Comment on “Dermatology residents and the care of COVID-19 patients”

Patel, Basil

doi:10.1016/j.jaad.2020.04.071

Cited by 4 publications

(7 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the Editor: I am greatly appreciative to Dr Basil Patel for his comments 1 on the dermatoethics piece, ''Dermatology residents and the care of COVID-19 patients.'' 2 As someone who is intimately involved with dermatology residents at 2 universities, I am personally very aware of residents' concerns and fears regarding this pandemic.…”

Section: Invited Response To the Comment On ''Dermatology Residents And The Care Of Covid-19 Patients''mentioning

confidence: 99%

Invited response to the comment on “Dermatology residents and the care of COVID-19 patients”

Grant‐Kels

2020

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

Section: Invited Response To the Comment On ''Dermatology Residents And The Care Of Covid-19 Patients''mentioning

confidence: 99%

Invited response to the comment on “Dermatology residents and the care of COVID-19 patients”

Grant‐Kels

2020

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…Also, more than half of the residents that were deployed in a workplace beyond their usual scope of work showed high levels of stress, and anxiety was reported frequently [13,18,48]. Additionally, due to the potential risk of being vectors, residents worry about a possible disease transmission to their families and patients [13,44,[49][50][51][52][53][54][55][56]. The fear of being vectors becomes more understandable, considering the other main concerns of residents, namely PPE shortage, vague instructions, limited testing capacities, frequently changing policies and the danger of mental exhaustion [54,56].…”

Section: Uncertainties and Mental Healthmentioning

confidence: 99%

“…Additionally, due to the potential risk of being vectors, residents worry about a possible disease transmission to their families and patients [13,44,[49][50][51][52][53][54][55][56]. The fear of being vectors becomes more understandable, considering the other main concerns of residents, namely PPE shortage, vague instructions, limited testing capacities, frequently changing policies and the danger of mental exhaustion [54,56]. In accordance to inexperience and insecurities, the critical questions about the acceptable level of risk and who determines this level arised [56].…”

Section: Uncertainties and Mental Healthmentioning

confidence: 99%

“…The fear of being vectors becomes more understandable, considering the other main concerns of residents, namely PPE shortage, vague instructions, limited testing capacities, frequently changing policies and the danger of mental exhaustion [54,56]. In accordance to inexperience and insecurities, the critical questions about the acceptable level of risk and who determines this level arised [56]. This question seems crucial especially as junior are having a potentially higher risk to be redeployed compared to seniors [57].…”

Section: Uncertainties and Mental Healthmentioning

confidence: 99%

“…Healthcare workers, including residents and students, revealed an inhomogeneous knowledge about the pandemic, with most in the need of improvement [59][60][61][62] and a few in good preparation [63,64]. Questions for every clinical aspect in the context of Covid-19, reaching from basic uncertainties to cardiopulmonary resuscitation (CPR) [56,65] and even autopsy [66], were raised. Initial countermeasures, like senior residents establishing 'Quick sheets' about Covid-19 to keep their peers up to date, were established [67].…”

Section: Clinical Knowledgementioning

confidence: 99%

See 2 more Smart Citations

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

Wohlfarth

Gloor

Hautz

2020

Preprint

View full text Add to dashboard Cite

Introduction: In the Covid-19 pandemic, medical students and residents find themselves in a healthcare environment with measures and policies changing by the hour. Reports regarding those in training were scarce and scattered in the early pandemic, what made an overarching insight a challenge. This review compiles and analyzes the literature addressing the preparation of students and residents in the first four months of the Covid-19 pandemic to find gaps and implications for the current pandemic as well as for future scenarios.Methods: We performed a systematic literature search and content analysis (CA) for articles available in English language that focus on the preparation of students and residents in human medicine within the first four months of the Covid-19 pandemic.Results: We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics of «faculty preparation», «uncertainty and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of «(re)deployment», «interruption of training and career», «safety issues», «transmission of disease», and «restricted social interaction» were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout.Discussion: Students and residents are willing and able to participate, when provided with appropriate deployment, thorough supervision, Personal Protective Equipment (PPE) and valid knowledge. Faculties and policymakers should be in close contact with the youngest in training to value their concerns and intrinsic creativity on the scenario. The use of new technology for interaction and knowledge provision, interviews for voluntary deployment and the provision of mental health support seem appropriate measures to support students and residents under the current pandemic.Conclusion: Our review holds thorough implications for faculties and policymakers. Not only for surge capacity, but also for the safety and the professional identity formation of those in training, it is crucial to understand their needs and concerns. Leaders should strive for a close communication with students and residents, value their intrinsic creativeness and constantly evaluate on their needs regarding knowledge aspects, safety measures, legal concerns and well-being for the construction of nation-wide homogenous policies.

show abstract