Knowledge, Attitudes, and Practices Towards COVID-19 Among Pediatric Residents in NYC

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Submission ID :
ESPR195
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Abstract: :

Background: COVID-19 was declared a pandemic by the World Health Organization in March 2020. NYC emerged as the first US epicenter at start of the pandemic. Pediatric residents were challenged with caring for their patients, protecting themselves and their families, taking on unfamiliar roles when reassigned, and treating multisystem inflammatory syndrome in children (MIS-C). There are no studies of knowledge (K), attitudes (A), and practices (P) towards COVID-19 among pediatric residents in NYC six months into the pandemic.

Objective: To explore K, A, and P towards COVID-19 among pediatric residents in NYC.

Design/Methods: Online SurveyMonkey questionnaires were emailed to pediatric residents in NYC from October to November 2020. The questionnaire included demographics, K according to the Centers for Disease Control and Prevention, A, and P questions. Descriptive statistics were calculated using SurveyMonkey.

Results: Of 579 invitations sent, 109 responded (19%). Almost three quarters (72%) were female, about equally divided among three levels of training (PGY-1 30%, PGY-2 31%, PGY-3 34%), 76% international medical graduates, and majority in non-university based programs (81%). Known COVID-19 symptoms were correctly identified except for rash incorrectly in 41% and not knowing inability to wake or stay awake as a known emergency warning sign in 44%. Preventive measures such as correct social distancing (78%), covering cough or sneeze with tissue and discarding tissue (62%), and proper hand washing (48%) were not known by all. Correct K of MIS-C case definition included age (71%), positivity (20%) or exposure (46%), and symptoms of abdominal pain incorrectly in 43% and headache incorrectly in 23%. Biggest challenges were lack of personal protective equipment (PPE) in 51% and lack of confidence when reassigned in 62%. Some hands on training (84%) would have prepared residents better. Two thirds (66%) were not given proper PPE, more than half (54%) followed proper donning and doffing, and about a fifth (18%) always changed out of their scrubs after their shift. Perspective on continuing medical training was negatively affected in about a fifth (19%). 

Conclusions: Pediatric residents in NYC have better K on COVID-19 and MIS-C than on preventive measures for themselves. Majority of residents agreed that the challenges of the pandemic did not negatively affect their perspective on continuing their medical training.

Flushing Hospital Medical Center
Flushing Hospital Medical Center
Flushing Hospital Medical Center
Northwestern University
Jamaica Hospital Medical Center
Flushing Hospital Medical Center

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