Impact of exposure to patients with COVID-19 on residents and fellows: an international survey of 1420 trainees
Year: 2020
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: To determine how self-reported level of exposure to patients with novel coronavirus 2019 (COVID-19) affected the perceived safety, training and well-being of residents and fellows. METHODS: We administered an anonymous, voluntary, web-based survey to a convenience sample of trainees worldwide. The survey was distributed by email and social media posts from April 20th to May 11th, 2020. Respondents were asked to estimate the number of patients with COVID-19 they cared for in March and April 2020 (0, 1-30, 31-60, >60). Survey questions addressed (1) safety and access to personal protective equipment (PPE), (2) training and professional development and (3) well-being and burnout. RESULTS: Surveys were completed by 1420 trainees (73% residents, 27% fellows), most commonly from the USA (n=670), China (n=150), Saudi Arabia (n=76) and Taiwan (n=75). Trainees who cared for a greater number of patients with COVID-19 were more likely to report limited access to PPE and COVID-19 testing and more likely to test positive for COVID-19. Compared with trainees who did not take care of patients with COVID-19 , those who took care of 1-30 patients (adjusted OR [AOR] 1.80, 95% CI 1.29 to 2.51), 31-60 patients (AOR 3.30, 95% CI 1.86 to 5.88) and >60 patients (AOR 4.03, 95% CI 2.12 to 7.63) were increasingly more likely to report burnout. Trainees were very concerned about the negative effects on training opportunities and professional development irrespective of the number of patients with COVID-19 they cared for. CONCLUSION: Exposure to patients with COVID-19 is significantly associated with higher burnout rates in physician trainees.
Source: Postgraduate Medical Journal
Authors: Anne L Cravero, Nicole J Kim, Lauren D Feld, Kristin Berry, Atoosa Rabiee, Najdat Bazarbashi, Sandhya Bassin, Tzu-Hao Lee, Andrew M Moon, Xiaolong Qi, Peter S Liang, Elizabeth S Aby, Mohammad Qasim Khan, Kristen J Young, Arpan Patel, Karn Wijarnpreecha, Abdallah Kobeissy, Almoutaz Hashim, Allysia Houser, George N Ioannou
Institutions: University of Washington, VA Puget Sound Health Care System, Veterans Health Administration, Washington DC VA Medical Center, University of Maryland, Baltimore, Rutgers, The State University of New Jersey, Duke University Hospital, University of North Carolina at Chapel Hill, First Hospital of Lanzhou University, VA NY Harbor Healthcare System, NYU Langone Health, University of Minnesota, Endeavor Health, The University of Texas Southwestern Medical Center, University of California, Los Angeles, VA Greater Los Angeles Healthcare System, Mayo Clinic in Florida, University of Toledo Medical Center, University of Jeddah, University of Arizona College of Medicine- Phoenix
Language: English
Topic: COVID-19 and Mental Health
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: hybrid
Estimated APC paid: $4,320
OpenAlex ID: W3094431666