Well-Being and Education of Urology Residents During the COVID-19 Pandemic: Results of an American National Survey

Khusid, Johnathan A.; Weinstein, Corey; Becerra, Adan Z.; Kashani, Mahyar; Robins, Dennis; Fink, Lauren; Smith, Matthew; Weiss, Jeffrey P.

doi:10.22541/au.158981507.73370840

Cited by 16 publications

(19 citation statements)

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“…Health care workers (HCWs) also emerged from the literature as a priority at-risk population (see Table 3 ). Mental health risk factors identified by primary research studies among HCWs include high risk of exposure to COVID-19 via direct contact with patients [ 33 , 62 , 68 , 93 , 107 , 145 ], insufficient availability of personal protective equipment (PPE) [ 68 , 80 , 86 , 148 , 149 ], overwork [ 86 , 126 , 140 , 148 ], and feeling unsupported by superiors or management [ 1 , 24 ]. In several studies in China, female gender was associated with higher levels of psychological distress among HCWs [ 24 , 24 , 28 , 28 ] as was younger age [ 62 , 62 ], though one study reported higher rates of depression and PTSD among male health workers [ 62 ].…”

Section: Resultsmentioning

confidence: 99%

“…In several studies in China, female gender was associated with higher levels of psychological distress among HCWs [ 24 , 24 , 28 , 28 ] as was younger age [ 62 , 62 ], though one study reported higher rates of depression and PTSD among male health workers [ 62 ]. Additional risk factors raised in non-research based papers included rapidly changing demands on HCWs [ 64 ], uncertainty related to the virus [ 64 , 80 ], concerns about infecting family members [ 86 , 86 , 115 , 129 , 130 ], and financial worries [ 140 , 145 ]. For HCWs in low and middle-income countries, limited resources may lead to higher risk of exposure to COVID-19 and added stress [ 148 ].…”

Section: Resultsmentioning

confidence: 99%

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Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Murphy

Khan

Sun

et al. 2021

Int J Equity Health

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Background The COVID-19 pandemic is expected to have profound mental health impact, including in the Asia Pacific Economic Cooperation (APEC) region. Some populations might be at higher risk of experiencing negative mental health impacts and may encounter increased barriers to accessing mental health care. The pandemic and related restrictions have led to changes in care delivery, including a rapid shift to the use of e-mental health and digital technologies. It is therefore essential to consider needs and opportunities for equitable mental health care delivery to the most at-risk populations. This rapid scoping review: 1) identifies populations in the APEC region that are at higher risk of the negative mental health impacts of COVID-19, 2) identifies needs and gaps in access to standard and e-mental health care among these populations, and 3) explores the potential of e-mental health to address these needs. Methods We conducted a rapid scoping review following the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched Medline, Embase and PsychInfo databases and Google Scholar using a search strategy developed in consultation with a biomedical librarian. We included records related to mental health or psychosocial risk factors and COVID-19 among at-risk groups; that referred to one or more APEC member economies or had a global, thus generalizable, scope; English language papers, and papers with full text available. Results A total of 132 records published between December 2019 and August 2020 were included in the final analysis. Several priority at-risk populations, risk factors, challenges and recommendations for standard and e-mental health care were identified. Results demonstrate that e-mental health care can be a viable option for care delivery but that specific accessibility and acceptability considerations must be considered. Options for in-person, hybrid or “low-tech” care must also remain available. Conclusions The COVID-19 pandemic has highlighted the urgent need for equitable standard and e-mental health care. It has also highlighted the persistent social and structural inequities that contribute to poor mental health. The APEC region is vast and diverse; findings from the region can guide policy and practice in the delivery of equitable mental health care in the region and beyond.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Murphy

Khan

Sun

et al. 2021

Int J Equity Health

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“…4 Interestingly, perception of PPE availability was associated with reduced anxiety and depression. 13 This may indicate that personal and patient safety is central to provider attitudes concerning the pandemic. As hospitals strain to provide resources/PPE and providers recognize these infrastructural inadequacies, providers' concerns for both safety and adequate care result in provider burnout.…”

Section: Discussionmentioning

confidence: 99%

COVID-19’s Impact on Cancer Care: Increased Emotional Stress in Patients and High Risk of Provider Burnout

Salehi

Alarcon

Vega

et al. 2022

Journal of Gastrointestinal Surgery

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Background COVID-19’s precise impact on cancer patients and their oncologic care providers remains poorly understood. This study aims at comparatively analyzing COVID-19’s effect on cancer care from both patient and provider perspectives. Methods A multi-institutional survey was developed to assess COVID-19-specific concerns regarding treatment, safety, and emotional stress through 5-point Likert-type prompts and open-ended questions before and during the pandemic. Wilcoxon signed-rank and rank-sum tests were used to analyze before/during answers for providers and patients independently. Open-ended responses were assessed using inductive thematic analysis. Results The survey was completed by 104 (69.3%) patients and 50 (50%) providers. Patients demonstrated a significant change in only 1 of 15 Likert prompts. Most significant were increased concern regarding susceptibility to infection [ z = 2.536, p = 0.011] and concerns regarding their cancer outcome [ z = 4.572, p < 0.001]. Non-physician providers demonstrated significant change in 8 of 13 Likert prompts, whereas physicians had all 13 Likert prompts change in the COVID-19 setting. Physicians believed care to be more poorly planned [ z = −3.857, p ≤ 0.001], availability of protective personal equipment to be more limited [ z = −4.082, p < 0.001], and were significantly concerned infecting family members [ z = 4.965, p < 0.001]. Conclusions While patients had more difficulty coping with their cancer, they did not perceive significant differences in their actual treatment. This suggests the need for a renewed focus on patients coping with cancer. Among providers, physicians more than any other provider group had a strong negative perception of COVID-19’s impact on healthcare, suggesting the need for novel approaches to target physician burnout.

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“…In a recent survey study of 332 urology residents, the authors identified several significant predictors of perceived anxiety and depression both at work and home for trainees. 3 These factors include perception of access to PPE, local COVID-19 severity, and perception of susceptible household members. Several potential actions by the program that can optimize trainee well-being, morale, and education include advocating for adequate access to PPE, providing support at both the program and institutional levels, and instituting telehealth education programs.…”

Section: Wellnessmentioning

confidence: 99%

Section: Wellnessmentioning

confidence: 99%

Reimagining Headache Fellowships

2020

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Well-Being and Education of Urology Residents During the COVID-19 Pandemic: Results of an American National Survey

Cited by 16 publications

References 0 publications

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

Needs, gaps and opportunities for standard and e-mental health care among at-risk populations in the Asia Pacific in the context of COVID-19: a rapid scoping review

COVID-19’s Impact on Cancer Care: Increased Emotional Stress in Patients and High Risk of Provider Burnout

Reimagining Headache Fellowships

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