COVID-19 Pandemic and the Lived Experience of Surgical Residents, Fellows, and Early-Career Surgeons in the American College of Surgeons
| Autor: | Randi Ryan, Pranit N. Chotai, Michael R. Visenio, Jad M. Abdelsattar, Cheyenne C. Sonntag, Joana Ochoa, Qiong Qiu, Patricia L. Turner, Vahagn C. Nikolian, Heather Carmichael, Roan J. Glocker, Julia R. Coleman, Navin G. Vigneshwar, Apoorve Nayyar |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
education surgical education MEDLINE Disaster Planning 030230 surgery Burnout surgical fellows 03 medical and health sciences 0302 clinical medicine Pandemic medicine Humans Pandemics Personal protective equipment Depression (differential diagnoses) Surgeons burnout SARS-CoV-2 business.industry COVID-19 Internship and Residency early-career surgeons Odds ratio Original Scientific Article surgical trainees United States surgical residents 030220 oncology & carcinogenesis Family medicine depression PPE Surgery Job satisfaction Personal experience business |
| Zdroj: | Journal of the American College of Surgeons |
| ISSN: | 1072-7515 |
| Popis: | Background To better understand how the COVID-19 pandemic has affected surgical trainees’ and early-career surgeons’ professional and personal experiences, a survey of the membership of the American College of Surgeons (ACS) Resident and Associate Society (RAS) and Young Fellows Association (YFA) was performed. Study Design An anonymous online survey was disseminated to members of RAS and YFA. Descriptive analyses were performed, and factors associated with depression and burnout were examined with univariate and multivariable stepwise logistic regression. Results Of the RAS/YFA membership of 21,385, there were 1,160 respondents. The majority (96%) of respondents reported the COVID-19 pandemic having a negative impact on their clinical experience, with 84% residents reporting >50% reduction in operative volume and inability to meet minimum case requirements. Respondents also reported negative impacts on personal wellness. Nearly one third reported inadequate access to personal protective equipment (PPE), and depression and burnout were pervasive (≥21% of respondents reported yes to every screening symptom). On multivariable analysis, female gender (OR 1.54 for depression, OR 1.47 for burnout) and lack of wellness resources (OR 1.55 for depression, OR 1.44 for burnout) predicted depression and burnout. Access to adequate PPE was protective against burnout (OR 0.52). Conclusion These data demonstrate a significant impact of the COVID-19 pandemic upon the lives of resident and early-career surgeons. Actionable items from these data include mitigation of burnout and depression through increasing PPE access and provision of wellness programs, with a particular focus on high-risk groups. Graphical abstract |
| Databáze: | OpenAIRE |
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