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10.1681/ASN.2020111636

http://scihub22266oqcxt.onion/10.1681/ASN.2020111636
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33658283!8259681!33658283
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suck abstract from ncbi


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pmid33658283      J+Am+Soc+Nephrol 2021 ; 32 (5): 1236-1248
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  • Impact of the COVID-19 Pandemic on Nephrology Fellow Training and Well-Being in the United States: A National Survey #MMPMID33658283
  • Pivert KA; Boyle SM; Halbach SM; Chan L; Shah HH; Waitzman JS; Mehdi A; Norouzi S; Sozio SM
  • J Am Soc Nephrol 2021[May]; 32 (5): 1236-1248 PMID33658283show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic's effects on nephrology fellows' educational experiences, preparedness for practice, and emotional wellbeing are unknown. METHODS: We recruited current adult and pediatric fellows and 2020 graduates of nephrology training programs in the United States to participate in a survey measuring COVID-19's effects on their training experiences and wellbeing. RESULTS: Of 1005 nephrology fellows-in-training and recent graduates, 425 participated (response rate 42%). Telehealth was widely adopted (90% for some or all outpatient nephrology consults), as was remote learning (76% of conferences were exclusively online). Most respondents (64%) did not have in-person consults on COVID-19 inpatients; these patients were managed by telehealth visits (27%), by in-person visits with the attending faculty without fellows (29%), or by another approach (9%). A majority of fellows (84%) and graduates (82%) said their training programs successfully sustained their education during the pandemic, and most fellows (86%) and graduates (90%) perceived themselves as prepared for unsupervised practice. Although 42% indicated the pandemic had negatively affected their overall quality of life and 33% reported a poorer work-life balance, only 15% of 412 respondents who completed the Resident Well-Being Index met its distress threshold. Risk for distress was increased among respondents who perceived the pandemic had impaired their knowledge base (odds ratio [OR], 3.04; 95% confidence interval [CI], 2.00 to 4.77) or negatively affected their quality of life (OR, 3.47; 95% CI, 2.29 to 5.46) or work-life balance (OR, 3.16; 95% CI, 2.18 to 4.71). CONCLUSIONS: Despite major shifts in education modalities and patient care protocols precipitated by the COVID-19 pandemic, participants perceived their education and preparation for practice to be minimally affected.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Clinical Competence[MESH]
  • |Education, Distance[MESH]
  • |Education, Medical, Graduate[MESH]
  • |Fellowships and Scholarships[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Internship and Residency[MESH]
  • |Male[MESH]
  • |Nephrology/*education[MESH]
  • |Occupational Stress/epidemiology[MESH]
  • |Pandemics[MESH]
  • |Pediatrics/education[MESH]
  • |Remote Consultation[MESH]
  • |Surveys and Questionnaires[MESH]
  • |Telemedicine[MESH]


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