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10.1002/lary.28733

http://scihub22266oqcxt.onion/10.1002/lary.28733
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suck abstract from ncbi


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pmid32368800      Laryngoscope 2020 ; 130 (11): 2550-2557
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  • Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U S COVID-19 Pandemic #MMPMID32368800
  • Cai Y; Jiam NT; Wai KC; Shuman EA; Roland LT; Chang JL
  • Laryngoscope 2020[Nov]; 130 (11): 2550-2557 PMID32368800show ga
  • OBJECTIVE: The coronavirus 2019 (COVID-19) pandemic has had widespread implications on clinical practice at U.S. hospitals. These changes are particularly relevant to otolaryngology-head and neck surgery (OHNS) residents because reports suggest an increased risk of contracting COVID-19 for otolaryngologists. The objectives of this study were to evaluate OHNS residency program practice changes and characterize resident perceptions during the initial phase of the pandemic. STUDY DESIGN: A cross-sectional survey of U.S. OHNS residents at 81 programs was conducted between March 23, 2020, and March 29, 2020. RESULTS: Eighty-two residents from 51 institutions (63% of invited programs) responded. At the time of survey, 98% of programs had enacted policy changes to minimize COVID-19 spread. These included filtered respirator use for aerosol-generating procedures even in COVID-19-negative patients (85%), decreased resident staffing of surgeries (70%), and reduced frequency of tracheotomy care (61%). The majority of residents (66%) perceived that residents were at higher risk of contracting COVID-19 compared to attendings. Residents were most concerned about protective equipment shortage (93%) and transmitting COVID-19 to patients (90%). The majority of residents (73%) were satisfied with their department's COVID-19 response. Resident satisfaction correlated with comfort level in discussing concerns with attendings (r = 0.72, P < .00001) and inversely correlated with perceptions of increased risk compared to attendings (r = -0.52, P < .00001). CONCLUSION: U.S. OHNS residency programs implemented policy changes quickly in response to the COVID-19 pandemic. Sources of resident anxieties demonstrate the importance of open communication and an integrated team approach to facilitate optimal patient and provider care during this unprecedented crisis. LEVEL OF EVIDENCE: 4. Laryngoscope, 130:2550-2557, 2020.
  • |*COVID-19[MESH]
  • |*Internship and Residency[MESH]
  • |Adult[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Otolaryngology/*education[MESH]
  • |Perception[MESH]
  • |SARS-CoV-2[MESH]
  • |Students, Medical/*psychology[MESH]
  • |Surveys and Questionnaires[MESH]


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