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dc.contributor.authorCravero, Anne L
dc.contributor.authorKim, Nicole J
dc.contributor.authorFeld, Lauren D
dc.contributor.authorBerry, Kristin
dc.contributor.authorRabiee, Atoosa
dc.contributor.authorBazarbashi, Najdat
dc.contributor.authorBassin, Sandhya
dc.contributor.authorLee, Tzu-Hao
dc.contributor.authorMoon, Andrew M
dc.contributor.authorQi, Xiaolong
dc.contributor.authorLiang, Peter S
dc.contributor.authorAby, Elizabeth S
dc.contributor.authorKhan, Mohammad Qasim
dc.contributor.authorYoung, Kristen J
dc.contributor.authorPatel, Arpan
dc.contributor.authorWijarnpreecha, Karn
dc.contributor.authorKobeissy, Abdallah
dc.contributor.authorHashim, Almoutaz
dc.contributor.authorHouser, Allysia
dc.contributor.authorIoannou, George N
dc.date.accessioned2020-11-03T17:14:12Z
dc.date.available2020-11-03T17:14:12Z
dc.date.issued2020-10-21
dc.identifier.urihttp://hdl.handle.net/10713/14020
dc.description.abstractObjectives To determine how self-reported level of exposure to patients with novel coronavirus 2019 (COVID-19) affected the perceived safety, training and well-being of residents and fellows. Methods We administered an anonymous, voluntary, web-based survey to a convenience sample of trainees worldwide. The survey was distributed by email and social media posts from April 20th to May 11th, 2020. Respondents were asked to estimate the number of patients with COVID-19 they cared for in March and April 2020 (0, 1-30, 31-60, >60). Survey questions addressed (1) safety and access to personal protective equipment (PPE), (2) training and professional development and (3) well-being and burnout. Results Surveys were completed by 1420 trainees (73% residents, 27% fellows), most commonly from the USA (n=670), China (n=150), Saudi Arabia (n=76) and Taiwan (n=75). Trainees who cared for a greater number of patients with COVID-19 were more likely to report limited access to PPE and COVID-19 testing and more likely to test positive for COVID-19. Compared with trainees who did not take care of patients with COVID-19, those who took care of 1-30 patients (adjusted OR [AOR] 1.80, 95% CI 1.29 to 2.51), 31-60 patients (AOR 3.30, 95% CI 1.86 to 5.88) and >60 patients (AOR 4.03, 95% CI 2.12 to 7.63) were increasingly more likely to report burnout. Trainees were very concerned about the negative effects on training opportunities and professional development irrespective of the number of patients with COVID-19 they cared for. Conclusion Exposure to patients with COVID-19 is significantly associated with higher burnout rates in physician trainees.en_US
dc.description.urihttps://doi.org/10.1136/postgradmedj-2020-138789en_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofPostgraduate Medical Journalen_US
dc.rights© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.en_US
dc.subjectMedical education & trainingen_US
dc.subjectburnouten_US
dc.subject.meshCOVID-19en_US
dc.titleImpact of exposure to patients with COVID-19 on residents and fellows: an international survey of 1420 traineesen_US
dc.typeArticleen_US
dc.identifier.doi10.1136/postgradmedj-2020-138789
dc.identifier.pmid33087533
dc.source.countryEngland


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