1887
Volume 2021, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

The coronavirus disease-2019 (COVID-19) pandemic has imposed an unprecedented strain on healthcare systems worldwide. In response, psychiatrist trainees were redeployed from their training sites to help manage patients with COVID-19. This study aimed to examine the attitude of psychiatrist trainees toward redeployment to COVID-19 sites and their perceived preparedness for managing physical health conditions during redeployment. A cross-sectional researcher-developed online survey was administered among psychiatrist trainees in May 2020 at the Department of Psychiatry, Hamad Medical Corporation, Qatar. Of the 45 psychiatrist trainees, 40 (88.9%) responded to the survey. Most trainees reported being comfortable dealing with chronic medical conditions, but less so with acute life-threatening medical conditions. Half reported feeling anxious about redeployment, and most felt the need for additional training. We found that trainees’ perceived redeployment preparedness was significantly associated with their level of postgraduate training and the time since and duration of their last medical or surgical training. Adequate preparation and training of psychiatrist trainees is important before redeployment to COVID-19 sites to ensure that they can effectively and safely manage patients with COVID-19.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2021.64
2021-10-28
2024-03-28
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2021/3/qmj.2021.64.html?itemId=/content/journals/10.5339/qmj.2021.64&mimeType=html&fmt=ahah

References

  1. Worldometer. COVID live Update 2021 [cited Jul 9 2021]. Available from: https://www.worldometers.info/coronavirus/?utm_campaign = homeAdUOA?Si .
    [Google Scholar]
  2. Greer SL, King EJ, da Fonseca EM, Peralta-Santos A. The comparative politics of COVID-19: the need to understand government responses. Glob Public Health. 2020; 15:(9):1413–6. doi: 10.1080/17441692.2020.1783340, PMID 32564670.
    [Google Scholar]
  3. Rozanova L, Temerev A, Flahault A. Comparing the scope and efficacy of COVID-19 response strategies in 16 countries: an overview. Int J Environ Res Public Health. 2020; 17:(24). doi: 10.3390/ijerph17249421, PMID 33339119.
    [Google Scholar]
  4. Yoo JY, Dutra SVO, Fanfan D, Sniffen S, Wang H, Siddiqui J, Song HS, Bang SH, Kim DE, Kim S, Groer M. Comparative analysis of COVID-19 guidelines from six countries: a qualitative study on the US, China, South Korea, the UK, Brazil, and Haiti. BMC Public Health. 2020; 20:(1):1853. doi: 10.1186/s12889-020-09924-7, PMID 33272250.
    [Google Scholar]
  5. Falah Hasan HF. Legal and health response to COVID-19 in the Arab countries. Risk Manag Healthc Policy. 2021;14:1141–54. doi: 10.2147/RMHP.S297565, PMID 33758566.
    [Google Scholar]
  6. Bank TW. GDP per capita GDP per capita (current US$) - Qatar 2020. World Development Indicators; 2020 [cited Jul 9 2021]. Available from: https://data.worldbank.org/indicator/NY.GDP.PCAP.CD?locations = QA .
    [Google Scholar]
  7. Wadoo O, Latoo J, Reagu SM, Amro RAA, Masoodi NA, Alabdulla M. Mental health during COVID-19 in Qatar. Gen Psychiatr. 2020; 33:(6):e100313. doi: 10.1136/gpsych-2020-100313, PMID 33195990.
    [Google Scholar]
  8. Villarin JM, Gao YN, McCann RF. Frontline redeployment of psychiatry residents during the COVID-19 pandemic. Psychiatr Serv. 2020; 71:(11):1207. doi: 10.1176/appi.ps.72304, PMID 33019860.
    [Google Scholar]
  9. Gallagher TH, Schleyer AM. ’We Signed Up for This!’ - student and trainee responses to the Covid-19 pandemic. N Engl J Med. 2020; 382:(25):e96. doi: 10.1056/NEJMp2005234, PMID 32268020.
    [Google Scholar]
  10. Payne A, Essem J. Management of patients’ physical health in an acute psychiatric unit. Ir J Psychol Med. 2008; 25:(4):127–30. doi: 10.1017/S079096670001123X, PMID 30282249.
    [Google Scholar]
  11. Robinson L. Are psychiatrists real doctors? A survey of the medical experience and training of psychiatry trainees in the west of Scotland. Psychiatr Bull. 2005; 29:(2):62–4. doi: 10.1192/pb.29.2.62 .
    [Google Scholar]
  12. Education ACfGM. ACGME program requirements for graduate medical education in psychiatry 2021 [cited Jul 9 2021]. Available from: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/400_Psychiatry_2021.pdf?ver = 2021-06-15-161510-003 .
    [Google Scholar]
  13. Dufourq N, Nicole Goldstein L, Botha M. Competence in performing emergency skills: how good do doctors really think they are? Afr J Emerg Med. 2017; 7:(4):151–6. doi: 10.1016/j.afjem.2017.05.011, PMID 30456130.
    [Google Scholar]
  14. ACGME-I) ail. List of programs by Specialty 2021 [cited Aug 20 2021]. Available from: https://apps.acgme.org/ads/Public/INTL/Reports/Report/1 .
    [Google Scholar]
  15. Iyanobor AI. Medical emergency training for psychiatric healthcare staff; 2019.
    [Google Scholar]
  16. Dick ML, Schluter P, Johnston C, Coulthard M. GPs’ perceived competence and comfort in managing medical emergencies in southeast Queensland. Aust Fam Physician. 2002; 31:(9):870–5. PMID 12402710.
    [Google Scholar]
  17. Bland JM, Altman DG. Cronbach's alpha. BMJ. 1997; 314:(7080):572. doi: 10.1136/bmj.314.7080.572, PMID 9055718.
    [Google Scholar]
  18. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53–5. doi: 10.5116/ijme.4dfb.8dfd, PMID 28029643.
    [Google Scholar]
  19. McNaughton G, Hall DJ, Stark C. Resuscitation skills and doctors working in psychiatry. Psychiatr Bull. 1994; 18:(7):403–4. doi: 10.1192/pb.18.7.403 .
    [Google Scholar]
  20. Winston T, Drybala G. Improving resuscitation skills in psychiatric hospitals: A multidimensional problem. Psychiatr Bull. 1997; 21:(9):557–60. doi: 10.1192/pb.21.9.557 .
    [Google Scholar]
  21. Kosky N, Spearpoint K. Resuscitation skills of psychiatry trainees: A suitable case for treatment? Psychiatr Bull. 1993; 17:(8):489–91. doi: 10.1192/pb.17.8.489 .
    [Google Scholar]
  22. Bhargava S, Sarkar R. Impact of COVID-19 pandemic on dermatology practice in India. Indian Dermatol Online J. 2020; 11:(5):712–9. doi: 10.4103/idoj.IDOJ_240_20, PMID 33235835.
    [Google Scholar]
  23. Lim C, De Silva I, Moussa G, Islam T, Osman L, Malick H, Deol S, Youssef M, Farrag A, Ashraf R, Burgula S, Thompson J. Redeployment of ophthalmologists in the United Kingdom during the coronavirus Disease Pandemic. Eur J Ophthalmol. 2020:1120672120953339-. doi: 10.1177/1120672120953339, PMID 32854520.
    [Google Scholar]
  24. Rosenberg JB, Nair A, Jin S, Avila S, Polla DJ, Miller CG, Chen M, Sharfi D, Lidder A, Sobol EK, Adams C, Khundkar T, Engelhard S, Chen RWS, Reddy HS [editorial]. Editorial: Perspectives from the front lines of COVID-19: New York City ophthalmology resident narratives. Curr Opin Ophthalmol. 2020; 31:(5):386–8. doi: 10.1097/ICU.0000000000000686, PMID 32694269.
    [Google Scholar]
  25. Brogan K, Lockington D. Educational concerns and anxiety levels amongst ophthalmology trainees during the COVID-19 pandemic. Eye News 2020; 27:(1):1–8.
    [Google Scholar]
  26. Lion P, McClenaghan F, Hall A, Mackinnon S, Navaratnam AV. ENT trainees’ experience of redeployment during the coronavirus disease 2019 pandemic: a qualitative study. J Laryngol Otol. 2021; 135:(5):391-5. doi: 10.1017/S0022215121000840, PMID 33734060.
    [Google Scholar]
  27. Cai Y, Gulati A, Jiam NT, Wai KC, Shuman EA, Pletcher SD, Durr ML, Chang JL. Evolving otolaryngology resident roles and concerns at the peak of the US COVID-19 pandemic. Head Neck. 2020; 42:(12):3712–9. doi: 10.1002/hed.26438, PMID 32926482.
    [Google Scholar]
  28. Veerasuri S, Vekeria M, Davies SE, Graham R, Rodrigues JCL. Impact of COVID-19 on UK radiology training: a questionnaire study. Clin Radiol. 2020; 75:(11):877.e7–877.e14. doi: 10.1016/j.crad.2020.07.022, PMID 32847684.
    [Google Scholar]
  29. ACGME-I) ail. Adv Spec Program Requirements Grad Med Educ Psychiatry. 2016.
    [Google Scholar]
  30. O'Donnell M, Pradeep V, Dunne CP, Meagher D, Kelly BD, Gulati G. Psychiatrists and physical health competencies: a cross-sectional survey. Ir J Psychol Med. 2021:1–3.
    [Google Scholar]
  31. Greenstone H, Burlingham A. Where's that stethoscope? A survey of psychiatrists’ attitudes to their role in managing physical health. JMHTEP. 2020; 15:(3):141–55. doi: JMHTEP-10-2019-0056 .
    [Google Scholar]
  32. Claudio F, Aalamian A, Cummings BA, Hannouche M, Zanelli P, Tourian L. Residency redeployment during a pandemic: lessons for balancing service and learning. Can Med Educ J. 2020; 11:(5):e132–3. doi: 10.36834/cmej.70267, PMID 33062109.
    [Google Scholar]
  33. Abdessater M, Rouprêt M, Misrai V, Pinar U, Matillon X, Gondran-Tellier B, Freton L, Vallée M, Dominique I, Felber M, Khene ZE, Fortier E, Lannes F, Michiels C, Grevez T, Szabla N, Bardet F, Kaulanjan K, Seizilles de Mazancourt E, Ploussard G, Pradere B. COVID-19 outbreak situation and its psychological impact among surgeons in training in France. World J Urol. 2021; 39:(3):971–2. doi: 10.1007/s00345-020-03207-x, PMID 32333109.
    [Google Scholar]
  34. Dyer GSM, Lipa SA. What's important: COVID-19-Helpers, not heroes. J Bone Joint Surg Am. 2020; 102:(12):1032–3. doi: 10.2106/JBJS.20.00601, PMID 32341312.
    [Google Scholar]
  35. Sarpong NO, Forrester LA, Levine WN. What's important: redeployment of the orthopaedic surgeon during the COVID-19 pandemic: perspectives from the trenches. J Bone Joint Surg Am. 2020; 102:(12):1019–21. doi: 10.2106/JBJS.20.00574, PMID 32287087.
    [Google Scholar]
  36. Wong CS, Tay WC, Hap XFD, Chia FL. Love in the time of coronavirus: training and service during COVID-19. Singapore Med J. 2020; 61:(7):384–6. doi: 10.11622/smedj.2020053, PMID 32283886.
    [Google Scholar]
  37. Saibene AM, Allevi F, Biglioli F, Felisati G. Role and management of a head and neck department during the COVID-19 outbreak in Lombardy. Otolaryngol Head Neck Surg. 2020; 162:(6):795–6. doi: 10.1177/0194599820917914, PMID 32255735.
    [Google Scholar]
  38. Shalev D, Nakagawa S, Stroeh OM, Arbuckle MR, Rendleman R, Blinderman CD, Shapiro PA. The creation of a psychiatry-palliative care liaison team: using psychiatrists to extend palliative care delivery and access during the COVID-19 crisis. J Pain Symptom Manage. 2020; 60:(3):e12–6. doi: 10.1016/j.jpainsymman.2020.06.009, PMID 32544648.
    [Google Scholar]
  39. Schwarzkopf R, Maher NA, Slover JD, Strauss EJ, Bosco JA, Zuckerman JD. The response of an orthopedic department and specialty hospital at the epicenter of a pandemic: the NYU Langone Health experience. J Arthroplasty. 2020; 35:(7S):S3–5. doi: 10.1016/j.arth.2020.04.041, PMID 32376169.
    [Google Scholar]
  40. World health organization. Mental health and psychosocial support during COVID-19 2020 [cited Jul 9 2021]. Available from: http://www.emro.who.int/mnh/publications/mental-health-support-during-covid-19.html .
    [Google Scholar]
  41. Karim MA, Wadoo O, Reagu SM, Amro R, Abdulla MA. Telepsychiatry in the Arabian Gulf region - Implications beyond the Covid-19 pandemic. Asian J Psychiatr. 2020;54:102397-.
    [Google Scholar]
  42. Hall H. The effect of the COVID-19 pandemic on healthcare workers’ mental health. JAAPA. 2020; 33:(7):45–8. doi: 10.1097/01.JAA.0000669772.78848.8c, PMID 32590533.
    [Google Scholar]
  43. Sykes A, Pandit M. Experiences, challenges and lessons learnt in medical staff redeployment during response to COVID-19. leader. 2021:leader-2020-000313;5(2):98–101. doi: 10.1136/leader-2020-000313 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2021.64
Loading
/content/journals/10.5339/qmj.2021.64
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error