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10.4300/JGME-D-20-00657.1

http://scihub22266oqcxt.onion/10.4300/JGME-D-20-00657.1
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33391591!7771614!33391591
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suck abstract from ncbi


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pmid33391591      J+Grad+Med+Educ 2020 ; 12 (6): 682-685
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  • Internal Medicine Resident Work Absence During the COVID-19 Pandemic at a Large Academic Medical Center in New York City #MMPMID33391591
  • Merkin R; Kruger A; Bhardwaj G; Kajita GR; Shapiro L; Galen BT
  • J Grad Med Educ 2020[Dec]; 12 (6): 682-685 PMID33391591show ga
  • BACKGROUND: Montefiore Medical Center (MMC) is a large tertiary care center in the Bronx, New York City, with 245 internal medicine residents. Beginning on February 29, 2020, residents became ill with COVID-19-like illness (CLI), which required absence from work. There was initially a shortage of personal protective equipment and delays in SARS-CoV-2 testing, which gradually improved during March and April 2020. OBJECTIVE: We evaluated the relationship between CLI-related work absence rates of internal medicine residents and MMC's COVID-19 hospital census over time. METHODS: Data on resident work absence between February 29 and May 22 were reviewed along with MMC's COVID-19 hospital census data. To determine the effect of patient exposure on resident CLI incidence, we compared the mean incidence of CLI per patient exposure days (PED = daily hospital census x days pre- or post-peak) before and after peak COVID-19 hospital census. RESULTS: Forty-two percent (103 of 245) of internal medicine residents were absent from work, resulting in 875 missed workdays. At the peak of resident work absence, 16% (38 of 245) were out sick. Residents were absent for a median of 7 days (IQR 6-9.5 days). Mean resident CLI incidence per PED (CLI/PED) was 13.9-fold lower post-peak compared to pre-peak (P = .003). CONCLUSIONS: At the beginning of the COVID-19 pandemic in New York City, a large portion of internal medicine residents at this single center became ill. However, the incidence of CLI decreased over time, despite ongoing exposure to patients with COVID-19.
  • |Academic Medical Centers[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*epidemiology/transmission[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional[MESH]
  • |Internal Medicine[MESH]
  • |Internship and Residency/methods/*statistics & numerical data[MESH]
  • |New York City/epidemiology[MESH]
  • |Occupational Exposure[MESH]
  • |Personnel Staffing and Scheduling[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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