Newswise — The COVID-19 pandemic has had many deleterious consequences for health care workers, including the challenges of caring for severely ill patients. Resident physicians, in particular, may have been affected by physical as well as psychological consequences of the pandemic. At present, data are sparse on the perceptions, coping strategies and mental health of residents during COVID-19.
Researchers from Florida Atlantic University’s Schmidt College of Medicine explored these issues through data from its community-based academic residency programs in the southeast United States. They administered multiple-choice online anonymous surveys to assess resident perceptions, coping strategies and self-reported levels of depression, anxiety and stress experienced during the early phase of the pandemic.
Results of the original research, published in the Southern Medical Journal, showed that 88.1 percent of residents felt they were likely or very likely to become infected with COVID-19. If infected, 28.8 percent felt that their illness would be serious or very serious. With respect to depression, anxiety and stress, all the mean scores were in the normal range. For depression, residents in emergency medicine and surgery reported higher levels. The trainees’ top three strategies to cope with COVID-19 included acceptance, self-distraction, and use of emotional support. The three least used strategies included behavioral disengagement, substance use and denial.
“The residents we surveyed in our programs reported effective coping strategies during the early phase of the COVID-19 pandemic,” said Allison H. Ferris, M.D., director, internal medicine residency program, and chair, Department of Medicine, FAU Schmidt College of Medicine. “It seems important and timely to continue to explore perceptions, coping strategies and mental health of residents as they play essential roles serving our patients and communities. Such information may be helpful to future residents and residency program directors as our trainees are the pipeline of future physicians and inevitably will face many challenging circumstances as they serve on the frontlines of health care.”
The survey included FAU residents in four specialties: internal medicine, surgery, emergency medicine and psychiatry. Researchers used the Brief COPE questionnaire, which included 28 items to assess coping strategies. They also measured dimensions of depression, anxiety and stress using the validated 21-item Depression, Anxiety, Stress Scale (formally recognized as the DASS-21).
“Further research is needed to better understand the challenges that residents face and the resources they need as new members on the frontline of the health care workforce, so that program leaders can proactively support them in an evidence-based and thoughtful manner,” said Sarah K. Wood, M.D., senior author, professor of pediatrics, vice dean for medical education, and chair of the Department of Women’s and Children’s Health, FAU Schmidt College of Medicine.
The authors note that this survey was conducted in May 2020 at the time when U.S. deaths from COVID-19 surpassed 100,000. In Florida, however, the first peak was in July 2020, a second peak was January 2021, and a third and highest peak was August 2021. The authors note that it is plausible that the responses may have been different had the residents been surveyed at a later time when cases and deaths were peaking in Florida.
“We believe the most plausible interpretation of the data to be that, during the U.S. epidemic of the COVID-19 pandemic, these residents reported effective coping strategies, namely, acceptance, self-distraction, and use of emotional support,” said Michael DeDonno, Ph.D., first author, a research psychologist and an associate professor in FAU’s College of Education and Schmidt College of Medicine.
Study co-authors are Andreea Molnar, M.D., a first year FAU resident in internal medicine; Henry M. Haire, M.D., an associate professor in the Department of Medicine; Sachin S. Sule, M.D., an associate professor in the Department of Medicine; and Charles H. Hennekens, M.D., Dr.PH, first Sir Richard Doll Professor of Medicine and senior academic adviser, all within the FAU Schmidt College of Medicine.
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About the Charles E. Schmidt College of Medicine:
FAU’s Charles E. Schmidt College of Medicine is one of approximately 156 accredited medical schools in the U.S. The college was launched in 2010, when the Florida Board of Governors made a landmark decision authorizing FAU to award the M.D. degree. After receiving approval from the Florida legislature and the governor, it became the 134th allopathic medical school in North America. With more than 70 full and part-time faculty and more than 1,300 affiliate faculty, the college matriculates 64 medical students each year and has been nationally recognized for its innovative curriculum. To further FAU’s commitment to increase much needed medical residency positions in Palm Beach County and to ensure that the region will continue to have an adequate and well-trained physician workforce, the FAU Charles E. Schmidt College of Medicine Consortium for Graduate Medical Education (GME) was formed in fall 2011 with five leading hospitals in Palm Beach County. The Consortium currently has five Accreditation Council for Graduate Medical Education (ACGME) accredited residencies including internal medicine, surgery, emergency medicine, psychiatry, and neurology.
About Florida Atlantic University: Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University serves more than 30,000 undergraduate and graduate students across six campuses located along the southeast Florida coast. In recent years, the University has doubled its research expenditures and outpaced its peers in student achievement rates. Through the coexistence of access and excellence, FAU embodies an innovative model where traditional achievement gaps vanish. FAU is designated a Hispanic-serving institution, ranked as a top public university by U.S. News & World Report and a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. For more information, visit www.fau.edu.