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2020 ; 4
(12
): 1181-1187
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Perceptions of Occupational Risk and Changes in Clinical Practice of United
States Vitreoretinal Surgery Fellows during the COVID-19 Pandemic
#MMPMID32450265
Khan MA
; Sivalingam A
; Haller JA
Ophthalmol Retina
2020[Dec]; 4
(12
): 1181-1187
PMID32450265
show ga
PURPOSE: To assess perceptions of occupational risk and changes to clinical
practice of ophthalmology trainees in the United States during the coronavirus
disease 2019 (COVID-19) pandemic. DESIGN: An anonymous, nonvalidated,
cross-sectional survey was conducted online. Data were collected from April 7
through 16, 2020. PARTICIPANTS: Second-year U.S. vitreoretinal surgery fellows in
two-year training programs were invited to participate. METHODS: Online survey.
MAIN OUTCOME MEASURES: Survey questions assessed policies guiding COVID-19
response, exposure to severe acute respiratory syndrome coronavirus 2, changes in
clinical duties, and methods to reduce occupational risk, including availability
of personal protective equipment (PPE). RESULTS: Completed responses were
obtained from 62 of 87 eligible recipients (71.2% response rate). Training
settings included academic (58.1%), hybrid academic/private practice (35.5%), and
private practice only settings (6.5%). Overall, 19.4% of respondents reported an
exposure to a COVID-19-positive patient, 14.5% reported self-quarantining due to
possible exposure, and 11.3% reported being tested for COVID-19. In regards to
PPE, N95 masks were available in the emergency room (n = 40 [64.5%]), office (n =
35 [56.5%]), and operating room (n = 35 [56.5%]) settings. Perceived comfort
level with PPE recommendations was significantly associated with availability of
an N95 respirator mask in the clinic (P < 0.001), emergency room (P < 0.001), or
operating room (P = 0.002) settings. Additional risk mitigation methods outside
of PPE were: reduction in patient volume (n = 62 [100%]), limiting patient
companions (n = 59 [95.2%]), use of a screening process (n = 59 [95.2%]), use of
a slit-lamp face shield (n = 57 [91.9%]), temperature screening of all persons
entering clinical space (n = 34 [54.84%]), and placement of face mask on patients
(n = 33 [53.2%]). Overall, 16.1% reported additional clinical duties within the
scope of ophthalmology, and 3.2% reported being re-deployed to nonophthalmology
services. 98.4% of respondents, 98.4% expected a reduction in surgical case
volume. No respondents reported loss of employment or reduction in pay or
benefits due to COVID-19. CONCLUSIONS: Suspected or confirmed clinical exposure
to COVID-19-positive patients occurred in approximately one fifth of trainee
respondents. Perceived comfort level with PPE standards was significantly
associated with N95 respirator mask availability. As surgical training programs
grapple with the COVID-19 pandemic, analysis of trainees' concerns may inform
development of mitigation strategies.
|*Fellowships and Scholarships
[MESH]
|*Occupational Exposure
[MESH]
|*SARS-CoV-2
[MESH]
|Adult
[MESH]
|Attitude of Health Personnel
[MESH]
|COVID-19/*epidemiology
[MESH]
|Cross-Sectional Studies
[MESH]
|Female
[MESH]
|Health Surveys
[MESH]
|Humans
[MESH]
|Infectious Disease Transmission, Patient-to-Professional/prevention & control
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Ophthalmologists/education/*psychology
[MESH]
|Perception
[MESH]
|Personal Protective Equipment/statistics & numerical data
[MESH]
|Practice Patterns, Physicians'/*statistics & numerical data
[MESH]
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