{"pk":15774,"title":"Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State","subtitle":null,"abstract":"Introduction:\n The 2019 novel coronavirus pandemic has caused significant disruptions in the clinical operations  of hospitals as well as clinical education, training, and research at academic centers. New York State was among  the first and largest epicenters of the pandemic, resulting in significant disruptions across its 29 emergency  medicine (EM) residency programs. We conducted a cross-sectional observational study of EM residency  programs in New York State to assess the impact of the pandemic on resident education and training programs.\nMethods: \nWe surveyed a cross-sectional sample of residency programs throughout New York State in June  2020, in the timeframe immediately after the state’s first “wave” of the pandemic. The survey was distributed  to program leadership and elicited information on pandemic-prompted curricular modifications and other  educational changes. The survey covered topics related to disruptions in medical education and sought details  on solutions to educational issues encountered by programs.\nResults: \nOf the 29 accredited EM residency programs in New York State, leadership from 22 (76%) responded.  Of these participating programs, 11 (50%) experienced high pandemic impact on clinical services, 21 (95%)  canceled their own trainees’ off-service rotations, 22 (100%) canceled or postponed visiting medical student  rotations, 22 (100%) adopted virtual conference formats (most within the first week of the pandemic wave), and  11 (50%) stopped all prospective research (excluding COVID-19 research), while most programs continued  retrospective research.\nConclusion:\n This study highlights the profound educational impact of the pandemic on residency programs in  one of the hardest- and earliest-hit regions in the United States. Specifically, it highlights the ubiquity of virtual  conferencing, the significant impact on research, and the concerns about canceled rotations and missed training  opportunities for residents, as well as prehospital and non-physician practitioner trainees. This data should be  used to prompt discussion regarding the necessity of alternate educational modalities for pandemic times and  the sequelae of implementing these plans.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"COVID-19, Pandemic, Virtual Conferencing, Research, Wellness"}],"section":"Medical Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5s11g49s","frozenauthors":[{"first_name":"Muhammad","middle_name":"","last_name":"Waseem","name_suffix":"","institution":"Lincoln Medical and Mental Health Center, Department of Pediatrics and Emergency Medicine, Bronx, New York\nWeill Cornell Medicine, Department of Pediatric Emergency Medicine, New York, New York\nNew York's Medical College, Department of Pediatric Emergency Medicine, Valhalla, New York","department":"None"},{"first_name":"Nidhi","middle_name":"","last_name":"Garg","name_suffix":"","institution":"Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York\nSouth Shore University Hospital/Northwell Health, Department of Emergency Medicine, Bay Shore, New York","department":"None"},{"first_name":"Bernard","middle_name":"P.","last_name":"Chang","name_suffix":"","institution":"Columbia University Medical Center, Department of Emergency Medicine, New York, New York","department":"None"},{"first_name":"Juan","middle_name":"","last_name":"Acosta","name_suffix":"","institution":"Saint Catherine of Siena Medical Center, Department of Emergency Medicine, Smithtown, \nNew York\nNew York Institute of Technology College of Osteopathic Medicine, Department of Emergency Medicine, Glen Head, New York","department":"None"},{"first_name":"John","middle_name":"","last_name":"DeAngelis","name_suffix":"","institution":"University of Rochester, Department of Emergency Medicine, Rochester, New York","department":"None"},{"first_name":"Mary","middle_name":"E.","last_name":"McLean","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Laura","middle_name":"D.","last_name":"Melville","name_suffix":"","institution":"Weill Cornell Medicine, Department of Pediatric Emergency Medicine, New York, New York\nNew York Chapter American College of Emergency Physicians, Webster, New York","department":"None"},{"first_name":"Timothy","middle_name":"","last_name":"Pistor","name_suffix":"","institution":"New York Chapter American College of Emergency Physicians, Webster, New York","department":"None"},{"first_name":"Kaushal","middle_name":"H.","last_name":"Shah","name_suffix":"","institution":"Weill Cornell Medicine, Department of Pediatric Emergency Medicine, New York, New York","department":"None"},{"first_name":"JoAnne","middle_name":"","last_name":"Tarantelli","name_suffix":"","institution":"New York Chapter American College of Emergency Physicians, Webster, New York","department":"None"},{"first_name":"Susan","middle_name":"M.","last_name":"Wojcik","name_suffix":"","institution":"SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":"None"},{"first_name":"James","middle_name":"Gerard","last_name":"Ryan","name_suffix":"","institution":"Saint Catherine of Siena Medical Center, Department of Emergency Medicine, Smithtown, \nNew York","department":"None"}],"date_submitted":"2021-07-26T17:28:43Z","date_accepted":"2021-07-26T17:28:43Z","date_published":"2022-01-18T08:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15774/galley/7903/download/"}]}