Role of the Urologist During a Pandemic: Early Experience in Practicing on the Front Lines in Brooklyn, New York

Khusid, Johnathan A.; Sullivan, John; Esdaille, Ashanda; Khargi, Raymond; Shields, John

doi:10.1016/j.eururo.2020.04.024

Cited by 7 publications

(15 citation statements)

References 5 publications

(5 reference statements)

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“…In addition to clinical practice changes, numerous academic meetings have been cancelled, licensing exams are being rescheduled and fellowship interviews are being conducted using teleconferencing software 7 . Beyond the educational and structural changes experienced, COVID‐19 threatens the well‐being of residents as nationwide personal protective equipment (PPE) shortages leave frontline workers at increased risk of viral exposure 8 .…”

Section: Introductionmentioning

confidence: 99%

Well‐being and education of urology residents during the COVID‐19 pandemic: Results of an American National Survey

et al. 2020

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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 ~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.

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Section: Introductionmentioning

confidence: 99%

Well‐being and education of urology residents during the COVID‐19 pandemic: Results of an American National Survey

et al. 2020

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“…Urology PDs and faculty can regularly interact with residents and allay trainee concerns by offering support, keeping lines of communication open, and demonstrating appreciation for residents’ work. To monitor residents’ mental health, recurring forums or town hall meetings can be held to allow for open discussion of the pandemic’s challenges, evaluate mental well-being, and provide access to mental health resources [ 1 , 9 , 23 ]. This became a widely adopted practice, as programs in the US initiated regular video “check-ins” to evaluate resident well-being and discuss ever-changing hospital protocols [ 31 ].…”

Section: Physical and Mental Well-beingmentioning

confidence: 99%

“…The COVID-19 pandemic has brought unprecedented challenges for urology resident education. With operating rooms shuttered, in-person clinics limited, and wide-spread healthcare worker redeployments, almost every aspect of urologic training has been disrupted including day-to-day training, credentialing exams, and the residency application process [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review

et al. 2021

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Purpose of Review The COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic’s impact on urology trainees and their education. Recent Findings Urology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual “check-ins” and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and simulations were utilized to augment surgical education. Academic governing bodies upheld resident protections and provided dynamic guidance for training requirement throughout the pandemic. Medical students were unable to participate in traditional in-person away rotations and interviews, complicating the residency application process. Summary The COVID-19 pandemic shook the healthcare system and ushered in seismic changes for urology trainees worldwide. Though the longstanding effects of the pandemic remain to be seen, urology residents have demonstrated tremendous resilience and bravery throughout this challenging period, and those qualities will undeniably withstand the test of time.

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“…As a part of general plans in four hospitals in Brooklyn, New York, a decrease in outpatient services via utilization of telemedicine was implemented. 74 The imperative for most urology practices across the United States should be to convert almost all urology clinic visits to telemedicine visits or postpone the appointment. Performing those telemedicine visits decreased the financial burden on urology practice during the pandemic.…”

Section: Teleconferencing and Telemedicine In Urology During Covid-19 Pandemicmentioning

confidence: 99%

The Impact of COVID-19 Disease on Urology Practice

et al. 2021

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The diagnosis and timely treatment of cancer patients should not be compromised during an infectious disease pandemic. The pandemic of coronavirus disease 2019 (COVID-19) has serious implications on urology practice and raises particular questions for urologists about the management of different conditions. It was recommended to cancel most of the elective urological surgeries. Urological cancers surgeries that should be prioritized are radical cystectomy for selective tumors, orchiectomy for suspected testicular tumors, nephrectomy for c T3 + , nephroureterectomy for high-grade disease, and radical adrenalectomy for tumors >6 cm or adrenal carcinoma. Most prostatectomies can be delayed without compromising the survival rate of patients. Urological emergencies should be treated adequately even during this pandemic. There is a potential risk of coronavirus diffusion during minimally invasive procedures performed. It is crucial to use specific precautions when urologists performed those type of surgeries. It was also recommended to suspend the kidney transplantation program during the COVID-19 pandemic except for specific cases. In this review, we discussed the triage of urological surgeries, the risk of minimally invasive urological procedure, the kidney transplantation challenges, the systemic therapies, intravesical instillation of Bacillus Calmette-Guérin (BCG), endourology, teleconferencing, and telemedicine application in urology during the COVID-19 pandemic.

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Role of the Urologist During a Pandemic: Early Experience in Practicing on the Front Lines in Brooklyn, New York

Cited by 7 publications

References 5 publications

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

The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review

The Impact of COVID-19 Disease on Urology Practice

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