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2020 ; 74
(9
): e13559
Nephropedia Template TP
gab.com Text
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English Wikipedia
Well-being and education of urology residents during the COVID-19 pandemic:
Results of an American National Survey
#MMPMID32460433
Khusid JA
; Weinstein CS
; Becerra AZ
; Kashani M
; Robins DJ
; Fink LE
; Smith MT Jr
; Weiss JP
Int J Clin Pract
2020[Sep]; 74
(9
): e13559
PMID32460433
show ga
BACKGROUND: The rapid spread of COVID-19 has placed tremendous strain on the
American healthcare system. Few prior studies have evaluated the well-being of or
changes to training for American resident physicians during the COVID-19
pandemic. We aim to study predictors of trainee well-being and changes to
clinical practice using an anonymous survey of American urology residents.
METHODS: An anonymous, voluntary, 47-question survey was sent to all
ACGME-accredited urology programmes in the United States. We executed a
cross-sectional analysis evaluating risk factors of perception of anxiety and
depression both at work and home and educational outcomes. Multiple linear
regressions models were used to estimate beta coefficients and 95% confidence
intervals. RESULTS: Among ~1800 urology residents in the USA, 356 (20%)
responded. Among these respondents, 24 had missing data leaving a sample size of
332. Important risk factors of mental health outcomes included perception of
access to PPE, local COVID-19 severity and perception of susceptible household
members. Risk factors for declination of redeployment included current
redeployment, having children and concerns regarding ability to reach case
minimums. Risk factors for concern of achieving operative autonomy included
cancellation of elective cases and higher level of training. CONCLUSIONS: Several
potential actions, which could be taken by urology residency programme directors
and hospital administration, may optimise urology resident well-being, morale,
and education. These include advocating for adequate access to PPE, providing
support at both the residency programme and institutional levels, instituting
telehealth education programmes, and fostering a sense of shared responsibility
of COVID-19 patients.