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10.1055/s-0041-1731000 http://scihub22266oqcxt.onion/10.1055/s-0041-1731000 34077972!8172260!34077972     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34077972&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Appl+Clin+Inform 2021 ; 12 (3): 507-517 Nephropedia Template TP {{tp|p=34077972|t=2021. Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health |pdf=|usr=}}{{34077972}} gab.com Text Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health JO: Appl Clin Inform http://www.kidney.de/pget.php?&tw=1&pmid=34077972 #FOAvip OBJECTIVES: This article investigates the association between changes in electronic health record (EHR) use during the coronavirus disease 2019 (COVID-19) pandemic on the rate of burnout, stress, posttraumatic stress disorder (PTSD), depression, and anxiety among physician trainees (residents and fellows). METHODS: A total of 222 (of 1,375, 16.2%) physician trainees from an academic medical center responded to a Web-based survey. We compared the physician trainees who reported that their EHR use increased versus those whose EHR use stayed the same or decreased on outcomes related to depression, anxiety, stress, PTSD, and burnout using univariable and multivariable models. We examined whether self-reported exposure to COVID-19 patients moderated these relationships. RESULTS: Physician trainees who reported increased use of EHR had higher burnout (adjusted mean, 1.48 [95% confidence interval [CI] 1.24, 1.71] vs. 1.05 [95% CI 0.93, 1.17]; p = 0.001) and were more likely to exhibit symptoms of PTSD (adjusted mean = 15.09 [95% CI 9.12, 21.05] vs. 9.36 [95% CI 7.38, 11.28]; p = 0.035). Physician trainees reporting increased EHR use outside of work were more likely to experience depression (adjusted mean, 8.37 [95% CI 5.68, 11.05] vs. 5.50 [95% CI 4.28, 6.72]; p = 0.035). Among physician trainees with increased EHR use, those exposed to COVID-19 patients had significantly higher burnout (2.04, p < 0.001) and depression scores (14.13, p = 0.003). CONCLUSION: Increased EHR use was associated with higher burnout, depression, and PTSD outcomes among physician trainees. Although preliminary, these findings have implications for creating systemic changes to manage the wellness and well-being of trainees. Twit Text FOAVip Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health ????Appl Clin Inform http://www.kidney.de/pget.php?&tw=1&pmid=34077972 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34077972 #FOAvip English Wikipedia <ref>{{Cite pmid|34077972}}</ref> Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health #MMPMID34077972 Holzer KJ; Lou SS; Goss CW; Strickland J; Evanoff BA; Duncan JG; Kannampallil T Appl Clin Inform 2021[May]; 12 (3): 507-517 PMID34077972show ga OBJECTIVES: This article investigates the association between changes in electronic health record (EHR) use during the coronavirus disease 2019 (COVID-19) pandemic on the rate of burnout, stress, posttraumatic stress disorder (PTSD), depression, and anxiety among physician trainees (residents and fellows). METHODS: A total of 222 (of 1,375, 16.2%) physician trainees from an academic medical center responded to a Web-based survey. We compared the physician trainees who reported that their EHR use increased versus those whose EHR use stayed the same or decreased on outcomes related to depression, anxiety, stress, PTSD, and burnout using univariable and multivariable models. We examined whether self-reported exposure to COVID-19 patients moderated these relationships. RESULTS: Physician trainees who reported increased use of EHR had higher burnout (adjusted mean, 1.48 [95% confidence interval [CI] 1.24, 1.71] vs. 1.05 [95% CI 0.93, 1.17]; p = 0.001) and were more likely to exhibit symptoms of PTSD (adjusted mean = 15.09 [95% CI 9.12, 21.05] vs. 9.36 [95% CI 7.38, 11.28]; p = 0.035). Physician trainees reporting increased EHR use outside of work were more likely to experience depression (adjusted mean, 8.37 [95% CI 5.68, 11.05] vs. 5.50 [95% CI 4.28, 6.72]; p = 0.035). Among physician trainees with increased EHR use, those exposed to COVID-19 patients had significantly higher burnout (2.04, p < 0.001) and depression scores (14.13, p = 0.003). CONCLUSION: Increased EHR use was associated with higher burnout, depression, and PTSD outcomes among physician trainees. Although preliminary, these findings have implications for creating systemic changes to manage the wellness and well-being of trainees. |*Education, Medical[MESH] |Adult[MESH] |Burnout, Professional/epidemiology[MESH] |COVID-19/*epidemiology[MESH] |Electronic Health Records/*statistics & numerical data[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Mental Health/*statistics & numerical data[MESH] |Pandemics[MESH]Impact of Changes in EHR Use during COVID-19 on Physician Trainee Ment(epmc).pdf DeepDyve Pubget Overpricing