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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Disaster+Med+Public+Health+Prep 2021 ; ä (ä): 1-8 Nephropedia Template TP
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Factors Related to Self-Reported Distress Experienced by Physicians During Their First COVID-19 Triage Decisions #MMPMID34096486
Chou FL; Abramson D; DiMaggio C; Hoven CW; Susser E; Andrews HF; Chihuri S; Lang BH; Ryan M; Herman D; Susser I; Mascayano F; Li G
Disaster Med Public Health Prep 2021[Jun]; ä (ä): 1-8 PMID34096486show ga
OBJECTIVE: The aim of this study was to identify factors associated with distress experienced by physicians during their first coronavirus disease 2019 (COVID-19) triage decisions. METHODS: An online survey was administered to physicians licensed in New York State. RESULTS: Of the 164 physicians studied, 20.7% experienced severe distress during their first COVID-19 triage decisions. The mean distress score was not significantly different between physicians who received just-in-time training and those who did not (6.0 +/- 2.7 vs 6.2 +/- 2.8; P = 0.550) and between physicians who received clinical guidelines and those who did not (6.0 +/- 2.9 vs 6.2 +/- 2.7; P = 0.820). Substantially increased odds of severe distress were found in physicians who reported that their first COVID-19 triage decisions were inconsistent with their core values (adjusted odds ratio, 6.33; 95% confidence interval, 2.03-19.76) and who reported having insufficient skills and expertise (adjusted odds ratio 2.99, 95% confidence interval 0.91-9.87). CONCLUSION: Approximately 1 in 5 physicians in New York experienced severe distress during their first COVID-19 triage decisions. Physicians with insufficient skills and expertise, and core values misaligned to triage decisions are at heightened risk of experiencing severe distress. Just-in-time training and clinical guidelines do not appear to alleviate distress experienced by physicians during their first COVID-19 triage decisions.