Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Waseem, Muhammad; Garg, Nidhi; Acosta, Juan Pablo; DeAngelis, John; McLean, Mary; Melville, L.; Pistor, Timothy; Shah, Kaushal; Tarantelli, J.; Wojcik, Susan; Ryan, James

doi:10.5811/westjem.2021.10.54266

Cited by 3 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since EM became the front line in fighting the pandemic, abrupt changes to educational content occurred across the country. To cover the influx of ill patients seen during COVID-19 and to accommodate those learners who became exposed and/or ill and had to quarantine or isolate, many programs resorted to canceling off-service and elective rotations, including orthopedic rotations [29][30]. Unfortunately, we were unable to fully discern whether participants' responses reflected their pre-COVID orthopedics curriculum, or their adapted curriculum required by the pandemic, as some programs referenced both pre-COVID experiences and those that were occurring amid the pandemic.…”

Section: Limitationsmentioning

confidence: 99%

A Profile of Orthopedic Education in Emergency Medicine Residency Programs in the United States

Werley,

Miller,

Way

et al. 2023

Cureus

View full text Add to dashboard Cite

IntroductionEmergency medicine (EM) residents throughout the United States are required to become skilled at performing a robust list of select orthopedic procedures, as well as learn how to diagnose and manage patients with musculoskeletal complaints. However, EM residency programs vary significantly in how they teach orthopedics and the content they cover. The purpose of this study was to profile the orthopedic education received by emergency medicine residents in United States residency programs. MethodsWe developed a survey based on accreditation requirements and The Model of the Clinical Practice of Emergency Medicine. The survey was designed to gather detailed information about the orthopedic education provided to EM residents. The survey was sent to EM program directors or their designees at all 263 accredited EM residency programs across the United States between October 2020 to January 2021. ResultsWe attained a 34.6% (91 of 260) adjusted response rate with adequate representation of relevant program characteristics such as region, accreditation status, program length, size, and setting. Most (63.7%) responding programs required an orthopedics rotation during the intern year. These required orthopedic rotations were primarily four weeks in duration. The most common methods for teaching orthopedic topics included didactics (97.8%), procedures on live patients under supervision (73.3%), and assigned reading materials in textbooks or manuals (68.9%). ConclusionThe orthopedic education received by EM residents in the United States is strikingly variable, with residency programs having to develop custom curricula to teach orthopedics content based on the resources available to them. Future efforts should be directed toward creating a universal curriculum that addresses accreditation and EM practice standards.

show abstract

Section: Limitationsmentioning

confidence: 99%

A Profile of Orthopedic Education in Emergency Medicine Residency Programs in the United States

Werley,

Miller,

Way

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“… 8 Specifically among EM residency programs, many have implemented additional wellness interventions beyond the minimum requirements of the Accreditation Council for Graduate Medical Education (ACGME), 18 such as obtaining outside food donations, holding virtual social gatherings, and establishing new wellness/respite spaces. 19 However, lack of high quality evidence on intervention effectiveness leaves hospitals and residency programs to guess which methods will work.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Hospital-directed Wellness Interventions in COVID-19: A Cross-sectional Survey

Cotarelo¹,

Rahman²,

Mitina³

et al. 2023

WestJEM

Self Cite

View full text Add to dashboard Cite

Introduction: Hospitals have implemented various wellness interventions to offset the negative effects of coronavirus disease 2019 (COVID-19) on emergency physician morale and burnout. There is limited high quality evidence regarding effectiveness of hospital-directed wellness interventions, leaving hospitals without guidance on best practices. We sought to determine intervention effectiveness and frequency of use in the spring/summer 2020. The goal was to facilitate evidence-based guidance for hospital wellness program planning. Methods:This cross-sectional observational study we used a novel survey tool piloted at a single hospital and then distributed throughout the United States via major emergency medicine (EM) society listservs and closed social media groups. Subjects reported their morale levels using a slider scale from 1 (lowest) to 10 (highest) at the time of the survey and, retrospectively, at their respective COVID-19 peak in 2020. Subjects also rated effectiveness of wellness interventions using a Likert scale from 1 (not at all effective) to 5 (very effective). Subjects indicated their hospital's usage frequency of common wellness interventions. We analyzed results using descriptive statistics and t-tests.Results: Of 76,100 EM society and closed social media group members, 522 (0.69%) subjects were enrolled. Study population demographics were similar to the national emergency physician population. Morale at the time of the survey was worse (mean [M] 4.36, SD 2.29) than the spring/summer 2020 peak (M 4.57, SD 2.13) [t(458)=-2.27, P=0.024]. The most effective interventions were hazard pay (M 3.59, SD 1.12), staff debriefing groups (M 3.51, SD 1.16), and free food (M 3.34, SD 1.14). The most frequently used interventions were free food (350/522, 67.1%), support sign display (300/522, 57.5%), and daily email updates (266/522, 51.0%). Infrequently used were hazard pay (53/522, 10.2%) and staff debriefing groups (127/522, 24.3%). Conclusion:There is discordance between the most effective and most frequently used hospital-directed wellness interventions. Only free food was both highly effective and frequently used. Hazard pay and staff debriefing groups were the two most effective interventions but were infrequently used. Daily email updates and support sign display were the most frequently used interventions but were not as effective. Hospitals should focus effort and resources on the most effective wellness interventions. [West J Emerg Med. 2023;24(3)597-604.] How does this improve population health? This study provides guidance for hospitals to refocus their wellness planning efforts to use the most effective interventions.

show abstract

Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study

Fults,

Gerwin,

Boyce

et al. 2024

BMC Med Educ

View full text Add to dashboard Cite

Background The COVID-19 pandemic had a significant impact on both the clinical practice and the psychological states of frontline physicians in the emergency department. Trainees, at the beginning of their careers and thus still developing their practice styles and identities as physicians, were uniquely affected. Objective In this qualitative study, we sought to explore how the pandemic environment shaped the experiences of emergency medicine resident physicians. Methods This was a qualitative study. We conducted in-depth interviews with emergency medicine faculty, resident physicians, and staff at a single emergency department based at an urban academic institution in the northeastern United States. Interviews were audio recorded and transcribed, and transcripts were then analyzed in an iterative process by our coding team for recurring themes related to the resident experience. Results We reached data saturation with 27 individuals. Of those who were interviewed, 10 were resident physicians [6 senior residents (PGY-3 or PGY-4) and 4 junior residents (PGY-1 or PGY-2)]. Three major recurring themes regarding resident physician experience emerged during our analysis of the interviews: (1) novel educational experiences dampened by negative structural forces from the pandemic, (2) fracturing of social interactions and mitigation through ad-hoc support systems and community of practice, and (3) development of negative emotions and psychological trauma including fear, resentment, and moral injury causing lasting harm. Conclusions Our results suggest that emergency medicine resident physicians training during the COVID-19 pandemic faced unique experiences concerning their education, social support systems, and emotional states. While the educational and social experiences were described as having both negative and positive impacts, the emotional experiences were largely negative. Residency program leadership may use these insights to improve resident preparation, wellness, and resilience in the face of future adverse events.

show abstract

Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State

Cited by 3 publications

References 6 publications

A Profile of Orthopedic Education in Emergency Medicine Residency Programs in the United States

A Profile of Orthopedic Education in Emergency Medicine Residency Programs in the United States

Effectiveness of Hospital-directed Wellness Interventions in COVID-19: A Cross-sectional Survey

Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study

Contact Info

Product

Resources

About