Original Article

US Dermatology Resident Responses about the COVID-19 Pandemic: Results from a Nationwide Survey

Authors: Yumeng M. Li, MD, MS, Fabrizio Galimberti, MD, PhD, Michael Abrouk, MD, Robert S. Kirsner, MD, PhD

Abstract

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed resident training in the United States. Here, we explore the early perceived effects of COVID-19 on dermatology residents through an electronic sample survey and identify possible areas for targeted improvement in lieu of a possible second wave of COVID-19 cases.

Methods: On April 3, 2020, a survey of link with 25 questions was sent to dermatology program coordinators to be disseminated among dermatology residents in the United States. The survey was closed on April 13, 2020. All of the questions were optional and no personal identifiers were collected.

Results: A total of 140 dermatology residents from 50 different residency programs across 26 states responded to the survey. The majority of respondents (85%) reported negative effects of COVID-19 on their overall wellness. Despite the majority of residents (92%) speculating that COVID-19 will have negative long-term effects on the US economy, only 33% agreed or strongly agreed that it will affect their job prospects. Teledermatology was widely implemented following the declaration of a national emergency (96% of represented residencies compared with only 30% before the pandemic), with heavy resident involvement. The majority of residents (99%) reported having virtual didactics and that they found them to be beneficial. Most residents were uncomfortable with the prospect of being reassigned to a nondermatology specialty during the pandemic. In addition, 22% of residents believed that their leadership were not transparent and prompt in addressing changes relating to COVID-19.

Conclusions: Dermatology residents were affected negatively by COVID-19 in regard to their well-being, clinical training, and education. Several areas of improvement were identified that could improve our preparedness for a second wave of the virus.
Posted in: Dermatology10

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Parodi SM, Liu VX. From containment to mitigation of COVID-19 in the US. JAMA 2020;323:1441–1442. 2. The White House. Proclamation on declaring a National Emergency concerning the novel coronavirus disease (COVID-19) outbreak. https://www.whitehouse.gov/presidential-actions/proclamation-declaring-national-emergencyconcerning-novel-coronavirus-disease-covid-19-outbreak. Published March 13, 2020. Accessed April 18, 2020. 3. US dermatology resident response to COVID-19. https://docs.google.com/forms/d/e/1FAIpQLSeQmKyNOPMnCBqxdu5CBfD8eRyV5iDzy6adINJPz 2HYxGFLzQ/viewform?usp=embed_facebook. Accessed April 18, 2020. 4. The Match, National Resident Matching Program. Main residency Match data and reports. https://www.nrmp.org/main-residency-match-data. Accessed May 15, 2020. 5. American Academy of Dermatology. Dermatologists can use telemedicine during COVID-19 outbreak. https://www.aad.org/member/practice/telederm/toolkit. Accessed April 29, 2020. 6. Rieder EA, Mu EW, Wang J, et al. Dermatologist practices during total body skin examinations: a survey study. J Drugs Dermatol 2018;17:516–520. 7. Hazan E, Torbeck R, Wang JV, et al. Patient falls in Mohs surgery practices: a survey of American College of Mohs Surgery members. Dermatol Surg 2019;45:1102–1104. 8. Campbell RM, Perlis CS, Malik MK, et al. Characteristics of Mohs practices in the United States: a recall survey of ACMS surgeons. Dermatol Surg 2007;33:1413–1418.