Suicidal ideation, perception of personal safety, and career regret among emergency medicine residents during the COVID-19 pandemic

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

AEM Education and Training Pub Date : 2024-03-20 DOI:10.1002/aet2.10955

Arvin R. Akhavan MD, MPA, Tiannan Zhan MS, Michelle D. Lall MD, MHS, Melissa A. Barton MD, Earl J. Reisdorff MD, Yue-Yung Hu MD, MPH, Karl Y. Bilimoria MD, MS, Dave W. Lu MD, MS

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引用次数: 0

Abstract

Objectives

The COVID-19 pandemic was disruptive for trainees and may have affected career decisions for some learners. This study examined the impact of the pandemic on emergency medicine (EM) resident perceptions of their mental health, perceptions of personal safety, and career choice regret.

Methods

This was a cross-sectional survey study administered following the 2021 American Board of Emergency Medicine In-Training Examination (ITE). Survey measures included suicidal ideation (SI), COVID concerns in terms of infection prevention and control (IPC) training, COVID risk to self and/or COVID risk to family, and COVID-related career regret. COVID concerns were compared by gender and race/ethnicity using Pearson's chi-square tests. Multivariable logistic regression models were used to test the association between SI and COVID concerns, resident characteristics, and program characteristics.

Results

A total of 6980 out of 8491 EM residents (82.2%) from 244 programs completed the survey. Only 1.1% of participants reported insufficient training in COVID IPC practices. Participants were concerned about COVID risk to themselves (40.3%) and to their families (63.3%) due to their job roles. These concerns were more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non-Hispanic Whites); senior residents (vs. PGY-1, PGY-2 residents); and residents who were married or in relationships (vs. single or divorced). A total of 6.1% of participants reported that COVID made them reconsider choosing EM as their career. Career regret in this cohort was higher than that in the proportion (3.2%) expressing career regret in the 2020 ITE (p < 0.001). Career regret was more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non-Hispanic Whites); and senior residents (vs. PGY-1, PGY-2 residents). The overall SI rate was 2.6%, which did not differ from that of the 2020 sample of EM residents (2.5%, p = 0.88).

Conclusions

Many EM residents reported concerns about COVID risks to themselves and their families. Although the rate of SI remained unchanged, more EM residents reported career regret during the COVID pandemic.

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COVID-19 大流行期间急诊医学住院医生的自杀意念、人身安全感和职业遗憾

目的 COVID-19 大流行对学员造成了破坏，可能影响了一些学员的职业决定。本研究探讨了大流行对急诊医学（EM）住院医师心理健康、人身安全和职业选择后悔感的影响。方法这是一项横断面调查研究，在 2021 年美国急诊医学委员会在岗培训考试 (ITE) 之后进行。调查措施包括自杀意念（SI）、感染预防与控制（IPC）培训方面的 COVID 问题、COVID 对自身和/或 COVID 对家人的风险，以及 COVID 相关的职业遗憾。使用皮尔逊卡方检验比较了不同性别和种族/族裔对 COVID 的关注程度。多变量逻辑回归模型用于检验 SI 与 COVID 问题、住院医师特征和项目特征之间的关联。结果来自244个项目的8491名住院医师中，共有6980人（82.2%）完成了调查。仅有 1.1% 的参与者表示 COVID IPC 实践培训不足。由于工作角色的原因，参与者担心 COVID 会给自己（40.3%）和家人（63.3%）带来风险。这些担忧在以下人群中更为常见：女性或非二元性别（与男性相比）；所有其他种族/族裔（与非西班牙裔白人相比）；高年资住院医师（与 PGY-1 和 PGY-2 住院医师相比）；已婚或有伴侣的住院医师（与单身或离异者相比）。共有 6.1% 的参与者表示 COVID 使他们重新考虑选择 EM 作为自己的职业。与2020年ITE中表示职业后悔的比例（3.2%）相比，该人群的职业后悔率更高（p <0.001）。职业遗憾在女性或非二元性别（与男性相比）、所有其他种族/族裔（与非西班牙裔白人相比）和高年资住院医师（与 PGY-1 和 PGY-2 住院医师相比）中更为常见。总体 SI 率为 2.6%，与 2020 年抽样调查的急诊科住院医师（2.5%，P = 0.88）没有差异。结论许多急诊科住院医师表示担心 COVID 会给自己和家人带来风险。虽然SI率保持不变，但更多的少医学居民表示在COVID大流行期间对职业感到遗憾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AEM Education and Training Nursing-Emergency Nursing

CiteScore

2.60

自引率

22.20%

发文量