Well-being and education of urology residents during the COVID-19 pandemic: Results of an American National Survey
Well-being and education of urology residents during the COVID-19 pandemic: Results of an American National Survey
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DOI：
10.1111/ijcp.13559
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发表时间：
2020-06-28
影响因子：
2.6
通讯作者：
Weiss, Jeffrey P.
中科院分区：
文献类型：
--
作者：
Khusid, Johnathan A.;Weinstein, Corey S.;Weiss, Jeffrey P.
背景：COVID-19 的迅速传播给美国医疗保健系统带来了巨大压力。此前很少有研究评估过 COVID-19 大流行期间美国住院医生的福祉或培训变化。我们的目标是通过对美国泌尿科住院医师的匿名调查来研究学员健康状况和临床实践变化的预测因素。方法：向美国所有 ACGME 认可的泌尿科项目发送了一项包含 47 个问题的匿名、自愿调查。我们进行了一项横断面分析，评估工作和家庭中焦虑和抑郁认知的风险因素以及教育结果。使用多元线性回归模型来估计 beta 系数和 95% 置信区间。结果：在美国 1800 名泌尿科住院医师中，有 356 名 (20%) 做出了回应。在这些受访者中，有 24 人缺少数据，样本量为 332 人。心理健康结果的重要风险因素包括对获得个人防护装备的看法、当地 COVID-19 的严重程度以及易受影响的家庭成员的看法。拒绝重新部署的风险因素包括当前的重新部署、有孩子以及对达到最低病例数的能力的担忧。实现手术自主权的风险因素包括取消选择性病例和更高水平的培训。结论：泌尿外科住院医师项目主管和医院管理人员可以采取一些潜在的行动，可以优化泌尿外科住院医师的福祉、士气和教育。其中包括倡导充分获得个人防护装备、在住院医师计划和机构层面提供支持、制定远程医疗教育计划以及培养 COVID-19 患者的共同责任感。
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 similar to 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.