Article ; Online: Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic.
2020 Volume 130, Issue 11, Page(s) 2550–2557
Abstract: ... perceptions during the initial phase of the pandemic.: Study design: A cross-sectional survey of U.S. OHNS ... practice at U.S. hospitals. These changes are particularly relevant to otolaryngology-head and neck surgery ... OHNS) residents because reports suggest an increased risk of contracting COVID-19 for otolaryngologists ...
| Abstract | Objective: The coronavirus 2019 (COVID-19) pandemic has had widespread implications on clinical practice at U.S. hospitals. These changes are particularly relevant to otolaryngology-head and neck surgery (OHNS) residents because reports suggest an increased risk of contracting COVID-19 for otolaryngologists. The objectives of this study were to evaluate OHNS residency program practice changes and characterize resident perceptions during the initial phase of the pandemic. Study design: A cross-sectional survey of U.S. OHNS residents at 81 programs was conducted between March 23, 2020, and March 29, 2020. Results: Eighty-two residents from 51 institutions (63% of invited programs) responded. At the time of survey, 98% of programs had enacted policy changes to minimize COVID-19 spread. These included filtered respirator use for aerosol-generating procedures even in COVID-19-negative patients (85%), decreased resident staffing of surgeries (70%), and reduced frequency of tracheotomy care (61%). The majority of residents (66%) perceived that residents were at higher risk of contracting COVID-19 compared to attendings. Residents were most concerned about protective equipment shortage (93%) and transmitting COVID-19 to patients (90%). The majority of residents (73%) were satisfied with their department's COVID-19 response. Resident satisfaction correlated with comfort level in discussing concerns with attendings (r = 0.72, P < .00001) and inversely correlated with perceptions of increased risk compared to attendings (r = -0.52, P < .00001). Conclusion: U.S. OHNS residency programs implemented policy changes quickly in response to the COVID-19 pandemic. Sources of resident anxieties demonstrate the importance of open communication and an integrated team approach to facilitate optimal patient and provider care during this unprecedented crisis. Level of evidence: 4. Laryngoscope, 130:2550-2557, 2020. |
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| MeSH term(s) | Adult ; COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Internship and Residency ; Male ; Otolaryngology/education ; Perception ; SARS-CoV-2 ; Students, Medical/psychology ; Surveys and Questionnaires ; United States/epidemiology |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-05-12 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 80180-x |
| ISSN | 1531-4995 ; 0023-852X |
| ISSN (online) | 1531-4995 |
| ISSN | 0023-852X |
| DOI | 10.1002/lary.28733 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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