Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, New York, USA.
Department of Ophthalmology, New York University School of Medicine, New York University Langone Health, New York, New York, USA.
J Clin Invest. 2020 Sep 1;130(9):4726-4733. doi: 10.1172/JCI139587.
BACKGROUNDFrom March 2, 2020, to April 12, 2020, New York City (NYC) experienced exponential growth of the COVID-19 pandemic due to novel coronavirus (SARS-CoV-2). Little is known regarding how physicians have been affected. We aimed to characterize the COVID-19 impact on NYC resident physicians.METHODSIRB-exempt and expedited cross-sectional analysis through survey to NYC residency program directors April 3-12, 2020, encompassing events from March 2, 2020, to April 12, 2020.RESULTSFrom an estimated 340 residency programs around NYC, recruitment yielded 91 responses, representing 24 specialties and 2306 residents. In 45.1% of programs, at least 1 resident with confirmed COVID-19 was reported. One hundred one resident physicians were confirmed COVID-19-positive, with an additional 163 residents presumed positive for COVID-19 based on symptoms but awaiting or unable to obtain testing. Two COVID-19-positive residents were hospitalized, with 1 in intensive care. Among specialties with more than 100 residents represented, negative binomial regression indicated that infection risk differed by specialty (P = 0.039). In 80% of programs, quarantining a resident was reported. Ninety of 91 programs reported reuse or extended mask use, and 43 programs reported that personal protective equipment (PPE) was suboptimal. Sixty-five programs (74.7%) redeployed residents elsewhere to support COVID-19 efforts.CONCLUSIONMany resident physicians around NYC have been affected by COVID-19 through direct infection, quarantine, or redeployment. Lack of access to testing and concern regarding suboptimal PPE are common among residency programs. Infection risk may differ by specialty.FUNDINGNational Eye Institute Core Grant P30EY019007; Research to Prevent Blindness Unrestricted Grant; Parker Family Chair; University of Pennsylvania.
背景
自 2020 年 3 月 2 日至 4 月 12 日，由于新型冠状病毒（SARS-CoV-2），纽约市（NYC）的 COVID-19 疫情呈指数级增长。对于医生的影响，我们知之甚少。我们旨在描述 COVID-19 对 NYC 住院医师的影响。
方法
2020 年 4 月 3 日至 12 日，通过对 NYC 住院医师培训项目主任进行调查，进行了豁免和加速的横断面分析，涵盖了 2020 年 3 月 2 日至 4 月 12 日的事件。
结果
在纽约市周围估计的 340 个住院医师培训项目中，通过招募共获得了 91 份回复，代表了 24 个专业和 2306 名住院医师。在 45.1%的项目中，报告了至少 1 名确诊 COVID-19 的住院医师。有 101 名住院医师被确诊为 COVID-19 阳性，另外还有 163 名住院医师因症状而被推测为 COVID-19 阳性，但正在等待或无法获得检测。有 2 名 COVID-19 阳性住院医师住院，其中 1 人在重症监护室。在所代表的 24 个专业中，有 100 名以上住院医师的专业，负二项回归表明感染风险因专业而异（P=0.039）。在 80%的项目中，报告对住院医师进行了隔离。91 个项目中有 90 个报告了重复使用或延长口罩使用，43 个项目报告个人防护设备（PPE）不足。为了支持 COVID-19 工作，65 个项目（74.7%）重新调配了住院医师。
结论
纽约市周围的许多住院医师通过直接感染、隔离或重新调配受到了 COVID-19 的影响。住院医师培训项目中普遍存在无法获得检测和对个人防护设备不足的担忧。感染风险可能因专业而异。
资金
美国国家眼科研究所核心赠款 P30EY019007；研究预防失明无限制赠款；帕克家族主席；宾夕法尼亚大学。
