Open AccessWell‐being and education of urology residents during the COVID‐19 pandemic: Results of an American National Survey
Author(s) -
Khusid Johnathan A.,
Weinstein Corey S.,
Becerra Adan Z.,
Kashani Mahyar,
Robins Dennis J.,
Fink Lauren E.,
Smith Matthew T.,
Weiss Jeffrey P.
Publication year - 2020
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.13559
Subject(s) - medicine , pandemic , accreditation , anxiety , covid-19 , family medicine , nursing , medical education , psychiatry , disease , infectious disease (medical specialty)
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.