Evidence map›Paper›PMID 37634240›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2023

Before and During the First COVID-19 Surge: Work Conditions, Burnout, and Mental Health Among Resident Physicians in a Department of Psychiatry in the USA.

Alpna Agrawal, Kazandra De La Torre, Conisha Cooper, Jeremy Flores, Karen Miotto, Kenneth Wells, Elizabeth Bromley, Elizabeth M Yano, Jonathan Heldt, Enrico G Castillo and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Patterns and Correlates of Utilization of Mental Health Services, Distress, and Flourishing Among Academic Medical Trainees and Faculty Throughout the COVID Pandemic and Beyond.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
  3. Comment on "Before and During the First COVID-19 Surge: Work Conditions, Burnout, and Mental Health Among Resident Physicians in a Department of Psychiatry in the USA".Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Alpna AgrawalGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA. aagrawal@mednet.ucla.edu.ORCID http://orcid.org/0000-0003-2429-3525
Kazandra De La TorreVA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Conisha CooperGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Jeremy FloresGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Karen MiottoGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Kenneth WellsGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Elizabeth BromleyGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Elizabeth M YanoGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Jonathan HeldtGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Enrico G CastilloGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
Katrina DeBonisGeffen School of Medicine at University of California, Los Angeles Medical Center, Los Angeles, CA, USA.
University of California, Los Angeles · USVA Greater Los Angeles Healthcare System · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Jail-to-Homelessness Pipeline and Serious Mental IllnessK23MH125201 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CASTILLO, ENRICO GUANZON · 2021 to 2024
$770k
NCATS NIH HHS UL1 TR001881NIMH NIH HHS K23 MH125201
6 · The paper itself

Abstract

objectiveResident physicians are critical frontline workers during pandemics, and little is known about their health. The study examined occupational and mental health risks among US psychiatry residents before and during the first COVID-19 surge.

methodsLongitudinal data were collected from a cohort of US psychiatry residents at one academic medical center in October 2019, before the pandemic, and April 2020 after the initiation of a state-level stay-at-home order. Primary outcome measures were psychological work empowerment, defined as one's self-efficacy towards their work role, and occupational burnout. A secondary outcome was mental health. In May and June 2020, resident engagement sessions were conducted to disseminate study findings and consider their implications.

resultsFifty-seven out of 59 eligible residents participated in the study (97%). Half the study sample reported high burnout. From before to during the first COVID-19 surge, psychological work empowerment increased in the total sample (p = 0.03); and mental health worsened among junior residents (p = 0.004), not senior residents (p = 0.12). High emotional exhaustion and depersonalization were associated with worse mental health (p < 0.001). In engagement sessions, themes related to residents' work conditions, COVID-19, and racism emerged as potential explanations for survey findings.

conclusionsThe study is exploratory and novel. During early COVID, psychiatry residents' well-being was impacted by occupational and societal factors. Postpandemic, there is a growing psychiatrist shortage and high demand for mental health services. The findings highlight the potential importance of physician wellness interventions focused on early career psychiatrists who were first responders during COVID.

Indexed as

Burnout, ProfessionalCOVID-19Internship and ResidencyPhysiciansPsychiatryBurnout, PsychologicalHumansMental HealthSurveys and QuestionnairesCOVID-19Occupational and mental health risksResident physicians

Identifiers

PMID37634240
PMCPMC10602943
OpenAlexW4386203026

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.