Health Services Administration. Colorectal Surgeon, Mexico Hospital, Caja Costarricense Seguro Social. Professor of General Surgery, University of Costa Rica, Department of General Surgery, Hospital México, La Uruca, San José, Costa Rica.
Mexico Hospital, Caja Costarricense Seguro Social, San José, Costa Rica.
Medicine (Baltimore). 2021 Aug 27;100(34):e27041. doi: 10.1097/MD.0000000000027041.
To quantify the impact of coronavirus disease 19 (COVID-19) on the surgical volume of residents' medical practice in Costa Rica's General Surgery Residency Program.The COVID-19 pandemic has caused a significant disruption in people's lives. Health systems worldwide have been forced to adapt to the new normal, which has posed a challenge for medical residency programs, especially in the surgical field.This transversal study includes the surgical records of all residents of the General Surgery program who worked as main surgeons at the Mexico Hospital of the Costa Rican Social Security between December 23, 2019, and June 25, 2020.As main surgeons, a total of 10 residents performed 291 pre-pandemic surgeries and 241 pandemic surgeries.When comparing the distribution of procedures performed by residency levels, it is observed that the postgraduate year -2 increased the number of procedures performed during the pandemic period (pre-pandemic 19% vs pandemic 27%, P = .028). There was no statistically significant difference between the pre-pandemic and pandemic periods in the remaining levels.When comparing the procedures by unit, a statistically significant decrease was observed in the Endocrine-Abdominal Wall Unit (pre-pandemic 18.3% vs pandemic 5.4%, P < .001). Conversely, a statistically significant increase was identified in Surgical Emergencies Unit procedures (40.0% vs post 51.7%, P = .007). No statistically significant differences were observed in the remaining the Units.The COVID-19 pandemic had no statistically significant effect on surgeries performed by residents of the General Surgery Residency Program as main surgeons in a national training center in Costa Rica. The Department's timely measures and pro-resident attitude were the key reasons for the above results.
量化 2019 年冠状病毒病（COVID-19）对哥斯达黎加普通外科住院医师培训计划中住院医师医疗实践手术量的影响。
COVID-19 大流行对人们的生活造成了重大干扰。全球卫生系统被迫适应新常态，这对住院医师培训计划，特别是在外科领域提出了挑战。本研究为回顾性研究，纳入了 2019 年 12 月 23 日至 2020 年 6 月 25 日期间在哥斯达黎加社会保障的墨西哥医院担任主刀医生的所有普通外科住院医师的手术记录。作为主刀医生，共有 10 名住院医师共进行了 291 例大流行前手术和 241 例大流行期间手术。
当比较按住院医师水平进行的手术分布时，观察到住院医师二年级在大流行期间增加了手术数量（大流行前为 19%，大流行期间为 27%，P = 0.028）。在其余水平，大流行前和大流行期间无统计学差异。比较各单位的手术时，发现内分泌-腹壁单位的手术数量明显减少（大流行前为 18.3%，大流行期间为 5.4%，P < 0.001）。相反，外科急症单位的手术数量明显增加（40.0% vs 51.7%，P = 0.007）。在其余单位未观察到统计学差异。
COVID-19 大流行对哥斯达黎加国家培训中心普通外科住院医师培训计划中住院医师作为主要手术者进行的手术没有统计学显著影响。该部门的及时措施和支持住院医师的态度是取得上述结果的关键原因。
