Pediatric Faculty and Trainee Attitudes Toward the COVID-19 Pandemic

Kazmerski, Traci M.; Friehling, Erika; Sharp, Eleanor; Muzumdar, Ishan; Corbera-Hincapie, Montserrat; Dewar, Stephanie; Nowalk, Andrew; Srinath, Arvind I.; Muzumdar, Hiren

doi:10.1542/hpeds.2020-001990

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…One-half of respondents reported being excluded from the care of patients with suspected or confirmed COVID-19, but the vast majority did not believe they should be excluded from either, suggesting that residents without health concerns should be included in the care of patients with COVID-19 going forward. This is consistent with the findings of Kazmerski et al, 21 who found that the majority of residents believed trainees were essential personnel and should participate in direct patient care during the pandemic.…”

Section: Discussionsupporting

confidence: 92%

“…To our knowledge, this is one of the first studies in which researchers examine the impact of COVID-19 on training from the perspectives of pediatric residents. 21 At the onset of the pandemic and in the face of overwhelming uncertainty about the future, residency program leaders were forced to rapidly adjust resident schedules and training experiences. 11,12 This resulted in significant changes to respondents' clinical experiences including canceled clinics and clinical electives, fewer inpatient shifts, and added jeopardy rotations.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Resident Perspectives on the Impact of COVID-19 on Training

Winn

Myers

Grow

et al. 2021

Hospital Pediatrics

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OBJECTIVES At the onset of the coronavirus disease 2019 pandemic, disruptions to pediatric care and training were immediate and significant. We sought to understand the impact of the pandemic on residency training from the perspective of pediatric residents. METHODS We conducted a cross-sectional survey of categorical pediatric residents at US training programs at the end of the 2019–2020 academic year. This voluntary survey included questions that explored the impact of the coronavirus disease 2019 pandemic on resident training experiences, postresidency employment plans, and attitudes and perceptions. Data were analyzed by using descriptive statistics and mixed-effects regression models. We performed a sensitivity analysis using respondents from programs with a >40% response rate for questions regarding resident attitudes and perceptions. RESULTS Residents from 127 of 201 training programs (63.2%) completed the survey, with a response rate of 18.9% (1141 of 6032). Respondents reported multiple changes to their training experience including rotation schedule adjustments, clinic cancellations, and an increase in the use of telemedicine. Respondents also reported inconsistent access to personal protective equipment and increased involvement in the care of adult patients. Graduating resident respondents reported concerns related to employment. Respondents also noted a negative impact on their personal wellness. CONCLUSIONS Responding residents reported that nearly every aspect of their training was impacted by the pandemic. Describing their experiences may help residency program and hospital leaders supplement missed educational experiences, better support residents through the remaining months of the pandemic, and better prepare for extraordinary circumstances in the future.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Pediatric Resident Perspectives on the Impact of COVID-19 on Training

Winn

Myers

Grow

et al. 2021

Hospital Pediatrics

View full text Add to dashboard Cite

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“…In addition, graduating medical students entered a residency training environment significantly disrupted by the COVID-19 pandemic [14]. Lastly, many trainees had concerns about their personal risk of COVID-19 infection [15], especially at the onset of the pandemic when information about COVID-19 was still evolving.…”

Section: Introductionmentioning

confidence: 99%

Interns’ perspectives on impacts of the COVID-19 pandemic on the medical school to residency transition

et al. 2021

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Background The COVID-19 pandemic resulted in disruptions to medical school training and the transition to residency for new post-graduate year 1 resident-physicians (PGY1s). Therefore, the aim of this study was to understand the perspectives of United States PGY1s regarding the impact of the pandemic on these experiences. Our secondary aims were to understand how desire to practice medicine was impacted by the pandemic and whether PGY1s felt that they were able to meaningfully contribute to the COVID-19 response as students. Method We conducted a national, cross-sectional study of PGY1s who had recently graduated from medical school in 2020. A survey was distributed to PGY1s from across specialties, in programs distributed throughout the United States. It included questions about medical school training during the pandemic, impact on graduation timing and transition to internship, concerns about caring for patients with COVID-19, desire to practice medicine, and ability to meaningfully contribute to the pandemic. Findings are presented using descriptive statistics and univariate logistic regression models. Results 1980 PGY1s consented to participate, 1463 completed the survey (74%), and 713 met criteria for this analysis. 77% of PGY1s reported that the pandemic adversely affected their connection with their medical school communities, and 58% reported that the pandemic impeded their preparation for intern year. 4% of PGY1s reported graduating medical school and practicing as an intern earlier than their expected graduation date. While the majority of PGY1s did not have a change in desire to practice medicine, PGY1s with concerns regarding personal health or medical conditions (OR 4.92 [95% CI 3.20–7.55] p < 0.0001), the health or medical conditions of others in the home (OR 4.41 [2.87–6.77], p < 0.0001]), and PGY1s with children (OR 2.37 [1.23–4.58], p < 0.0001) were more likely to report a decreased desire. Conclusions The COVID pandemic disrupted the social connectedness and educational experiences of a majority of PGY1 residents in a sample of trainees in United States training programs. Those with health concerns and children had particularly challenging experiences. As the current and subsequent classes of PGY1s affected by COVID-19 proceed in their training, ongoing attention should be focused on their training needs, competencies, and well-being.

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“…An impression of lack of support or a sense of not being recognized can widen the rift between staff and their leaders and institutions, triggering further distress and impacting well‐being 11,37,38 . Effective communication has the power to reduce stress and increase trust in leadership, 39,40 including in oncology 13 . Instilling a sense of solidarity and teamwork, with increased visibility of leaders working alongside staff, can help raise morale and improve well‐being 40 …”

Section: Discussionmentioning

confidence: 99%

Provider and staff crisis well‐being associated with trust in leadership and baseline burnout

Moerdler

Steinberg

Jin

et al. 2021

Pediatric Blood & Cancer

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Background The impact of the coronavirus 2019 (COVID‐19) pandemic on the emotional health of health care workers continues to be an area of active research. However, few studies have focused on those working in pediatrics and its subspecialties, as well as ancillary and non‐patient‐facing staff. The purpose of this study was to determine the prevalence and associated predictors of burnout and emotional well‐being of providers and staff. Methods An anonymous electronic survey was developed evaluating demographics, pandemic experiences, possible predictor variables, and three main outcomes of burnout, psychological distress, and perceived stress. Pediatric hematology oncology (PHO) chiefs and program directors across the country were invited to participate and disseminate the survey to their programs. Results A total of 682/1950 (35% of invited) individuals responded to all predictor and outcome variables. Over half reported high levels of burnout and some reported moderate/high levels of distress. Prepandemic burnout and decreased trust in leadership were associated with all three outcomes. Additional predictors included having a child ≤18 years at home, hospital role, and worrying about patient care or relationship with their patients. The majority (n = 444/682, 65.5%) reported that their institution had made COVID‐19‐related mental health resources available. However, only 6.5% (n = 44/682) reported utilizing these resources. Conclusions While the majority of PHO providers and staff were resilient during the early stages of the COVID‐19 pandemic, many reported high levels of burnout, yet few are utilizing institutional resources. This study has highlighted several actionable areas to help identify and address factors that are wearing down the emotional well‐being of providers and staff.

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Pediatric Faculty and Trainee Attitudes Toward the COVID-19 Pandemic

Cited by 10 publications

References 29 publications

Pediatric Resident Perspectives on the Impact of COVID-19 on Training

Pediatric Resident Perspectives on the Impact of COVID-19 on Training

Interns’ perspectives on impacts of the COVID-19 pandemic on the medical school to residency transition

Provider and staff crisis well‐being associated with trust in leadership and baseline burnout

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