argentina.
Trial summary
Introduction: COVID-19 emerged as a global pandemic in 2020 and affected teaching methods at all levels. Surgical education has also been significantly affected by this pandemic, but the effect remains unknown. Read more about this study
- Who is it for?
- Ages 20 to 30 years
- Conditions the study is for
- Surgical Education
- What is being tested?
- anonymous survey
- How many people
- 195 participants
- Where
- 1 siteArgentina
- Study dates
- 15 Aug 2020to 3 Jan 2021
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 30 years
- All sexes
- Adult
Study population: 195 respondents
Who may be able to join
- medical residents
- both sexes (woman and man)
- residencies with surgical programs
Who cannot join
- residencies with medical clinic programs
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Analysis of the Impact on Surgical Residency Programs in Times of Pandemic in Argentina: A Cross-sectional Study
Introduction: COVID-19 emerged as a global pandemic in 2020 and affected teaching methods at all levels. Surgical education has also been significantly affected by this pandemic, but the effect remains unknown. We developed a survey with the aim of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Argentina.
Material and methods: We carried out a cross-sectional study. We surveyed 195 resident physicians from various surgical residency programs, from August 15 to September 30, 2020, in Córdoba, Argentina. The effect of the COVID-19 pandemic on surgical training, academic program, and professional burnout of residents was analyzed.
Read the detailed description
Introduction In 2020, the coronavirus disease (COVID-19) has affected more than 190 countries, registering more than 79.2 million cases and more than 1.7 million deaths worldwide since the start of the pandemic. The first reported case in Argentina was on March 5; two days later, the first fatality was registered in the country and in Latin America. On March 6, the first case of COVID-19 was confirmed in Córdoba, the second most populated province, out of a total of 23 provinces that make up the Argentine Republic. Until December 31, 2020, the Ministry of Health of the Province of Córdoba registered a total of 126,893 cases and 2,496 deaths from COVID-19.
The current health crisis produced by the coronavirus pandemic and defined as an unprecedented situation led us to raise doubts, controversies, and dilemmas in health care in general, and in surgery in particular, understanding that residents are possibly so vulnerable or more than all professionals.
In this scenario, the Association of Residents and Concurrents of General Surgery of Córdoba (ARCCC), which represents a non-profit civil association, founded in 1989, with the purpose of promoting scientific activity among resident physicians, prepared a survey with the objective of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Córdoba.
Material and methods A cross-sectional study was carried out, supported by a digital survey tool (Google Forms). The survey presented 25 mandatory multiple-choice questions and was distributed through social networks such as WhatsApp, Facebook, and Instagram, from August 15 to September 30, 2020. All surgical residency programs in Córdoba, Argentina were invited to participate.
The survey asked the demographic characteristics of the residents, the type of hospital (public / private / Armed Forces) where they worked, the adherence of the training center to the resolution of the Ministry of Health 718/2020 (extension of discharge and promotion of the academic year of residents until September 30, 2020, within the health services, to attend the health and social emergency produced by COVID-19) (6), the type and the year (Considering the National Decree 718/2020) of the training program, work modality, number of days of attendance at your institution and surgical practices, before and during the pandemic. Residents were asked whether these changes would affect their surgical training and overall preparation for their next career move. The effects of the pandemic on the well-being and burnout of residents were also assessed.
All respondents voluntarily participated in this study and were advised that the information provided is confidential and will not be used to identify individual responses.
- Conditions
- Surgical Education
- Being tested
- anonymous survey
- Keywords
- COVID-19, Surgical residents, Surgical training, Latin America
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
anonymous surveyOther
anonymous survey with 25 mandatory questions
What is being measured
The primary outcome is the main question the study is designed to answer.
Demographic variables
gender and age
Measured: August 15 to September 30, 2020
type of hospital
public / private / Armed Forces
Measured: August 15 to September 30, 2020
type and year of training program
surgical program and position in residence
Measured: August 15 to September 30, 2020
attendance at your institution and surgical practices
days and number of surgeries
Measured: August 15 to September 30, 2020
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2021
- Study start15 Aug 2020
- Primary completion1 Oct 2020
- Study completion3 Jan 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Surgical EducationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 195 participants (actual)
Sponsor and investigators
- Lead sponsor
- Clinica Universitaria Reina Fabiola, Universidad Catolica de Cordoba
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Palacios Huatuco, Clinica Universitaria Reina Fabiola, Universidad Catolica de Cordoba
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04703400
- Sponsor's protocol ID
- 0817040
- Status last verified
- Jan 2021
- First submitted
- 7 Jan 2021
- Last updated
- 11 Jan 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Aziz H, James T, Remulla D, Sher L, Genyk Y, Sullivan ME, Sheikh MR. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ. 2021 Mar-Apr;78(2):431-439. doi: 10.1016/j.jsurg.2020.07.037. Epub 2020 Jul 30.
PubMed 32798154Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic Education During the COVID-19 Pandemic. J Am Acad Orthop Surg. 2020 Jun 1;28(11):e456-e464. doi: 10.5435/JAAOS-D-20-00292.
PubMed 32282439Coe TM, Jogerst KM, Sell NM, Cassidy DJ, Eurboonyanun C, Gee D, Phitayakorn R, Petrusa E. Practical Techniques to Adapt Surgical Resident Education to the COVID-19 Era. Ann Surg. 2020 Aug;272(2):e139-e141. doi: 10.1097/SLA.0000000000003993. No abstract available.
PubMed 32675517Daodu O, Panda N, Lopushinsky S, Varghese TK Jr, Brindle M. COVID-19 - Considerations and Implications for Surgical Learners. Ann Surg. 2020 Jul;272(1):e22-e23. doi: 10.1097/SLA.0000000000003927. No abstract available.
PubMed 32345789Kim JY, Song JY, Yoon YK, Choi SH, Song YG, Kim SR, Son HJ, Jeong SY, Choi JH, Kim KM, Yoon HJ, Choi JY, Kim TH, Choi YH, Kim HB, Yoon JH, Lee J, Eom JS, Lee SO, Oh WS, Choi JH, Yoo JH, Kim WJ, Cheong HJ. Middle East Respiratory Syndrome Infection Control and Prevention Guideline for Healthcare Facilities. Infect Chemother. 2015 Dec;47(4):278-302. doi: 10.3947/ic.2015.47.4.278. Epub 2015 Dec 30.
PubMed 26788414Pelargos PE, Chakraborty A, Zhao YD, Smith ZA, Dunn IF, Bauer AM. An Evaluation of Neurosurgical Resident Education and Sentiment During the Coronavirus Disease 2019 Pandemic: A North American Survey. World Neurosurg. 2020 Aug;140:e381-e386. doi: 10.1016/j.wneu.2020.05.263. Epub 2020 Jun 5.
PubMed 32512244Kapila AK, Schettino M, Farid Y, Ortiz S, Hamdi M. The Impact of Coronavirus Disease 2019 on Plastic Surgery Training: The Resident Perspective. Plast Reconstr Surg Glob Open. 2020 Jul 1;8(7):e3054. doi: 10.1097/GOX.0000000000003054. eCollection 2020 Jul.
PubMed 32802694Huamanchumo-Suyon ME, Urrunaga-Pastor D, Ruiz-Perez PJ, Rodrigo-Gallardo PK, Toro-Huamanchumo CJ. Impact of the COVID-19 pandemic on general surgery residency program in Peru: A cross-sectional study. Ann Med Surg (Lond). 2020 Dec;60:130-134. doi: 10.1016/j.amsu.2020.10.031. Epub 2020 Oct 25.
PubMed 33133592Hewitt DB, Ellis RJ, Chung JW, Cheung EO, Moskowitz JT, Huang R, Merkow RP, Yang AD, Hu YY, Cohen ME, Ko CY, Hoyt DB, Bilimoria KY. Association of Surgical Resident Wellness With Medical Errors and Patient Outcomes. Ann Surg. 2021 Aug 1;274(2):396-402. doi: 10.1097/SLA.0000000000003909.
PubMed 32282379Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD, Stulberg JJ, Lewis FR. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. N Engl J Med. 2016 Feb 25;374(8):713-27. doi: 10.1056/NEJMoa1515724. Epub 2016 Feb 2.
PubMed 26836220
Study at a glance
From the registry record, last updated by the sponsor on 11 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Analysis of the Impact on Surgical Residency Programs in Times of Pandemic in Argentina: A Cross-sectional Study
- ClinicalTrials.gov ID
- NCT04703400
- Acronym / sponsor ID
- 0817040
- Conditions
- Surgical Education
- Keywords
- COVID-19, Surgical residents, Surgical training, Latin America
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 195 participants (actual)
- Lead sponsor
- Clinica Universitaria Reina Fabiola, Universidad Catolica de CordobaUniversity, hospital or other
- Study start
- 15 Aug 2020 (actual)
- Primary completion
- 1 Oct 2020 (actual)
- Study completion
- 3 Jan 2021 (actual)
- First posted
- 11 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Introduction: COVID-19 emerged as a global pandemic in 2020 and affected teaching methods at all levels. Surgical education has also been significantly affected by this pandemic, but the effect remains unknown. We developed a survey with the aim of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Argentina.
Material and methods: We carried out a cross-sectional study. We surveyed 195 resident physicians from various surgical residency programs, from August 15 to September 30, 2020, in Córdoba, Argentina. The effect of the COVID-19 pandemic on surgical training, academic program, and professional burnout of residents was analyzed.
Detailed description
Introduction In 2020, the coronavirus disease (COVID-19) has affected more than 190 countries, registering more than 79.2 million cases and more than 1.7 million deaths worldwide since the start of the pandemic. The first reported case in Argentina was on March 5; two days later, the first fatality was registered in the country and in Latin America. On March 6, the first case of COVID-19 was confirmed in Córdoba, the second most populated province, out of a total of 23 provinces that make up the Argentine Republic. Until December 31, 2020, the Ministry of Health of the Province of Córdoba registered a total of 126,893 cases and 2,496 deaths from COVID-19.
The current health crisis produced by the coronavirus pandemic and defined as an unprecedented situation led us to raise doubts, controversies, and dilemmas in health care in general, and in surgery in particular, understanding that residents are possibly so vulnerable or more than all professionals.
In this scenario, the Association of Residents and Concurrents of General Surgery of Córdoba (ARCCC), which represents a non-profit civil association, founded in 1989, with the purpose of promoting scientific activity among resident physicians, prepared a survey with the objective of obtaining more information on how the COVID-19 pandemic affected the training and education of surgical residency programs in Córdoba.
Material and methods A cross-sectional study was carried out, supported by a digital survey tool (Google Forms). The survey presented 25 mandatory multiple-choice questions and was distributed through social networks such as WhatsApp, Facebook, and Instagram, from August 15 to September 30, 2020. All surgical residency programs in Córdoba, Argentina were invited to participate.
The survey asked the demographic characteristics of the residents, the type of hospital (public / private / Armed Forces) where they worked, the adherence of the training center to the resolution of the Ministry of Health 718/2020 (extension of discharge and promotion of the academic year of residents until September 30, 2020, within the health services, to attend the health and social emergency produced by COVID-19) (6), the type and the year (Considering the National Decree 718/2020) of the training program, work modality, number of days of attendance at your institution and surgical practices, before and during the pandemic. Residents were asked whether these changes would affect their surgical training and overall preparation for their next career move. The effects of the pandemic on the well-being and burnout of residents were also assessed.
All respondents voluntarily participated in this study and were advised that the information provided is confidential and will not be used to identify individual responses.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 20 to 30 years
- Sex
- All
- Age groups
- Adult
- Study population
- 195 respondents
Key inclusion criteria (3 listed)
- medical residents
- both sexes (woman and man)
- residencies with surgical programs
Key exclusion criteria (1 listed)
- residencies with medical clinic programs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| anonymous surveyanonymous survey with 25 mandatory questions | Other | – |
Primary outcome
Demographic variables
Time frame: August 15 to September 30, 2020
gender and age
type of hospital
Time frame: August 15 to September 30, 2020
public / private / Armed Forces
type and year of training program
Time frame: August 15 to September 30, 2020
surgical program and position in residence
attendance at your institution and surgical practices
Time frame: August 15 to September 30, 2020
days and number of surgeries
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jan 2021.
- Background: PubMed 32798154Aziz H, James T, Remulla D, Sher L, Genyk Y, Sullivan ME, Sheikh MR. Effect of COVID-19 on Surgical Training Across the United States: A National Survey of General Surgery Residents. J Surg Educ. 2021 Mar-Apr;78(2):431-439. doi: 10.1016/j.jsurg.2020.07.037. Epub 2020 Jul 30.
- Background: PubMed 32282439Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic Education During the COVID-19 Pandemic. J Am Acad Orthop Surg. 2020 Jun 1;28(11):e456-e464. doi: 10.5435/JAAOS-D-20-00292.
- Background: PubMed 32675517Coe TM, Jogerst KM, Sell NM, Cassidy DJ, Eurboonyanun C, Gee D, Phitayakorn R, Petrusa E. Practical Techniques to Adapt Surgical Resident Education to the COVID-19 Era. Ann Surg. 2020 Aug;272(2):e139-e141. doi: 10.1097/SLA.0000000000003993. No abstract available.
- Background: PubMed 32345789Daodu O, Panda N, Lopushinsky S, Varghese TK Jr, Brindle M. COVID-19 - Considerations and Implications for Surgical Learners. Ann Surg. 2020 Jul;272(1):e22-e23. doi: 10.1097/SLA.0000000000003927. No abstract available.
- Background: PubMed 26788414Kim JY, Song JY, Yoon YK, Choi SH, Song YG, Kim SR, Son HJ, Jeong SY, Choi JH, Kim KM, Yoon HJ, Choi JY, Kim TH, Choi YH, Kim HB, Yoon JH, Lee J, Eom JS, Lee SO, Oh WS, Choi JH, Yoo JH, Kim WJ, Cheong HJ. Middle East Respiratory Syndrome Infection Control and Prevention Guideline for Healthcare Facilities. Infect Chemother. 2015 Dec;47(4):278-302. doi: 10.3947/ic.2015.47.4.278. Epub 2015 Dec 30.
- Background: PubMed 32512244Pelargos PE, Chakraborty A, Zhao YD, Smith ZA, Dunn IF, Bauer AM. An Evaluation of Neurosurgical Resident Education and Sentiment During the Coronavirus Disease 2019 Pandemic: A North American Survey. World Neurosurg. 2020 Aug;140:e381-e386. doi: 10.1016/j.wneu.2020.05.263. Epub 2020 Jun 5.
- Background: PubMed 32802694Kapila AK, Schettino M, Farid Y, Ortiz S, Hamdi M. The Impact of Coronavirus Disease 2019 on Plastic Surgery Training: The Resident Perspective. Plast Reconstr Surg Glob Open. 2020 Jul 1;8(7):e3054. doi: 10.1097/GOX.0000000000003054. eCollection 2020 Jul.
- Background: PubMed 33133592Huamanchumo-Suyon ME, Urrunaga-Pastor D, Ruiz-Perez PJ, Rodrigo-Gallardo PK, Toro-Huamanchumo CJ. Impact of the COVID-19 pandemic on general surgery residency program in Peru: A cross-sectional study. Ann Med Surg (Lond). 2020 Dec;60:130-134. doi: 10.1016/j.amsu.2020.10.031. Epub 2020 Oct 25.
- Background: PubMed 32282379Hewitt DB, Ellis RJ, Chung JW, Cheung EO, Moskowitz JT, Huang R, Merkow RP, Yang AD, Hu YY, Cohen ME, Ko CY, Hoyt DB, Bilimoria KY. Association of Surgical Resident Wellness With Medical Errors and Patient Outcomes. Ann Surg. 2021 Aug 1;274(2):396-402. doi: 10.1097/SLA.0000000000003909.
- Background: PubMed 26836220Bilimoria KY, Chung JW, Hedges LV, Dahlke AR, Love R, Cohen ME, Hoyt DB, Yang AD, Tarpley JL, Mellinger JD, Mahvi DM, Kelz RR, Ko CY, Odell DD, Stulberg JJ, Lewis FR. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. N Engl J Med. 2016 Feb 25;374(8):713-27. doi: 10.1056/NEJMoa1515724. Epub 2016 Feb 2.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Surgical Education, run by Clinica Universitaria Reina Fabiola, Universidad Catolica de Cordoba at 1 site in Argentina.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Argentina. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Demographic variables (time frame: August 15 to September 30, 2020). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04703400, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jan 2021.