id author title date pages extension mime words sentences flesch summary cache txt cord-289111-6725jg29 Field, Nicholas C. Decrease in Neurosurgical Program Volume During COVID-19: Residency Programs Must Adapt 2020-06-25 .txt text/plain 969 62 58 In order to demonstrate the degree of change, we wish to report the dramatic decrease in operative, outpatient clinic, and consult volume at our institution, Albany Medical Center, an Academic Level 1 Trauma Center in upstate New York. 2 We rapidly trialed and implemented a video conference telehealth system by the end of March and have seen a dramatic shift in our clinic practice while continuing to provide appropriate patient care ( Figure 1 ). Our resident service was split into an on-call and backup team due to the decrease in case volume, and also to limit exposure to COVID-19, and provide coverage in the Neuro ICU. Our program has seen a significant reduction in consults and operations over the past three months despite being in a region with a linear case rise that has not been overwhelmed by the pandemic. The COVID-19 pandemic has led to a dramatic decline in elective neurosurgical procedures, consults, and clinic visits. ./cache/cord-289111-6725jg29.txt ./txt/cord-289111-6725jg29.txt