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Psychological Consequences Among Residents and Fellows During the COVID-19 Pandemic in New York City: Implications for Targeted Interventions.
Kaplan, Carly A; Chan, Chi C; Feingold, Jordyn H; Kaye-Kauderer, Halley; Pietrzak, Robert H; Peccoralo, Lauren; Feder, Adriana; Southwick, Steven; Charney, Dennis; Burka, Larissa; Basist, Madeleine; Ripp, Jonathan; Akhtar, Saadia.
  • Kaplan CA; C.A. Kaplan is a medical student, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Chan CC; C.C. Chan is assistant professor of psychiatry, Icahn School of Medicine at Mount Sinai, New York, and research health scientist, James J. Peters Veterans Affairs Medical Center, Bronx, New York.
  • Feingold JH; J.H. Feingold is a psychiatry resident, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Kaye-Kauderer H; H. Kaye-Kauderer is a psychiatry resident, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Pietrzak RH; R.H. Pietrzak is associate professor of psychiatry and public health, Yale School of Medicine, New Haven, Connecticut, director, translational psychiatric epidemiology laboratory, Clinical Neurosciences Division, U.S. Department of Veterans Affairs National Center for PTSD, West Haven, Connecticut,
  • Peccoralo L; L. Peccoralo is associate dean for faculty well-being and resilience and associate professor of medicine, general internal medicine, and medical education, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York.
  • Feder A; A. Feder is director for research, Center for Stress, Resilience, and Personal Growth, co-director, Ehrenkranz Laboratory for the Study of Human Resilience, and associate professor of psychiatry, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York.
  • Southwick S; S. Southwick is professor emeritus of psychiatry, Yale School of Medicine, New Haven, Connecticut, and adjunct professor of psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
  • Charney D; D. Charney is Anne and Joel Ehrenkranz Dean, Icahn School of Medicine at Mount Sinai, and president for academic affairs, Mount Sinai Health System, New York, New York.
  • Burka L; L. Burka is a registered nurse, Mount Sinai Hospital, Mount Sinai Health System, New York, New York.
  • Basist M; M. Basist is a third-year internal medicine resident, Mount Sinai Hospital, Mount Sinai Health System, New York, New York.
  • Ripp J; J. Ripp is senior associate dean for well-being and resilience, chief wellness officer, and professor of medicine, medical education and geriatrics and palliative medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York.
  • Akhtar S; S. Akhtar is associate dean for trainee well-being and resilience and associate professor of emergency medicine and medical education, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York.
Acad Med ; 96(12): 1722-1731, 2021 12 01.
Article in English | MEDLINE | ID: covidwho-1354309
ABSTRACT

PURPOSE:

To examine the psychological impact of the COVID-19 pandemic on medical trainees (residents and fellows) working at Mount Sinai Hospital (MSH) in New York City (NYC), the initial epicenter of the United States pandemic.

METHOD:

The authors administered a survey to 991 trainees in frontline specialties working at MSH in NYC between April and May 2020. The instrument assessed symptoms of major depressive disorder, generalized anxiety disorder, COVID-19-related posttraumatic stress disorder, and burnout. Psychiatric screens were aggregated into 1 composite measure, and meeting criteria on any of the 3 scales was considered a positive screen for psychiatric symptoms. The survey also assessed COVID-19-related exposures, worries, coping strategies, and desired interventions. Multivariable logistic regressions were conducted to identify factors associated with psychiatric symptoms and burnout.

RESULTS:

Of the 560 respondents (56.6% response rate), 29.7% screened positive for psychiatric symptoms and 35.8% screened positive for burnout. History of a mental illness, COVID-19-related duties and personal/career worries, and coping by substance use were associated with increased likelihood of screening positive for psychiatric symptoms. Positive emotion-focused coping and feeling valued by supervisors were associated with decreased likelihood. Internal medicine and surgical specialties, a history of mental illness, increased duty hours, duty-related worries, personal/career worries, coping via self-blame and venting, and coping via substance use were associated with higher odds of burnout. Feeling valued by supervisors was associated with decreased burnout odds. The most common crisis-related needs included access to personal protective equipment, food provisions, and financial support.

CONCLUSIONS:

Psychological distress and burnout affected approximately one-third of trainees sampled during the height of the pandemic in NYC. As the pandemic surged beyond NYC, these findings suggest that interventions should include addressing basic needs, promoting leadership affirmation, moderating duty hours, supporting trainees financially, and enhancing mental health support.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Fellowships and Scholarships / COVID-19 / Internship and Residency / Mental Disorders / Occupational Diseases Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Acad Med Journal subject: Education Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Fellowships and Scholarships / COVID-19 / Internship and Residency / Mental Disorders / Occupational Diseases Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Acad Med Journal subject: Education Year: 2021 Document Type: Article