Flipping the Frame: How Rudy Gobert Went From an Episodic Bad Actor to a Thematic Hero

Rudy Gobert's positive COVID-19 diagnosis in March of 2020 started the process that led to American sports shutting down in the early days of the pandemic. After the diagnosis, video of him touching reporters' voice recorders at a press availability went viral. This framing analysis in five mainstream newspapers finds that over the course of 72 hours, Gobert went from a bad actor to a hero in news copy as an episodic frame focusing on his actions gave way to a thematic frame about the virus and its effects on the country.

Understanding individual experiences of COVID-19 to inform policy and practice in higher education: Helping students, staff, and faculty to thrive in times of crisis

Utilizing findings from more than 200 interviews with students, staff, and faculty at a US university, this volume explores the immediate and real-life impacts of COVID-19 on individuals to inform higher education policy and practice in times of crisis. Documenting the profound impacts that COVID-19 had on university operations and teaching, this book foregrounds a range of participant perspectives on key topics such as institutional leadership and loss of community, managing motivation and the move to online teaching and learning, and coping with the adverse mental health effects caused by the pandemic. Far from dwelling on the negative, the volume frames the lived experiences and implications of COVID-19 for higher education through a positive, progressive lens, and considers how institutions can best support individual and collective thriving during times of crisis. This book will benefit researchers, academics, and educators in higher education with an interest in the sociology of education, higher education management, and eLearning more broadly. Those specifically interested in student affairs practice, as well as the administration of higher education, will also benefit from this book. The chapters describe the experiences of students, staff, and faculty at the University of Utah as they adapted to the new COVID-19 reality in spring and summer 2020. The logistics of adjusting to online learning and working, the juggling act of managing their online learning and teaching while taking on responsibility for the learning of children in their homes, the reality of a struggling economy, and the social-political environment of a presidential election year and a burgeoning racial justice movement provide the backdrop for the experiences described in this monograph. This study has important implications for higher education leaders. It offers an in-depth and institutionally broad view of how different higher education stakeholders experienced the early months of the COVID-19 pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Introduction

The COVID-19 crisis that emerged in spring 2020 was unprecedented in its impact on the day-to-day operations of higher education worldwide. This chapter describes the experiences of students, staff, and faculty at the University of Utah as they adapted to the new COVID-19 reality in spring and summer 2020. Participants' experiences of the transition to online learning and work during the early days of the COVID-19 pandemic illuminate a number of findings that can provide guidance to higher education for future crises. The chapter explores whether it is realistic to expect campus communities to thrive during crises like the COVID-19 pandemic. As it becomes clear that the COVID-19 pandemic will continue to impact higher education in the near future, it is important to look back on the experiences of those in higher education as leaders consider the best ways to move forward in this dynamic environment. The chapter offers an in-depth and institutionally broad view of how different higher education stakeholders experienced the early months of the COVID-19 pandemic. It also offers an opportunity to consider how the theoretical concept of thriving operates in practice when an institution is in crisis. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The Rapid Evolution of Crisis Mental Health Services in Utah: Opportunities and Challenges as a Result of the Global Pandemic.

Our country is facing a resurgence of behavioral health crises from over the past 30 years, further illuminated and exacerbated by the global COVID-19 pandemic. Increasing suicide crises among youths over recent decades, untreated anxiety and depression, and serious mental illness are signs of the need for improvements in accessible, affordable, timely, and comprehensive behavioral health services. Against the backdrop of high suicide rates and low behavioral health services in Utah, statewide collaborators aligned with a common goal: deliver crisis services to anyone, anytime, and anywhere. After its initiation in 2011, the integrated behavioral health crisis response system continued to expand and excel, ultimately improving access and referral to services, flattening suicide rates, and reducing stigma. The global pandemic further motivated the expansion of Utah's crisis response system. This review focuses on the unique experiences of the Huntsman Mental Health Institute as a catalyst and partner in these changes. Our goals are to: inform about unique Utah partnerships and actions in the crisis mental health space, describe initial steps and outcomes, highlight continuing challenges, discuss pandemic-specific barriers and opportunities, and explore the long-term vision to improve quality and access to mental health resources.

A University Collaboration in Creating a Powered Air Purifying Respirator: An Emergency Innovative Response

Purpose of Study In March of 2020, the World Health Organization declared the coronavirus (COVID-19) a global pandemic. As the number of cases increased worldwide, existing hospital infrastructure struggled to keep up with the demand for equipment and supplies.This exposed healthcare workers to contracting the disease. The purpose of this study is to demonstrate an emergency innovation response in overcoming shortages of personal protective equipment within a university hospital setting, with a special focus on powered air purifying respirators (PAPRs). Methods Used The Center for Medical Innovation (CMI)-a center designed to promote research and development of high-impact healthcare products at the University of Utah (UofU)-enlisted university engineers to develop an open source PAPR system made from readily available commercial materials. Parts were selected to meet filtration, airflow, and protection specifications as outlined by industry standards. Commercially available parts consistent with these specifications were assembled into a novel PAPR system which utilized 3D printed pieces on demand to achieve compatibility. Once assembled, each PAPR went through protection testing to demonstrate health worker safety. A fit factor of 200 is the minimum requirement needed as defined by NIOSH. Testing procedures were carried out with industry standard equipment. Summary of Results A human centered design approach was utilized in iterating versions of the product based on repeated fit testing. Failures were addressed in subsequent models. All PAPRs passed fit testing with a score of > 1000. Following the lean processing standard of just in time inventory, materials to fabricate 1000 PAPRs were procured and assembled on demand. PAPRs are now being used by the UofU Hospital as well as other affiliate entities globally and are filling the gap needed for PPE. Approximately 200 units have been donated to Navajo Nations hospitals in the state of Utah and others have been donated to university sister entities in India, Nepal, and Kenya. Conclusions The Center for Medical Innovation at the University of Utah has facilitated a rapid emergency innovative response in filling the PPE needs locally and abroad by creating this open source accessible PAPR system.

Human-Centered Design in Response to a Pandemic: A Health System and Innovation Center Collaboration

Purpose of Study In the spring of 2020, the coronavirus pandemic brought new challenges to healthcare systems as the rising demand for protective equipment led to product and resource inequalities around the globe. The inability to safeguard workers led to increased infection rates and deaths of healthcare professionals worldwide. The purpose of this study is to evaluate the response of an in-house innovation committee to meet the unforeseen needs faced by healthcare systems during an acute medical crisis. Methods Used Housed directly within the University of Utah's health system (U Health), The Center for Medical Innovation (CMI) teamed up with the hospital's administration, BME, COVID task force, and occupational health to create an innovative think-tank to tackle the challenges brought in by the coronavirus pandemic, with the purpose of stratifying clinical needs based upon acuity, frequency, and urgency. While prioritizing equipment needs, CMI used human-centered design to analyze common industry practices, engineer comparable solutions from commercially available materials, test reimagined products against known gold-standards, and create open-source assembly guides that allowed others facing similar shortages to do the same. Summary of Results The close-working relationship between CMI and U Health allowed for the rapid identification, innovation, and engineering of products that met the needs of healthcare workers during the months following the COVID pandemic. Many of these were directly adopted in clinical settings, including aerosol containment tents, powered air-purifying respirators, and self-testing stations. Additionally, CMI identified and engineered 20 additional readily producible, rapid-response products in anticipation of future needs, such as a bubble CPAP, containment boxes, and re-usable PPE. From these, dozens of open source, 'Improvised Personal Protective Equipment' manuals were shared with global partners to address the inequality of medical equipment in lowresource settings. Conclusions The rapid development of easily-producible, lowcost solutions for acute clinical needs-especially those faced by the equipment shortages seen during a pandemic-is improved via the partnership between health systems and a center for medical innovation.

Factors Affecting Remote Workers' Job Satisfaction in Utah: An Exploratory Study.

With structural changes in work arrangements, employee retention becomes more important for organizational success. Guided by the Ability, Motivation, Opportunity (AMO) framework, this study investigated the factors affecting remote workers' job satisfaction and personal wellbeing in Utah. From a sample of n = 143 remote workers, the study used a correlational design to identify the significant predictors of job satisfaction and personal wellbeing. It mapped the relationships between significant predictors of job satisfaction and personal wellbeing and explored the role of human resources (HR) policies and organizational culture in a remote work environment. Results showed intrinsic motivation, affective commitment, opportunity, and amotivation affected employee job satisfaction, while self-efficacy, amotivation, and job satisfaction affected personal wellbeing. A structural equation model (SEM) showed that remote workers with higher levels of self-efficacy, lower amotivation, and higher job satisfaction were likely to have greater personal wellbeing compared to others. When exploring the role of HR, findings showed that HR bundles and organizational culture indirectly affected job satisfaction but had a direct effect on the most important predictors of job satisfaction and personal wellbeing. Overall, results demonstrated the interconnectivity of HR practices, AMO factors, job satisfaction, and personal wellbeing.

Investigating Lexical Concept and Semantic Representation of COVID-19 in Coronavirus Corpus: A Corpus-Based Study

This article discusses the lexical and semantic representation through the collocation that appeared in the Coronavirus Corpus. This research investigates the frequent collocates that appeared together with the node word Corona and find out how those collocates construct the meaning through the linguistic system and conceptual system as they are involved in lexical representation. This research offers a new insight into teaching language using Lexical Concepts and Cognitive Models (Evans, 2009). The data collected are from the Coronavirus corpus by using the corpus-based method. The strength of the keywords and collocate is measured by using Mutual Information (MI). The MI was set in 5, therefore, three lexemes resulted, i.e., cases, patients, and outbreak. The data were analyzed using the lexical concept and cognitive model proposed by Evans (2009). The research results, in general, reveal that the information is coming from the "authorized institution" and "government's representative", it needs "the official approval or agreement" before publishing to the media, and in the passive form, it describes the foregrounded information and agentless informational assertion. Therefore, the information should be accurate and firm. However, another lexical concept reveals that the information is terrorizing and terrifying, the educated and trained person should also conduct the treatment.

Understanding the Impact of COVID-19 on College Student Academic and Social Lives

The coronavirus has caused major disruptions in the lives of people around the world in 2020. The academic world is no exception. The spread and severity of the virus has resulted in major academic changes in university class availability and content delivery, the use of technology for administrative, faculty and student meetings, how clubs and organizations conduct their affairs, student housing and dining, attendance at athletic, theater and other events, and many other areas. These changes have resulted in a great deal of stress and uncertainty among this demographic group. A 56 question survey was created to measure the perceptions of college students about the impact of COVID-19 on various aspects of their lives, including academic, financial, social, emotional and physical impacts. It was also designed to assess the impact of the pandemic on their attitudes about the future of their studies, careers and personal lives. 823 students completed the anonymous survey during Summer and Fall Semesters of 2020. This paper addresses the impact of the virus on the academic and social lives of college students, including coursework, study habits, communication with other students and faculty members, campus life, social interactions and how the virus has affected their perceptions about their future plans after graduation. It also provides some guidelines on how college teachers and administrators should consider these changes when making decisions that affect them.

Impact of COVID 19 on urgent care diagnoses and stewardship metrics

Background. The percentage of all respiratory diagnoses prescribed an antibiotic is an outpatient stewardship metric and was introduced as a HEDIS measure in 2022. Given a stable case mix, this metric is not affected by differences in coding practices between clinicians or health systems since all respiratory diagnoses are considered together. The onset of the COVID-19 pandemic introduced a high number of viral illness episodes where antibiotics are not recommended. The impact of this shift in case mix on respiratory diagnosis coding and prescribing metrics has not been explored. Methods. We examined antibiotic prescribing rates for respiratory diagnoses in a network of urgent care clinics affiliated with the University of Utah during two periods. Pre-Pandemic was Mar 2019-Feb 2020 and Pandemic was Mar 2020-Mar 2022. Respiratory diagnoses were identified using ICD10 codes and further stratified into 3 Tiers (Tier 1: antibiotics indicated;Tier 2: antibiotics sometimes indicated;Tier 3: antibiotics not indicated). We examined trends in antibiotic prescribing across these periods including the percentage of all respiratory visits prescribed antibiotics and by Tier and the distribution of diagnoses by Tier. No formalized stewardship interventions were introduced during these periods. Results. There were 146,897 urgent care visits during the study period (47,423 Pre Pandemic and 99,474 Pandemic). The respiratory prescribing rate declined from 42.3% Pre Pandemic to 26.2% during the Pandemic (Figure). The distribution of respiratory diagnoses by Tier and prescribing within Tier are shown in the Table. Tier 3 diagnoses increased from 48% to 67%, while Tier 2 diagnoses declined from 47% to 31%. Antibiotic prescribing declined for both Tier 2 and Tier 3 diagnoses. 15,429 (23%) of Tier 3 diagnoses during the Pandemic were coded as COVID-19. 50% of the reduction in prescribing is attributable to changes in Tiers alone. Figure Table Conclusion. The COVID 19 pandemic was associated with a reduction in the percentage of respiratory diagnoses prescribed antibiotics. Half was due to an increase in Tier 3 encounters although declines in prescribing occurred with Tiers in addition. Using this metric for benchmarking requires accounting for the impact of case mix differences over time or between systems and clinicians.

Factors Associated with Intention to Vaccinate Children 0-11 Years of Age Against COVID-19.

BACKGROUND: Millions of children have tested positive for SARS-CoV-2, and over 1000 children have died in the US. However, vaccination rates for children 5 to 11 years old are low. METHODS: Starting in August 2020, we conducted a prospective SARS-CoV-2 household surveillance study in Spanish and English-speaking households in New York City and Utah. From October 21 to 25, 2021, we asked caregivers about their likelihood of getting COVID-19 vaccine for their child, and reasons that they might or might not vaccinate that child. We compared intent to vaccinate by site, demographic characteristics, SARS-CoV-2 infection detected by study surveillance, and parents' COVID-19 vaccination status using Chi-square tests and a multivariable logistic regression model, accounting for within-household clustering. RESULTS: Among parents or caregivers of 309 children (0 to 11 years) in 172 households, 87% were very or somewhat likely to intend to vaccinate their child. The most prevalent reasons for intending to vaccinate were to protect family and friends and the community; individual prevention was mentioned less often. The most prevalent reasons for not intending to vaccinate were side effect concerns and wanting to wait and see.In multivariable analysis, parents had much lower odds of intending to vaccinate if someone in the household had tested SARS-CoV-2-positive during the study (adjusted odds ratio = 0.09; 95% confidence interval, 0.03-0.3). CONCLUSION: This study highlighted several themes for clinicians and public health officials to consider including the importance and safety of vaccination for this age-group even if infected previously, and the benefits of vaccination to protect family, friends, and community.

Evolving Innovation in the Law

In the article, the authors discuss the evolution of technological innovations in law the U.S. that are mainly driven by the coronavirus pandemic. Also cited are the adoption by courtrooms of technology to ensure access to justice and the creation by the Utah Supreme Court of the Utah Office of Legal Services Innovation to promote innovation in the delivery of legal services.

New Opportunities

The article reports on updates in the activities, programs, accomplishments, and opportunities for the Utah State Bar's Young Lawyers Division (YLD). Also cited are the YLD programs to improve the delivery of legal services during the coronavirus pandemic like the "Wills for Heroes" and the "Veterans' Legal Clinic," and the YLD's revival of its Unsheltered Youth Prom program.

Utilization of a Pharmacy Technician to Improve Immunization Rates for Pediatric Heart and Kidney Transplant Recipients

Purpose: Transplant recipients are at increased risk of infectious complications from vaccine-preventable diseases. This study aimed to evaluate using a pharmacy technician to provide routine childhood immunizations during kidney transplant or heart transplant clinic to improve immunization rates. Method(s): Patients seen in our pediatric kidney or heart transplant clinics between August 2021 and November 2021 were included. Patient vaccine records were screened by the pharmacy technician, under transplant pharmacist supervision, prior to clinic visits to identify needed immunizations. Recommendations were based on the Advisory Committee on Immunization Practices (ACIP) and the American Society of Transplantation (AST) guidelines for vaccination of solid organ transplant candidates and recipients. The pharmacy technician contacted parents before clinic to discuss in clinic vaccination administration whenever possible. With verbal consent, the pharmacy technician submitted a vaccine prescription to the hospital's outpatient pharmacy, acquired the vaccine from the pharmacy, and administered the vaccine during clinic under the supervision of an immunization-certified pharmacist. All vaccines were entered into the Utah State Immunization Information System Registry. Result(s): Prior to initiation of this program, vaccines were rarely administered in clinic. During the 4-month study period, a total of 168 patients were screened (86 kidney transplant recipients, 82 heart transplant recipients), with 49 (29%) fully vaccinated. A total of 47 patients received vaccines during the study period (22 kidney transplant recipients, 25 heart transplant recipients) with 89 vaccine doses administered. The most frequently administered vaccines were SARS-CoV-2, influenza, and meningococcal (Table 1). No adverse events were recorded. Conclusion(s): Utilizing a pharmacy technician certified in immunization administration increased the number of vaccines administered to pediatric kidney and heart transplant recipients. Transplant programs who adopt a pharmacy technician immunization program in the clinic setting may benefit from close collaboration with an outpatient pharmacy.

US shortages of agents used to treat poisonings over the last 10 years (2012-2021)

Background: Drug shortages represent a longstanding challenge for healthcare providers, including toxicologists, who continue to confront scarcities of antidotes and other agents used to treat poisonings. Prior research examining availability of drugs with toxicologic applications from 2001 to 2013 demonstrated broad shortages including anticholinergic, cholinergic, and cyanide antidotes, anti-hypoglycemics, chelators, antivenom, naloxone, sedative- hypnotics, and decontamination products, many of which were unresolved and involved xenobiotics without therapeutic alternative. Reports of vital agents being scarce or unobtainable have continued since 2013, and new pressures on global and US (United States) supply chains have emerged, most notably the COVID-19 pandemic. Given this, up-to-date analysis of shortages of agents used to treat poisonings is needed. Method(s): US drug shortage data from January 2012 to December 2021 were obtained from the University of Utah Drug Information Service. Shortage data for agents used to treat poisonings were analyzed. Information on drug type, formulation, shortage reason, shortage duration, number of manufacturing sources, substitute availability, and substitute agent shortage during the study period were investigated. Result(s): 1570 drug shortages were reported during the study period;230 (14.6%) involved agents used to treat poisonings. Of the 230 shortages, 21.3% were unresolved as of December 2021. Mean shortage duration was 13.6 months. The longest shortage involved intravenous calcium gluconate and lasted 78 months. Intravenous dextrose products were the agent most frequently affected by shortage, with 20 shortages in total. 58 agents had multiple shortages. Total shortages peaked in 2017 with 33 shortages reported. 20 shortages were reported in 2020 and 24 in 2021 during the COVID-19 pandemic. 10.9% of shortages involved single-source products;however, this number is limited by incomplete reporting. 80.9% of shortages involved parenteral products. Agent classes with the most shortages reported were: Sedative-hypnotics (12.2% of shortages), anti-hypoglycemics (9.6%), anticoagulant reversal (7.8%), vitamins/electrolytes (7.4%), blood pressure support (7%), antihypertensives (6.5%), antimuscarinic delirium (4.8%), and chelators (4.3%). Three naloxone shortages were reported, one of which is ongoing due to increased demand. Buprenorphine and methadone shortages were reported but are resolved as of December 2021. New shortages of multiple pressors and flumazenil were reported. The most common reason for shortage was a manufacturing issue, occurring in 36.1% of shortages. Shortage reason was not reported 37.8% of the time. For 77% of shortages an alternative therapeutic agent was available, however 97% of alternatives were also affected by shortage at some point during the study period. Conclusion(s): Shortages of agents used to treat poisonings remain problematic. For the time period 2011-2021 previously reported shortages of many products persist and new shortages have emerged. The ongoing naloxone shortage is particularly concerning given the continued rise in drug overdose deaths in the US in 2021, as are shortages of buprenorphine and methadone used to treat opioid use disorder. Despite supply chain stressors, total shortages did not peak during the COVID-19 pandemic.

The Benefits of Expanding the Incident Management Program in Utah

A 2018 study of performance measures for the Utah Department of Transportation's (UDOT) Incident Management Team (IMT) program concluded that the program was cost effective and benefited Utah motorists. During the 2018 legislative session, UDOT received funding to expand its IMT program. To determine the benefits of expanding the IMT program, a comparison of performance measures for 2018 and 2020 incident data was conducted. In addition, data regarding the affected volume, the excess travel time, and the excess user cost associated with incident congestion were gathered. The effects of the COVID-19 pandemic affected traffic volumes during this study, and statistical analyses were utilized to account for volume differences between the two years. Results indicated that the expansion of the IMT program has allowed UDOT to respond more consistently to incidents and respond to a larger quantity of incidents over a larger coverage area and in extended operating hours. © ASCE.

Odor detection of cancer cell metabolites by scent-detection dogs

Dogs have a superior olfactory system;thus, they have been trained and used to detect various nonbiological and biological scents. In addition, many studies have recently reported dogs' ability to detect the odor of certain cancers or cancer cells. A previous study documented that a dog trained to detect a certain malignant cancer cell could also detect another, unfamiliar malignant cancer cell well, implying that these two cancer cells share a certain specific odor. Thus, given the hypothesis that malignant cancer cells of different origins may contain a common cancer-specific odor, the purpose of the present study was to evaluate odor detection ability for various cancer cells (prostate, lung and breast cancer) by dogs trained on prostate cancer cells. Two dogs were trained and participated in the tests. Sensitivity, specificity and the value of area under the curve (AUC) by receiver operating characteristic curve analysis were evaluated. According to the AUC value, the two dogs showed excellent and perfect detection abilities in detecting the odor of a trained prostate cancer cell (PC3), respectively. Both dogs also showed good detection ability for another, unfamiliar prostate cancer cell (LNCaP-LN3). When evaluating the detection ability for lung (A549) and breast (MCF-7) cancer cells, the two dogs showed excellent and good detection abilities, respectively. In conclusion, it is presumed that a certain common cancer-specific odor exists in cancerous cells when compared with normal cells. Scent-detection dogs have promising potential in training for cancer detection. Further study is needed to determine whether the detection ability of dogs trained to cancer cells affects the detection ability for real cancer.

Preventive behaviors along the rural-urban continuum in Utah during the COVID-19 pandemic. (Special Issue: Space, place, and COVID-19.)

Rural individuals and places face major vulnerabilities in relation to the COVID-19 pandemic, yet how and why rural residents adopted preventive behaviors as a result is not well understood. Using cross-sectional data from an online panel survey of Utahans along the rural-urban continuum collected in June of 2020, we find that, overall, rural Utahans were less likely than their more urban counterparts to adopt preventive behaviors. Those who perceived less risk, knew someone sick with COVID-19, thought former President Trump was doing a good job handling the pandemic, had false optimism about the pandemic, had less formal education, and belonged to a lower economic class, were also less likely to adjust some of their behaviors. Given that COVID-19 and its variants continue to spread, and because other viral outbreaks are likely, a better understanding of preventive behavior along the rural-urban continuum and what shapes it is essential for health-related policymaking including encouraging vaccine uptake.

Online learning: Perceptions of secondary teachers in northern Utah

In the beginning months of 2020, the Coronavirus disease 2019 (COVID-19) was causing a worldwide pandemic, affecting individuals, families, communities, and nations. Many lives were drastically affected when governments decided to shut down to prevent the spreading of this virus. Teachers and students had to quickly adapt to learning online or in blended delivery formats. Schools and districts did their best to accommodate students who didn't have the necessary access to computers and the Internet. Many students faced the dilemma of finishing up the school year without lucid communication with their teacher, the ability to access assignments and assessments, and the school's crucial social connections. Few researchers have examined the perceptions that teachers have of online learning. Some researchers who have studied teachers' perceptions of online learning have focused on helping administrators in their role to facilitate better an online program (Gaytan, 2015;Huss, 2007). Other studies have included teachers' perceptions of online learning and students' perceptions in the same research (Gaytan, 2015;Journell, 2010). There is also a lack of online learning research at the secondary level in general (Brown, 2016), but especially of the online learning perceptions of secondary teachers. As online learning is rapidly advancing in both secondary and post-secondary education environments, there is a need to include the perspectives of secondary teachers in the online learning discussion. Doing so will provide school districts with a greater context of current issues facing teachers in online classrooms and provide more significant insights and solutions to those issues. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Posttraumatic Stress Among Pediatric Critical Care Physicians in the United States in Association with Corona virus Disease 2019 Patient Care Experiences

Background: Pediatric critical care physicians have played an active role in the care of critically ill patients including adults with coronavirus disease 2019 (COVID-19). Our objective was to assess the prevalence of posttraumatic stress (PTS) and its association with COVID-19 patient care experiences among pediatric critical care physicians during the SARS-CoV-2 pandemic. Methods: The study is a cross-sectional study of pediatric critical care physicians working in the US. The study was conducted from August 26, 2020 to October 26, 2020 using a web-based online survey platform (Qualtrics, Provo, Utah). Results: We measured PTS which included posttraumatic stress disorder (PTSD) and subthreshold posttraumatic stress disorder (SubPTSD) using validated PTSD Checklist- 5 survey tool. Association of PTS with COVID-19 patient care experiences was analyzed using regression analysis. Prevalence of PTS was noted in 120 among 294 pediatric critical care physicians (41%;95% CI, 35-47%) with predominance of hyperarousal symptoms and feelings of negative cognition and mood. Among our physicians with PTS, 19% had PTSD and 81% had SubPTSD. Female physicians and those with children had statistically significant increase in posttraumatic stress (p<0.05). Posttraumatic stress was significantly associated with physicians testing positive or taking time off for COVID-19 illness, self-isolation, fear of infecting their loved ones, families scared of being infected, feeling helpless, patients expressing fears of dying, having preexisting depression, anxiety or insomnia, working beyond comfort level of training and having thoughts of quitting (p<0.05). Thoughts of quitting was associated with the highest significant increase in PTS scores (coefficient:11.643;95% CI:8.551,14.735;P<0.01) followed by feeling of helplessness (coefficient:11.055;95% CI: 8.484,13.624;P<0.01) and need for additional medications for depression, anxiety and insomnia (coefficient: 10.980;95% CI: 4.970, 16.990;P<0.01). Conclusion: Posttraumatic stress is high in pediatric critical care physicians especially in female physicians and those with children and is associated with various COVID-19 patient care experiences. Thoughts of quitting was associated with highest increase in posttraumatic stress score and this could have major implications for the workforce in the future. Subthreshold posttraumatic stress disorder should be identified and mental health issues of pediatric critical care physicians addressed.