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2020 ; 130
(11
): 2550-2557
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Otolaryngology Resident Practices and Perceptions in the Initial Phase of the
U S COVID-19 Pandemic
#MMPMID32368800
Cai Y
; Jiam NT
; Wai KC
; Shuman EA
; Roland LT
; Chang JL
Laryngoscope
2020[Nov]; 130
(11
): 2550-2557
PMID32368800
show ga
OBJECTIVE: The coronavirus 2019 (COVID-19) pandemic has had widespread
implications on clinical practice at U.S. hospitals. These changes are
particularly relevant to otolaryngology-head and neck surgery (OHNS) residents
because reports suggest an increased risk of contracting COVID-19 for
otolaryngologists. The objectives of this study were to evaluate OHNS residency
program practice changes and characterize resident perceptions during the initial
phase of the pandemic. STUDY DESIGN: A cross-sectional survey of U.S. OHNS
residents at 81 programs was conducted between March 23, 2020, and March 29,
2020. RESULTS: Eighty-two residents from 51 institutions (63% of invited
programs) responded. At the time of survey, 98% of programs had enacted policy
changes to minimize COVID-19 spread. These included filtered respirator use for
aerosol-generating procedures even in COVID-19-negative patients (85%), decreased
resident staffing of surgeries (70%), and reduced frequency of tracheotomy care
(61%). The majority of residents (66%) perceived that residents were at higher
risk of contracting COVID-19 compared to attendings. Residents were most
concerned about protective equipment shortage (93%) and transmitting COVID-19 to
patients (90%). The majority of residents (73%) were satisfied with their
department's COVID-19 response. Resident satisfaction correlated with comfort
level in discussing concerns with attendings (r = 0.72, P?.00001) and inversely
correlated with perceptions of increased risk compared to attendings (r = -0.52,
P?.00001). CONCLUSION: U.S. OHNS residency programs implemented policy changes
quickly in response to the COVID-19 pandemic. Sources of resident anxieties
demonstrate the importance of open communication and an integrated team approach
to facilitate optimal patient and provider care during this unprecedented crisis.
LEVEL OF EVIDENCE: 4. Laryngoscope, 130:2550-2557, 2020.