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The Effect of the COVID-19 Pandemic on Pediatric Physician Wellness: A Cross-Sectional Study.
Belfer, Joshua; Feld, Lance; Jan, Sophia; Fishbein, Joanna; Young, John Q; Barone, Stephen.
  • Belfer J; Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York, NY 11040, USA.
  • Feld L; Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York, NY 11040, USA.
  • Jan S; Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York, NY 11040, USA.
  • Fishbein J; The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, NY 11030, USA.
  • Young JQ; Medicine & Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, NY 11549, USA.
  • Barone S; The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, NY 11030, USA.
Int J Environ Res Public Health ; 19(6)2022 03 21.
Article in English | MEDLINE | ID: covidwho-1753499
ABSTRACT
The COVID-19 pandemic has provided challenges to all healthcare workers. While the brunt of treating COVID-19 patients fell upon adult providers, pediatricians also experienced significant stressors and disruptions. Academic pediatricians and trainees (fellows and residents) were redeployed to manage adult patients in hospitalist and intensive care settings and/or had major changes to their clinical schedules. In this study, we aimed to describe levels of self-reported depression, anxiety, and burnout in pediatric physicians following the initial wave of the pandemic at the largest integrated health system in New York State. A cross-sectional study was conducted among pediatric physicians who cared for patients during the COVID-19 pandemic within the Northwell Health System as part of the Northwell Wellbeing Registry, a longitudinal registry assessing the psychological impact of COVID-19 on healthcare providers. A total of 99 pediatric physician respondents were included in this study; 72% of whom were attendings, 28% of whom were trainees. Compared to attendings, trainees reported significantly higher proportions of burnout-emotional exhaustion (p = 0.0007) and burnout-depersonalization (p = 0.0011) on the Abbreviated Maslach Burnout Inventory. There was not a similar trend in probable depression or probable anxiety using the Patient Health Questionnaire. In a multivariable logistic regression model, being a trainee was significantly associated with increased odds of burnout-emotional exhaustion (OR 5.94, 95% Confidence Interval 1.85-19.02). These findings suggest that fellows and residents were a vulnerable population during the COVID-19 pandemic. Training programs should pay special attention to their trainees during times of crisis, and future studies can help to identify protective factors to reduce the risk of burnout during these times.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / COVID-19 Type of study: Etiology study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Child / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph19063745

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Burnout, Professional / COVID-19 Type of study: Etiology study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Child / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph19063745