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A retrospective cohort study of Differential Attainment, COVID and Chaos: taking the difference out of a terrible trinity
Background: This study aimed to evaluate Core Surgical Training (CST) Differential Attainment (DA) related to COVID-19 and gender in three ethnic cohorts: White UK (WUKG), Black & Minority Ethnic UK (BMEUKG), and International Medical Graduates (IMG). The hypothesis was that COVID-19 adversely influenced CST outcome.
Methods: Anonymised 234 CST and 37 IST records (152 WUKG, 81 BMEUKG, 38 IMG) in a UK Statutory Education Body (SEB) were examined. Primary effect measures were: Annual Review of Competency Progression Outcome (ARCPO), MRCS pass, and National Training Number (NTN) appointment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-COVID |
| ||
| Peri-COVID |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Differential attainment | Other | Differential attainment related to covid, ethnicity and international graduate status |
|
| Measure | Description | Time Frame |
|---|---|---|
| Successful outcome in Membership of the Royal College of Surgeons examination | 2014-2022 | |
| Succesful Annual Review of Competence Progression Outcome | 2014-2022 | |
| National Training Number Appointment | 2014-2022 |
| Measure | Description | Time Frame |
|---|---|---|
| Operative Logbook Volume | 2014-2022 | |
| Attrition rate | 2014-2022 |
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Inclusion Criteria:
Exclusion Criteria:
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Core Surgical Trainees in HEIW 2014-2022
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| Name | Affiliation | Role |
|---|---|---|
| Osian James | HEIW | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HEIW School of Surgery | Nantgarw | Caerdydd | CF157QQ | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37222671 | Derived | James OP, Mellor K, Luton O, Robinson DBT, Walsh L, Hemington-Gorse S, Egan RJ, Lewis WG. A retrospective cohort study of differential attainment, COVID and chaos: taking the difference out of a terrible trinity. Int J Surg. 2023 Aug 1;109(8):2359-2364. doi: 10.1097/JS9.0000000000000488. |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |