How Strong Is the Duty to Treat in a Pandemic? Ethics in Practice: Point‐Counterpoint

Redmann, Andrew J.; Manning, Amy; Kennedy, Aimee A.; Greinwald, John H.; deAlarcón, Alessandro

doi:10.1177/0194599820930246

Cited by 7 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While this review focuses on resident burnout before the COVID‐19 pandemic, the urgency to address burnout has increased. The pandemic has exacerbated psychological burdens, moral injury, and distress experienced by trainees due to viral exposure risk, resource shortages, providing care outside their normal practice, and so on 74–76 . Future efforts to examine effects of the pandemic on providers’ well‐being are imperative.…”

Section: Discussionmentioning

confidence: 99%

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To perform a literature review on burnout prevalence, factors that affect burnout and well-being, and solutions to address burnout in otolaryngology–head and neck surgery (OTO-HNS) residents and residents in other surgical specialties. Data Sources Ovid Medline, Embase, and article reference lists. Review Methods A literature search was performed to identify articles on resident burnout, distress, wellness, well-being, and quality of life. Articles deemed outside the scope of the current work were excluded. Search was limited to the past 5 years. Conclusions Moderate to high burnout has been reported in 35% to 86% of OTO-HNS residents. Among other surgical specialties, resident burnout ranges between 58% and 66% in plastics, 11% and 67% in neurosurgery, 38% and 68% in urology, and 31% and 56% in orthopedics. Highest burnout rates were seen in postgraduate year 2 residents. Factors significantly associated with burnout included hours worked (>80 h/wk), level of autonomy, exercise, and program support. Reported resident work hours have steadily increased: 8% of OTO-HNS residents in 2005 vs 26% in 2019 reported averaging >80 h/wk. Practical implications of resident burnout include decreased empathy, moral distress and injury, poor health, decreased quality of life, increased attrition, decreased desire to pursue fellowship, and increased likelihood of medical errors. Structured mentorship programs, wellness initiatives, and increased ancillary support have been associated with lower burnout rates and improvements in resident well-being across specialties. Implications for Practice Addressing burnout, which is prevalent in OTO-HNS residents, is critical to improving patient care and physician well-being. Surgical specialties can share strategies to effectively address resident burnout through institutional interventions, which can be essential quality improvement initiatives, to promote well-being.

show abstract

Section: Discussionmentioning

confidence: 99%

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…On the other hand, requiring physicians to work beyond their profession is challenging them to abandon their primary duty (Redmann et al, 2020). As a result, healthcare agencies should make every effort to alleviate the burden and stress involved with such transitions (Department of Health, Government of Ireland, 2020)…”

Section: Logistic Regression Analysis Of the Factors Affecting Sectio...mentioning

confidence: 99%

Medicolegal Liability and Telemedicine Practice during COVID-19 Pandemic: Egyptian Physicians' Perspectives

Anwar

Mostafa²,

Shehata³

et al. 2023

Zagazig Journal of Forensic Medicine

View full text Add to dashboard Cite

Introduction:During COVID-19 pandemic, physicians faced diverse medicolegal dilemmas, and they found themselves increasingly involved in the practice of telemedicine; which by itself entails many ethical and medicolegal concerns. Aim of work: To ameliorate medicolegal and ethical challenges during future pandemics through the assessment of the perception/attitude of Egyptian physicians towards the medicolegal liability of practicing medicine during the COVID-19 pandemic and exploring their perception/attitude & practice of telemedicine during COVID-19 pandemic. Participants & methods: We conducted an online survey among 385 Egyptian physicians of variable specialties; which focused on two challenging issues; 1) medicolegal liability of medical practice during the pandemic, and 2) telemedicine. Results: Our results showed that 62 % believed that physicians should be given legal protections in the form of a total exemption from medico-legal liability during COVID-19 pandemic. In addition, 77% agreed that sharing patients' data on social media may subject them to legal risk. About 63% practiced telemedicine during the pandemic; where 58% declared that it subjects physicians to medicolegal liability in case of malpractice, 57% approved requiring a specific license and 76% approved requiring training, while 37% believed that telemedicine practice doesn't require informed consent. There was a positive moderate correlation between total score of both sections of our questionnaire. Logistic regression models showed that regarding physicians' opinions about telemedicine; their specialty and working in COVID-19 triage were statistically significant predictors. Conclusion: Our study concluded that most of the participating Egyptian physicians had medicolegal and ethical concerns during the COVID-19 pandemic. This draws attention to the need to propose reform plans to address such challenges during future possible pandemics, not only on a national level but also globally.

show abstract

“…The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on the paediatric population has been generally benign, contrary to the significant morbidity and mortality observed in the adult population that overwhelmed the Spanish health care system in Spring 2020 1 , 2 . During this first wave of the pandemic, the activity of paediatricians changed not only in terms of the care delivered to the paediatric population, but also in that they had to manage adult patients with illness of varying severity 3 , 4 .…”

mentioning

confidence: 99%

Role of the pediatric emergency department during SARS-CoV-2 pandemic

Cotanda¹,

Lozón²,

García³

2022

Anales de Pediatría (English Edition)

View full text Add to dashboard Cite

How Strong Is the Duty to Treat in a Pandemic? Ethics in Practice: Point‐Counterpoint

Cited by 7 publications

References 9 publications

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Medicolegal Liability and Telemedicine Practice during COVID-19 Pandemic: Egyptian Physicians' Perspectives

Role of the pediatric emergency department during SARS-CoV-2 pandemic

Contact Info

Product

Resources

About