Evolving Otolaryngology Resident Roles and Concerns at the Peak of the US COVID-19 Pandemic

Head Neck. 2020 Dec;42(12):3712-3719. doi: 10.1002/hed.26438. Epub 2020 Sep 14.

Abstract

Background: The roles of US otolaryngology residents have changed in response to the coronavirus disease 2019 (COVID-19) pandemic. As the pandemic peaked in the United States, we characterized resident activities and concerns.

Methods: A cross-sectional study of US otolaryngology residents between April 20, 2020 and May 2, 2020.

Results: A total of 219 residents at 65/118 (55%) institutions responded. Thirty (14%) residents had been redeployed. Residents reported greatest concerns regarding education (P < .00001). Assuming adequate protective equipment, 55% desired active participation in high-risk procedures on COVID-19-positive patients. Redeployed residents had greater concern for burnout and reduced in-hospital well-being (P < .05). Resident satisfaction correlated with comfort communicating concerns to their department (odds ratio [OR] = 4.9, 95% confidence interval [CI] 1.4-17.3, P = .01) and inversely correlated with low perceived meaning in work (OR = 3.1, CI 1.1-9.1, P = .03).

Conclusion: Otolaryngology resident concerns have evolved as the pandemic progressed. Residency programs should prioritize resident education, well-being in redeployed residents, and open communication as they transition toward recovery.

Keywords: COVID-19; education; otolaryngology; redeployment; residency.

MeSH terms

  • Attitude of Health Personnel*
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / transmission
  • Cross-Sectional Studies
  • Humans
  • Infection Control
  • Internship and Residency*
  • Job Satisfaction
  • Otolaryngology / education*
  • Pandemics / prevention & control*
  • Personal Protective Equipment
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • Pneumonia, Viral / transmission
  • SARS-CoV-2
  • Surveys and Questionnaires
  • United States