Symptoms Predicting SARS-CoV-2 Test Results in Resident Physicians and Fellows in New York City

Accurate prediction of SARS-CoV-2 infection based on symptoms can be a cost-efficient tool for remote screening in healthcare settings with limited SARS-CoV-2 testing capacity. We used a machine learning approach to determine self-reported symptoms that best predict a positive SARS-CoV-2 test result in physician trainees from a large healthcare system in New York. We used survey data on symptoms history and SARS-CoV-2 testing results collected retrospectively from 328 physician trainees in the Mount Sinai Health System, over the period 1 February 2020 to 31 July 2020. Prospective data on symptoms reported prior to SARS-CoV-2 test results were available from the employee health service COVID-19 registry for 186 trainees and analyzed to confirm absence of recall bias. We estimated the associations between symptoms and IgG antibody and/or reverse transcriptase polymerase chain reaction test results using Bayesian generalized linear mixed effect regression models adjusted for confounders. We identified symptoms predicting a positive SARS-CoV-2 test result using extreme gradient boosting (XGBoost). Cough, chills, fever, fatigue, myalgia, headache, shortness of breath, diarrhea, nausea/vomiting, loss of smell, loss of taste, malaise and runny nose were associated with a positive SARS-CoV-2 test result. Loss of taste, myalgia, loss of smell, cough and fever were identified as key predictors for a positive SARS-CoV-2 test result in the XGBoost model. Inclusion of sociodemographic and occupational risk factors in the model improved prediction only slightly (from AUC = 0.822 to AUC = 0.838). Loss of taste, myalgia, loss of smell, cough and fever are key predictors for symptom-based screening of SARS-CoV-2 infection in healthcare settings with remote screening and/or limited testing capacity. [ FROM AUTHOR] Copyright of COVID is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Videoed storytelling in primary education EFL: exploring trainees' digital shift

This study explores the challenges and benefits primary education EFL trainees (N = 28) reported when designing and videoing a storytelling session originally intended to be conducted offline with young learners. This change of scenario was caused by the COVID-19 crisis. The data for the study were derived from the trainees' written reflections, focus group interviews, videos of instructional sessions and student-authored multimodal videos, which were explored to interpret trainees' creative processes while engaged in multimodal composing. The results indicate that trainees hold videoed storytelling to have a similar number of challenges and benefits as face-to-face storytelling. However, two of the reported advantages, enhanced creativity and self-confidence, sit at misconceptions based on trainees' limited knowledge of the pedagogical potential of multimodal resources. The findings have important educational implications in helping develop a pedagogy of videoed storytelling, while also highlighting the need for teacher training programs to specifically target the development of teachers' competence in multimodal pedagogy.

Postgraduate Surgical Training in the UK: the Trainees' Perspective.

Over the last 20 years, surgical training in the United Kingdom (UK) has changed dramatically. There have been considerable efforts towards creating a programme that delivers the highest standard of training while maintaining patient safety. However, the journey to improve the quality of training has faced several hurdles and challenges. Recruitment processes, junior doctor contracts, flexible working hours and equality and diversity have all been under the spotlight in recent times. These issues, alongside the extended surgical team and the increasingly recognised importance of trainee wellbeing, mean that postgraduate surgical training is extremely topical. Alongside this, as technology has evolved, this has been incorporated into all aspects of training, from recruitment to simulated training opportunities and postgraduate examinations. The coronavirus (COVID-19) pandemic has brought technology and simulation to the forefront in an attempt to compensate for reduced operative exposure and experience, and has transformed the way that we learn and work. In this article, we reflect on the UK surgical trainee experience and discuss areas of success as well as highlighting potential areas for improvement going forward.

Medical Trainees' Attitudes about the Value of Simulation in the Obstetrics and Gynecology Program of King Abdulaziz University, Jeddah, Saudi Arabia

Objective: Simulation was introduced as an educational method in the Obstetric and Gynecology (OB-GYN) to enhance the quality of trainees' medical education, knowledge, and skills acquisition. This questionnaire-based study aimed to assess types of simulation used and satisfaction with simulation-based education (SBE) among medical trainees in the OB-GYN program of King Abdulaziz University in Jeddah, Saudi Arabia before and during COVID-19. Method: A total of 1131 undergraduate and postgraduate medical students were registered in the OB-GYN programs and participated in the SBE activities utilizing KAU-CSSC from 2018 through 2020. total, 581 requested to participated in questionnaire, only 300 students completed the questionnaire.Results: Simulations were used most frequently for skills training (91.3%), followed by mannequin-based scenarios (63.0%), virtual reality (41.3%), standardized patients (34.0%), and tissue-based scenarios (32.1%). OB-GYN simulations can help trainees and instructors overcome problems in conducting intimate-area examinations and improve their gynecological history-taking skills. Trainees recommended mandatory establishment of simulation skills centers in every hospital and medical college and the use of online simulation tools after COVID-19. The mean of total score for simulation use was 49.63 out of 60 points. A total of 218 trainees (72.7%) had a positive attitude toward simulation use and 82 (27.3%) had a more neutral attitude.Conclusions: The study results revealed the usefulness of low and high-fidelity SBE among OB-GYN medical trainees in concerning their teaching, training, and objective assessments. The cumulative mean score suggested that the trainees were satisfied with simulation-based modules and practical learning. SBE provided a valuable alternative opportunity for exposure to clinical cases during COVID-19, allowing interactive virtual demonstrations of simple clinical examinations and procedures while attending to infection control concerns relating to COVID-19.

Embodied approaches to supervision: The listening body

Movement and the body are an essential aspect of supervision, whether we explicitly work with the body or not. The interest of this book is in the intentional focus on the body and movement and how this can serve the supervisory process. The book presents innovative approaches and reflective accounts of working with the body in supervision. The supervisory interventions open up new ways of seeing, listening and understanding through embodied processes. The authors, all experts in their fields, each bring a wealth of experience and knowledge, raising awareness of the value of working with the body in the supervisory relationship. The hybrid nature of the book reflects the current climate of cross-modality fertility in the world of psychotherapy. The book offers further insights into how embodiment is defined and can be attended to within supervision sessions. It presents with clarity diverse approaches to supervision practice where the body is at the center of facilitating the reflection and containment of supervisees, in both a one-to-one and a group context. In addition, each chapter contains case vignettes illustrating the application of a particular supervision model, whether working in person, online, indoors or outside or in the context of self-supervision. Taking shape in the midst of the Covid-19 pandemic, the book emerges at a time of unprecedented challenges. So, besides reflecting on their specific approach, some contributors offer reflections on the impact of the pandemic on their practice. The ten chapters present a variety of embodied approaches to supervision rooted in a diverse range of practices including body psychotherapy, psychodrama, eco-supervision, dance movement psychotherapy, family therapy and drama therapy. This text will be of value to supervisors and supervisors-in-training, psychotherapists, practitioners seeking supervision and anyone keen to learn more about embodied approaches in supervision. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

How has the mental health of junior staff been negatively affected by the current COVID-19 climate?

While pandemics are widely recognised and remembered for their devastating physical effects on human and/or animal life, previously a less talked about but recognised effect is that on mental health. This audit aimed to measure the negative effects COVID-19 has had on the mental wellbeing of junior staff working in hospitals, specifically the Dental Core Trainees (DCT) throughout the Thames Valley and Wessex (TVW) Deanery. 40% of the respondents used the intervention, with meditation and mindfulness found most useful. The overall mental health of the DCT improved with increased scores seen in all areas of personal life. Leisure activity/hobbies increased as well as positive behaviours which resulted in anxiety levels decreasing significantly. There was an overall reduction in all stressors except 'workload/responsibilities', which increased from 40 to 80%. Dissatisfaction with senior support which was not in line with what the DCT wanted or needed. Responses still showed that 'family/friends health' continues to be of higher importance than 'personal health'. The intervention was partly successful, with increased satisfaction levels and improved mental wellbeing. A lack of perceived internal support from Trusts and poor communication from senior colleagues with no specific guidance on how their role was changing despite the second intervention.Copyright © 2021 The Authors

Developing a partnership for internship training at a community-based animal assisted therapy practice

The effectiveness of a pre-graduation animal assisted therapy internship site was investigated through an ethnographic, phenomenological methodology with mixed-methods components. A total of 12 participants who fit into either the category of supervisor, intern, or administrator involved in the animal assisted therapy practice, were interviewed. A research team analyzed the qualitative interview data and researcher participant field notes and came to a consensus of eight major themes: ranch environment, ranch modalities, community impact, counselor development, relationships, partnership, sense of purpose, and the COVID-19 pandemic. Past historical client data were analyzed (n = 47) to investigate effectiveness of the AAT internship cite through the lens of the clients. Historical client data was divided into three categories, dependent on the client's age and the assessment taken: Adult Self Report (ASR), Youth Self Report (YSR), and Child Behavior Checklist (CBCL). A paired t-test was run for each assessment group to compare the means of the pre-assessment scores and the means of the post assessment scores for the total problems scale and anxiety problems scale. There was a statistically significant decrease in anxiety problems for the CBCL group. There was a marginally statistically significant decrease in total problems for the CBCL group. There were no significant results found for the YSR or ASR data. Client demographic findings and the statistically significant findings are discussed in relation to the qualitative themes. Implications for future research and counselor education are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Self-awareness, distress disclosure, and peer connectedness as moderators of the relationship between shame and counselor self-efficacy among counseling trainees

Using a sample of 85 counselors in training, this online, survey-based moderation study examined the relationship between shame and counselor self-efficacy using a multiple linear regression model;it also examined self-awareness, distress disclosure, and peer connectedness as potential moderators between the relationship of shame and counselor self-efficacy, utilizing the Hayes PROCESS Macro. A significant inverse relationship was indicated between shame and counselor self-efficacy. Subscales utilized to assess for self-awareness did indicate moderation between the various subscales of internalized shame and counselor self-efficacy. Distress disclosure did moderate the relationship between Embarrassment and Exposed elements of shame and Client Distress subscale of counselor self-efficacy. Peer connection did not indicate moderation as hypothesized. Age and direct client hours were utilized as covariates in this study. Younger participants tended to report higher levels of self-efficacy than older participants, while those who had more direct client hours tended to report higher counselor self-efficacy. Results from this study further expound on the idea that the negative function that shame has on self makes it harder to also hold the positive view of self that relates to counselor self-efficacy. Principles from the Dunning-Kruger effect(Kruger & Dunning, 1999) appeared to give context of results around the moderating relationship self-awareness has with counselor self-efficacy. Key implications within the study highlight the importance of addressing shame within the context of counselor education. Development and purposeful use of self-reflective activities within courses and supervision can aid in buffering the relationship shame has on efficacy in handling relationship conflicts within counseling sessions. Future directions might include more focus on differences in shame found in younger and older counseling students and more development in the theory and assessment of self-awareness to account for principles outlined within the Dunning-Kruger effect. Development of a study that correlates distress disclosure scores with the amount of distress students are currently experiencing may provide fruitful information for supervision and educational development. Replication of the moderation study not during the COVID-19 pandemic may provide different results or further study identifying the benefits that connection with peers has within the counselor education process. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Mental health trainees: Experience of online classes during COVID-19 pandemic

Objective: To determine experiences of mental health trainees with their online classes. Methodology: It was an online cross-sectional study carried out during month of June, 2020. The sample comprised of 231 mental health trainees of BS (n = 114) and MS (n = 117) programs of a private university of Lahore. A google doc. consisting of 15 statements was prepared to for online delivery of their classes. Result(s): 45% students responded on "to some extent to no difficulty" experience of smooth running of online lectures. On the item of overall satisfaction with delivery of online lectures, 50% students (out of 114) from BS program and 51% students (out of 117) from MS program rated on "not at all" Although satisfaction was high on the online availability of teacher for the counselling of students however, on understand lectures Only 14% students showed highest level of satisfaction. Conclusion(s): Online classes remained a big challenge for trainees and it was associated with lack of satisfaction in terms of their own learning, evaluation comprehension and health issues.Copyright © 2023, Pakistan Medical Association. All rights reserved.

Counselor experience with outcomes of telehealth and substance use disorder

Prior to 2020, telehealth, the remote delivery of health care via digital information and communication technologies, was rarely used in substance use disorder (SUD) treatment facilities. The onset of COVID-19 quickly created a shift to telehealth services for the safety and health of providers and patients. Researchers have explored many aspects of telehealth, including the client and counselor/client experience, but have not studied the counselor experience separately. The purpose of this qualitative study was to better understand counselors' lived experiences pertaining to telehealth use;perceptions of how it impacts clinical performance, self-efficacy, and training;and beliefs about its effectiveness when working with clients with SUD. Bandura's self-efficacy theory was the theoretical framework for the investigation, which featured interpretative phenomenological analysis. Twelve counselors who worked at SUD treatment facilities participated in semistructured interviews. Thematic analysis of the interview data occurred by manually coding the data to identify themes, categories, and subcategories. The findings showed that telehealth had benefits for both the client and the counselor, including flexibility, counselor availability, safety from COVID, and the ability to communicate with clients despite the lack of in-person counseling. The findings also revealed a need for more training on developing counseling skills through telehealth services. The positive social change implications of the study include providing a better understanding of the use of telehealth to assist community members and the need for flexible support systems for counselors. Such systems may improve clinical performance and counselor efficacy in delivering telehealth services to patients with SUD. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Teacher Trainees' Perspectives on Remote Instruction for Multilingual Learners of English

The COVID-19 pandemic prompted a shift to virtual learning across many countries and school systems. It is worthwhile to examine the specific ways in which this shift is significant to teacher trainees preparing to work with multilingual learners (MLs). Considering the perspectives of teacher trainees preparing to teach MLs offers an opportunity to identify the questions and concerns that they are likely to have upon graduation. Examining these perspectives can also help to identify ways that teacher trainees can use virtual and remote teaching approaches more constructively. This paper presents findings from a qualitative study of an educator preparation program focused on preparing trainees in content areas along with English to Speakers of Other Languages (ESOL), with a focus on the perspectives of teacher trainees who worked with MLs through virtual and remote modalities during the COVID-19 pandemic. The paper draws on data from an analysis of nine teacher trainees' response journals and course assignments, and includes themes identified from the teacher trainees' perceptions of virtual learning for MLs. The findings from the analysis revealed that teacher trainees emphasized the importance of establishing meaningful professional relationships in the virtual setting with their MLs, especially as a way to facilitate effective instruction and online classroom management. Participants also spoke about the importance of developing culturally responsive and sensitive instruction, and stressed the importance of engaging students and families in appropriate, linguistically accessible ways. Implications for future virtual instruction as well as teacher preparation are also discussed. © 2023 by the authors.

Keeping the frogs in the wheelbarrow: how virtual onboarding creates positive team-enabling cultures.

INTRODUCTION: The post-COVID-19 great resignation puts both employee retention and the onboarding of employees in the spotlight. In an effort to maintain workforce levels, healthcare leaders are turning their attention to both recruitment (ie, bringing new frogs into the wheelbarrow) and practices that create positive, team-enabling, cultures (ie, keeping frogs in the wheelbarrow). METHODS: In this paper, we illustrate our experience in building an employee onboarding programme as an efficient mechanism not only to immerse new professionals into existing teams but also to improve workplace culture and reduce team turnover. Key to its effectiveness, and in contrast with traditional large-scale culture change programmes, is that our programme provided a local cultural context via videos of our existing workforce in action. RESULTS: This online experience, primed new joiners in cultural norms, helping them navigate critical early period of socialisation into their new environment.

Developing future clinical leaders in patient safety: the Irish experience.

INTRODUCTION: It is 20 years since the Institute of Medicine advocated a national approach to improve care and patient safety. Patient safety infrastructure has greatly improved in certain countries. In Ireland, patient safety infrastructure is in ongoing development. To contribute to this, the Royal College of Physicians of Ireland/International Society for Quality in Healthcare Scholar in Residence Programme was launched in 2016. This programme aims to improve patient safety and develop a movement of future clinician leaders to drive improvements in patient safety and the quality of care. METHODS: Doctors in postgraduate training complete a year-long immersive mentorship. This involves monthly group meetings with key patient safety opinion makers, one-on-one mentorship, leadership courses, conference attendance and presentations. Each scholar undertakes a quality improvement (QI) project. RESULTS: A QI project was associated with a decrease in caesarean section rates from 13.7% to 7.6% (p=0.0002) among women in spontaneous labour at term with a cephalic presentation. Other projects are ongoing. CONCLUSION: Medical error, patient safety and QI must be addressed comprehensively at both undergraduate and postgraduate level. We believe the Irish mentorship programme will help to change the paradigm and improve patient safety.

Professional Challenges for United States Hematology/Oncology Trainees during COVID-19.

COVID-19 has been devastating for patients with cancer. In this commentary, we chronicle the pandemic's downstream impacts on United States hematology/oncology trainees in terms of professional development and career advancement. These include loss of access to clinical electives and protocol workshops, delays in research approval and execution, mentor shortages due to academic burnout, and obstacles with career transitions (most notably the post-fellowship job search). While certain silver linings from the pandemic have undoubtedly emerged, continued progress against COVID-19 will be essential to fully overcome the professional challenges it has created for the future hematology/oncology workforce.

Burnout among postgraduate medical trainees in Lebanon: Potential strategies to promote wellbeing.

Objective: Burnout is a widespread issue in healthcare for many years. Lebanon combatted political and economic crises before the coronavirus disease 2019 (COVID-19) pandemic, in addition to the port explosion in August 2020. The study aimed to identify the determinants of personal burnout, patient-related burnout, and work-related burnout among postgraduate medical trainees (PGMT) and evaluate its relationship with sociodemographic characteristics. Design: A cross-sectional study utilized the Copenhagen Burnout Inventory (CBI) involving electronic, voluntary, and anonymous survey. The survey was completed by 188 PGMT including residents and fellows from all specialties and all levels of training. Results: The prevalence rates are 68.6% for personal burnout, 63.3% for work-related burnout, and 35.1% for patient-related burnout. Conclusion: Results improve our understanding of the phenomenon of burnout, and the role of program leadership in shaping the impact of burnout on training and promoting wellbeing of PGMT. Discussion focuses on providing potential wellbeing strategies for program directors to follow for mitigating burnout.

Self-care, anticipated stigma, and personal therapy in mental health professional trainees

Self-care has increasingly become encouraged as a means for maintaining well-being for mental health professionals;yet, there exists an unsettling lack of research and guidance on this topic for those within the field (Callan et al., 2021;Colman et al., 2016;Norcross & VandenBos, 2018). This has led to call for change and reform to recognize the importance of self-care as an ethical imperative and to incorporate it within the education and training of mental health professionals (Barnett et al., 2007;Barnett & Cooper, 2009;Wise & Reuman, 2019;Zahniser et al., 2017). These calls for reform and the increased importance of self-care have only grown given the realities of the strains included within the work that mental health professionals do and the increased stress placed on the field from the COVID-19 worldwide pandemic (El-Ghoroury et al., 2012;Posluns & Gall, 2020;Sciberras & Pilkington, 2018). Given the need for research on self-care and ways to implement it combined with the lack of prior research, the current research set out to contribute quantitative research on areas related to self-care for mental health professional trainees. The first purpose was to determine how much of the variation in the five factors of self-care was explained by anticipated stigma and attendance in personal therapy. The second purpose was to determine the contribution of both anticipated stigma and personal therapy separately on the variation within self-care. The third purpose was to determine if there was a difference in self-care between mental health professional trainee groups who had experienced personal therapy. In the current study, the Self-Care Assessment for Psychologists was used (Dorociak, Rupert, Bryant, et al., 2017). The other variables of interest anticipated stigma and attendance in personal therapy were measured by the Anticipated Stigma Scale (Quinn & Chaudoir, 2009;Quinn et al., 2014) and having participants detail their therapy experience similarly to what prior researchers had done (Bike et al., 2009;Byrne & Ost, 2016;Byrne & Shufelt, 2014;Geller et al., 2005;Kalkbrenner & Neukrug, 2019;Kalkbrenner et al., 2019;Norcross, 2005;Norcross et al., 2008;Orlinsky et al., 2011;Ziede & Norcross, 2020). A multivariate multiple linear regression was used to analyze the data of 100 participants (Keith, 2019;Remler & Van Ryzin, 2015;Rencher & Christensen, 2012). The results did not provide any evidence that anticipated stigma and personal therapy explained a significant amount of the variation within self-care for mental health professional trainees;no evidence was found for either of the variables separately nor was there evidence found for a difference between groups of those who did and did not attend therapy. Theoretical, research, and clinical implications are discussed suggesting how further inquiry might be conducted to better understand self-care for the mental health trainee population. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Telemental health for rural university-assisted community schools

Since the COVID-19 outbreak, children and families in rural communities have been experiencing unprecedented long-term social isolation and insufficient access to mental health services. Prior to the pandemic, access to mental healthcare in rural communities was already inadequate, leading rural populations to be routinely underserved when facing significant social issues and mental health needs. Even though the pandemic has disrupted the traditional delivery of mental healthcare and exacerbated needs, isolated children and families in rural areas can benefit from mental health services through a telemental health approach. This article presents an innovative telemental health practice model that implements solution-focused brief therapy with social work interns in rural university-assisted community schools (UACS). Implications for policies supporting telemental health in rural UACS, social work education, and evaluation are presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Burnout and depression among anesthesiology trainees in the United States: An updated National Survey.

STUDY OBJECTIVE: A high prevalence of burnout, depression and suicidal ideation has been reported among anesthesiology trainees. Over the last decade, there has been a significant emphasis on the development of wellness programs in academic departments to mitigate the prevalence and effects of burnout during anesthesiology training. Therefore, we aimed to reevaluate the prevalence of burnout and depression in anesthesiology trainees in the United States. DESIGN: Cross-sectional survey. SETTING: Anesthesiology Department. PATIENTS: A nationally representative sample of 1000 anesthesiology trainees in the United States. MEASUREMENTS: A 33-item questionnaire consisting of 1) burnout, 2) depression, 3) job satisfaction, 4) family support, 5) work characteristics, 6) demographic factors, 7) self-reported errors, and 8) impact of COVID-19 pandemic. RESULTS: We received 384 responses. Twenty-four percent (91/384) of the respondents met the criteria for high burnout risk and 58/384 (15%) of the respondents screened positive for depression. Multivariable analysis revealed that: (1) hours per week > 70, (odds ratio [OR; 95% confidence interval {CI}] = 3.1 [1.4-6.8], P=0.005 and (2) overnight calls per month > 7 (OR [95% CI] = 2.5 [1.0- 6.0], P=0.03 were independent factors for increased odds of burnout whereas the presence of (3) married/domestic partnership (OR [95% CI} = 0.52 [0.32-0.85], P=0.01 was associated with lower odds of burnout and/or depression. Ten percent (4/40) of high burnout/depression residents reported that they often times fall short in the quality of care provided to patients compared to 0.36% (1/275) residents with low burnout/depression scores, P < 0.001. Similarly, 22% (9/40) of high burnout/depression residents reported that they often times did not have enough attention to their patients compared to 4% (11/275) residents with low burnout/depression scores, P < 0.001. CONCLUSIONS: We report a still concerning but significantly lower rate of burnout and depression in anesthesiology trainees than previously reported a decade ago. This suggests that efforts on wellness implemented by academic programs have positively impacted the work experience of anesthesia trainees.

Prevalence of burnout and its relation to the neuroendocrine system among pediatric residents during the early Covid-19 pandemic: A pilot feasibility study.

Background: Measuring burnout relies on infrequent and subjective surveys, which often do not reflect the underlying factors or biological mechanisms that promote or prevent it. Burnout correlates with cortisol levels and dysregulation of the hypothalamic-pituitary-adrenal axis, but the chronology and strength of this relationship are unknown. Objective: To determine the prevalence and feasibility of studying burnout in pediatric residents using hair cortisol and hair oxytocin concentrations. Design: /Methods: Longitudinal observational cohort study of pediatric residents. We assessed burnout using the Stanford Professional Fulfillment Index and hair cortisol (HCC), and hair oxytocin concentrations (HOC) at four 3-month intervals from January 2020-January 2021. We evaluated test-retest reliability, sensitivity to change using Pearson product-moment correlations, and relationships between burnout and hair biomarkers using hierarchical mixed-effects linear regression. Results: 17 Pediatrics residents provided 78 wellness surveys and 54 hair samples. Burnout symptoms were present in 39 (50%) of the surveys, with 14 (82%) residents reporting burnout in at least one time point. The lowest (41%) and highest (60%) burnout prevalence occurred in 04/2020 and 01/2021, respectively. No significant associations between burnout scores and HCC (ß -0.01, 95%CI: 0.14-0.13), HOC (ß 0.06, 95%CI: 0.06-0.19), or the HCC:HOC ratio (ß -0.04, 95%CI: 0.09-0.02) were noted in separate analyses. Intra-individual changes in hair cortisol concentration were not associated with changes in burnout score. Conclusions: Burnout was prevalent among Pediatrics residents, with highest prevalence noted in January 2021. This pilot longitudinal study demonstrates the feasibility of evaluating burnout with stress and resilience biomarkers in Pediatrics residents.

Practice of immediate sequential bilateral cataract surgery (ISBCS): A teaching hospital experience in United Kingdom.

BACKGROUND / OBJECTIVES: Utilisation of ISBCS has been encouraged since COVID-19 in line with the RCOphth recommendations. This study aims to share experience from a UK teaching hospital on ISBCS and to evaluate pre-, intra- and post-operative outcomes from the ISBCS cohort. METHODS: Of 3402 cataract surgeries performed between July 2020 and July 2021 (1 year since the reopening of the cataract service from COVID-19), 208 eyes of 104 patients (6.1%) undergoing ISBCS were retrospectively studied on their demographics, biometry, surgeon grades, and pre-, intra- and post-operative data. RESULTS: The mean age was 74.5 ± 9.4 years and 62% were female. Eighty-nine percent of the eyes were performed under local anaesthesia and 70% were 'routine' cases. Other risk factors included: short eyes requiring pre-operative mannitol infusion (10%), high myopia (8%), poor dilation (2%) and a 'glaucoma' cohort [angle closure (2%) and prior trabeculectomy (1%)]. Three eyes (1%) had complications intra-operatively in second eye (1 case each: posterior capsule rupture, corneal oedema and zonular dehiscence). Two patients (1%) had complications in the first eye (1 case each: suprachoroidal haemorrhage, conjunctival & iris haemorrhage), hence had their second eye postponed. Twelve months post-operatively, 20 eyes (10%) had recorded post-op complications with cystoid macular oedema being the commonest (4.5%) and no endophthalmitis. Eighty-six percent were discharged with satisfaction. No significant differences were found in pre-operative features, complication rates and post-operative outcomes between consultant and non-consultant surgeons (p > 0.05). CONCLUSIONS: Our experience which included a cohort of high-risk patients showed safe and successful practice of ISBCS without having a negative impact on training.