PMID- 34807972
OWN - NLM
STAT- Publisher
LR  - 20240220
IS  - 2154-1671 (Electronic)
IS  - 2154-1671 (Linking)
DP  - 2021 Dec 1
TI  - COVID-19 Impact on Intern Exposure to Common Inpatient Diagnoses.
LID - hpeds.2021-006077 [pii]
LID - 10.1542/hpeds.2021-006077 [doi]
AB  - OBJECTIVE: We sought to understand the impact of the coronavirus disease 2019 
      (COVID-19) pandemic on the clinical exposure of pediatric interns to common 
      pediatric inpatient diagnoses. METHODS: We analyzed electronic medical record 
      data to compare intern clinical exposure during the COVID-19 pandemic from June 
      2020 through February 2021 with the same academic blocks from 2017 to 2020. We 
      attributed patients to each pediatric intern on the basis of notes written during 
      their pediatric hospital medicine rotation to compare intern exposures with 
      common inpatient diagnoses before and during the pandemic. We compared the median 
      number of notes written per intern per block overall, as well as for each common 
      inpatient diagnosis. RESULTS: Median counts of notes written per intern per block 
      were significantly reduced in the COVID-19 group compared with the pre-COVID-19 
      group (96 [interquartile range (IQR): 81-119)] vs 129 [IQR: 110-160]; P < .001). 
      Median intern notes per block was lower in the COVID-19 group for all months 
      except February 2021. Although the median number of notes for many common 
      inpatient diagnoses was significantly reduced, they were higher for mental health 
      (4 [IQR: 2-9] vs 2 [IQR: 1-6]; P < .001) and suicidality (4.5 [IQR: 2-8] vs 0 
      [IQR: 0-2]; P < .001). Median shifts worked per intern per block was also reduced 
      in the COVID-19 group (22 [IQR: 21-23] vs 23 [IQR: 22-24]; P < .001). 
      CONCLUSIONS: Our findings reveal a significant reduction in resident exposure to 
      many common inpatient pediatric diagnoses during the COVID-19 pandemic. Residency 
      programs and pediatric hospitalist educators should consider curricular 
      interventions to ensure adequate clinical exposure for residents affected by the 
      pandemic.
CI  - Copyright (c) 2021 by the American Academy of Pediatrics.
FAU - Yarahuan, Julia Whitlow
AU  - Yarahuan JW
AD  - Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College 
      of Medicine and Texas Children's Hospital, Houston, Texas.
FAU - Bass, Lanessa
AU  - Bass L
AD  - Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College 
      of Medicine and Texas Children's Hospital, Houston, Texas.
FAU - Hess, Lauren M
AU  - Hess LM
AD  - Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College 
      of Medicine and Texas Children's Hospital, Houston, Texas.
FAU - Singhal, Geeta
AU  - Singhal G
AD  - Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College 
      of Medicine and Texas Children's Hospital, Houston, Texas.
FAU - Lo, Huay-Ying
AU  - Lo HY
AD  - Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College 
      of Medicine and Texas Children's Hospital, Houston, Texas.
LA  - eng
PT  - Journal Article
DEP - 20211201
PL  - United States
TA  - Hosp Pediatr
JT  - Hospital pediatrics
JID - 101585349
SB  - IM
COIS- POTENTIAL CONFLICT OF INTEREST: All authors have indicated they have no potential 
      conflicts of interest to disclose.
EDAT- 2021/11/23 06:00
MHDA- 2021/11/23 06:00
CRDT- 2021/11/22 17:24
PHST- 2021/11/22 17:24 [entrez]
PHST- 2021/11/23 06:00 [pubmed]
PHST- 2021/11/23 06:00 [medline]
AID - 183375 [pii]
AID - 10.1542/hpeds.2021-006077 [doi]
PST - aheadofprint
SO  - Hosp Pediatr. 2021 Dec 1:hpeds.2021-006077. doi: 10.1542/hpeds.2021-006077.