Original Article

Effects of the COVID-19 Crisis on Resident Well-Being in a Community Teaching Hospital

Authors: Camila Heluey, MD, Joseph Bahgat, MD, Josette Hartnett, MPH, Suzanne J. Rose, MS, PhD, Rebecca B. Newman, MD, Forugh Homayounrooz, MD


Objectives: The coronavirus disease 2019 (COVID-19) pandemic has been an unexpected crisis that continues to challenge the medical community at large. Healthcare environments have been forced to change dramatically, including for medical residents, who are vital members of the innovative emergency response teams. Articles have previously been published on the effects of crises on the well-being of healthcare practitioners; however, there is a paucity of literature targeting medical residents’ experiences and general wellness during devastating events. The objective of our study aimed at understanding the emotional impact of the COVID-19 pandemic on residents’ stress, academics, and support systems.

Methods: An anonymous, voluntary Likert scale questionnaire was sent via SurveyMonkey to Internal Medicine and Family Medicine residents in July 2020. Questions focused on residents’ mood; stress levels; sense of support; and academics before, during, and immediately after the first surge of COVID-19 at our hospital between March 13 and June 15, 2020.

Results: Residents felt sad, stressed, and overworked during the first wave, as opposed to feelings of neutrality and happiness before and immediately after. Levels of concern for personal and loved ones’ safety were significantly increased during and after our first wave. The impact on educational training was rated as neutral. Residents noted that institutional support could be improved by the provision of wellness activities and sponsored social events.

Conclusions: This study provides insight on resident well-being during the initial months of the pandemic and identifies areas that could be improved. Our results demonstrated that the pandemic affected many aspects of residents’ well-being and education, and the lessons learned can help guide healthcare institutions when implementing wellness activities for trainees during subsequent crises.
Posted in: Infectious Disease94

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Table 1. Demographic profile of survey respondents compared with total resident population

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Table 2. Mean and SDs by time period

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Table 3. Resident wellness preferred activities assessed via multiple-response questions

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Table 4. Mean and SD levels of support during the COVID-19 pandemic

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1. Goulia P, Mantas C, Dimitroula D, et al. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infect Dis 2010;10:322
2. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA 2020;323:2133–2134
3. Sutton A, Skolnik N. COVID-19 crisis: we must care for ourselves as we care for others. J Fam Pract 2020;69:119;153
4. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care 2020;9:241–247
5. Rose S, Hartnett J, Pillai S. Healthcare worker’s emotions, perceived stressors and coping mechanisms during the COVID-19 pandemic. Yunusa I, ed. PLOS One 2021;16:e0254252
6. He K, Stolarski A, Whang E, et al. Addressing general surgery residents’ concerns in the early phase of the COVID-19 pandemic. J Surg Educ 2020;77:735–738
7. Zoorob D, Shah S, Saevig DL, et al. Insight into resident burnout, mental wellness, and coping mechanisms early in the COVID-19 pandemic. PLOS One 2021;16:e0250104
8. Sanghavi PB, Au Yeung K, Sosa CE, et al. Effect of the coronavirus disease 2019 (COVID-19) pandemic on pediatric resident well-being. J Med Educ Curric Dev 2020;7:2382120520947062
9. Gulati G, Kelly BD. Physician suicide and the COVID-19 pandemic. Occup Med 2020;70:514–514
10. Shanafelt TD, Balch CM, Dyrbye L, et al. Special report: suicidal ideation among American surgeons. Arch Surg Chic Ill 1960 2011;146:54–62
11. Rambaldini G, Wilson K, Rath D, et al. The impact of severe acute respiratory syndrome on medical house staff. J Gen Intern Med 2005;20:381–385
12. Govindan M, Keefer P, Sturza J, et al. Empowering residents to process distressing events: a debriefing workshop. MedEdPORTAL J Teach Learn Resour 2019;15:10809
13. Raj KS. Well-being in residency: a systematic review. J Grad Med Educ 2016; 8:674–684
14. Accreditation Council for Graduate Medical Education. Summary of changes to ACGME common program requirements section VI. https://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements/Summary-of-Proposed-Changes-to-ACGME-Common-Program-Requirements-Section-VI. Published 2020. Accessed October 30, 2020
15. Barzilay R, Moore TM, Greenberg DM, et al. Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Transl Psychiatry 2020;10:291
16. Sabharwal S, Ficke JR, LaPorte DM. How we do it: modified residency programming and adoption of remote didactic curriculum during the COVID-19 pandemic. J Surg Educ 2020;77:1033–1036
17. Mallin M, Schlein S, Doctor S, et al. A survey of the current utilization of asynchronous education among emergency medicine residents in the United States. Acad Med J Assoc Am Med Coll 2014;89:598–601
18. Winkel AF, Honart AW, Robinson A, et al. Thriving in scrubs: a qualitative study of resident resilience. Reprod Health 2018;15:53
19. Pollock A, Campbell P, Cheyne J, et al. Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Database Syst Rev 2020;11:CD013779
20. Lie JJ, Huynh C, Scott TM, et al. Optimizing resident wellness during a pandemic: University of British Columbia’s General Surgery program’s COVID-19 experience. J Surg Educ 2021;78:366–369
21. IsHak WW, Lederer S, Mandili C, et al. Burnout during residency training: a literature review. J Grad Med Educ 2009;1:236–242.