key: cord-0829768-644q27o4
authors: Robertson, Jake C.; Woodfin, Michael; Bonomo, Lauren; Feng, Shu; Shinohara, Michi M.
title: The impact of the COVID‐19 pandemic on US dermatology resident training and wellness
date: 2021-04-26
journal: Int J Dermatol
DOI: 10.1111/ijd.15572
sha: 082b68e23ae21d13eb223c8ab093143f5a3c0a60
doc_id: 829768
cord_uid: 644q27o4

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were assessed using the Maslach Burnout Inventory two-item survey (MBI-2), 3 the Patient Health Questionnaire 2 (PHQ-2), 4 and the Generalized Anxiety Disorder 2-item screen (GAD-2), 5 respectively. The study was reviewed by the University of Washington Human Subjects Division (Seattle, WA) and determined to be exempt from review by the institutional review board (STUDY00010667).

Of 144 active United States' dermatology residencies, 52 (36%) confirmed distribution of the survey to 597 residents. Of these residents, 169 (28%) completed the survey. Six respondents who were not currently in PGY-2 to PGY-4 were excluded from analysis. Demographics and pertinent survey data of the cohort are summarized in Table 1 .

Of the 163 residents who responded, 37 (23%) screened positive for burnout. Seven percent (12/163) screened positive for depression, and 18% (29/163) screened positive for generalized anxiety. A significant proportion (44%) of residents exposed to COVID-19-positive patients reported not having adequate personal protective equipment (PPE). Most residents who participated in this study were concerned that COVID-19 will make it more difficult to find a job and that their procedural and clinical skills will be negatively impacted beyond residency.

Factors affecting residents' burnout, depression, and anxiety are listed in Table 2 Table 2 Heat map of factors affecting burnout, anxiety, and depression 

Impact of COVID-19 pandemic on medical postgraduate training in the United States

Orthopaedic education during the COVID-19 pandemic

Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals

The patient health questionnaire-2: validity of a two-item depression screener

Anxiety disorders in primary care: prevalence, annals of internal medicine anxiety disorders in primary care: prevalence, impairment

Conflict of interest: None.