COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons.
COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons.
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DOI：
10.1016/j.jamcollsurg.2020.09.026
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发表时间：
2021-03
影响因子：
5.2
通讯作者：
RAS-ACS COVID-19 Task Force
中科院分区：
文献类型：
--
作者：
Coleman JR;Abdelsattar JM;Glocker RJ;RAS-ACS COVID-19 Task Force
为了更好地了解COVID-19大流行如何影响外科实习生和早期职业外科医生的专业和个人经历，对美国外科医生学会（ACS）住院医师和助理学会（RAS）和青年研究员协会（YFA）的会员进行了调查。向RAS和YFA成员分发了一份匿名在线调查。进行描述性分析，并与抑郁和倦怠的相关因素进行了检查，单因素和多因素逐步Logistic回归。在RAS/YFA的21，385名成员中，有1，160名答复者。大多数受访者（96%）表示，COVID-19疫情对其临床经验产生了负面影响，84%的居民表示手术量减少了50%以上，无法满足最低病例要求。受访者还报告了对个人健康的负面影响。近三分之一的受访者报告个人防护设备不足，抑郁和倦怠普遍存在（≥21%的受访者对每个筛查症状都表示肯定）。在多变量分析中，女性（抑郁的优势比[OR] 1.54，倦怠的OR 1.47）和缺乏健康资源（抑郁的OR 1.55，倦怠的OR 1.44）预测抑郁和倦怠。获得足够的个人防护设备是防止倦怠（OR 0.52）。该等数据显示COVID-19大流行对住院医生及初入职外科医生的生活造成重大影响。这些数据中可采取行动的项目包括通过增加个人防护设备的获取和提供健康计划来缓解倦怠和抑郁，特别关注高危人群。
To better understand how the COVID-19 pandemic has affected surgical trainees' and early-career surgeons' professional and personal experiences, a survey of the membership of the American College of Surgeons (ACS) Resident and Associate Society (RAS) and Young Fellows Association (YFA) was performed. An anonymous online survey was disseminated to members of RAS and YFA. Descriptive analyses were performed and factors associated with depression and burnout were examined with univariate and multivariable stepwise logistic regression. Of the RAS/YFA membership of 21,385, there were 1,160 respondents. The majority of respondents (96%) reported the COVID-19 pandemic having a negative impact on their clinical experience, with 84% of residents reporting a > 50% reduction in operative volume and inability to meet minimum case requirements. Respondents also reported negative impacts on personal wellness. Nearly one-third reported inadequate access to personal protective equipment, and depression and burnout were pervasive (≥21% of respondents reported yes to every screening symptom). On multivariable analysis, female sex (odds ratio [OR] 1.54 for depression, OR 1.47 for burnout) and lack of wellness resources (OR 1.55 for depression, OR 1.44 for burnout) predicted depression and burnout. Access to adequate personal protective equipment was protective against burnout (OR 0.52). These data demonstrate a significant impact of the COVID-19 pandemic on the lives of residents and early-career surgeons. Actionable items from these data include mitigation of burnout and depression through increasing personal protective equipment access and provision of wellness programs, with a particular focus on high-risk groups.
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DOI：
10.1016/j.jtcvs.2020.05.052
发表时间：
2020-10-01
影响因子：
6
作者：
Caruana, Edward J.;Patel, Akshay;Rathinam, Sridhar
通讯作者：
Rathinam, Sridhar
DOI：
10.23750/abm.v91i2.9619
发表时间：
2020-05-11
期刊：
Acta bio-medica : Atenei Parmensis
影响因子：
--
作者：
Amerio A;Bianchi D;Santi F;Costantini L;Odone A;Signorelli C;Costanza A;Serafini G;Amore M;Aguglia A
通讯作者：
Aguglia A
影响因子：
2.9
作者：
Chick, Robert Connor;Clifton, Guy Travis;Vreeland, Timothy J.
通讯作者：
Vreeland, Timothy J.
影响因子：
2.4
作者：
Di Tella, Marialaura;Romeo, Annunziata;Castelli, Lorys
通讯作者：
Castelli, Lorys
影响因子：
--
作者：
Amparore, Daniele;Claps, Francesco;Campi, Riccardo
通讯作者：
Campi, Riccardo