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Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee.
J Allergy Clin Immunol Pract. 2021 01; 9(1):1-6.e1.JA

Abstract

As a result of the coronavirus disease 2019 (COVID-19) global pandemic, medical trainees have faced unique challenges and uncertainties. To capture the experiences of allergy and immunology fellows throughout the United States and Canada during this time, a 17-item electronic questionnaire was distributed to 380 fellow-in-training (FIT) members of the American Academy of Allergy, Asthma, and Immunology enrolled in US and Canadian allergy/immunology fellowship programs. Voluntary and anonymous responses were collected from April 15 to May 15, 2020. In addition to summary statistics, categorical data were compared using χ2 tests (Fisher's exact). Responses were obtained from FITs across all years of training and primary specialties (Internal Medicine, Pediatrics, and Medicine-Pediatrics) with a response rate of 32.6% (124 of 380). Reassignment to COVID-19 clinical responsibilities was reported by 12% (15 of 124) of FITs, with the largest proportion in the US northeast region. A majority of FITs used telehealth (95%) and virtual learning (82%) during the pandemic. Overall, 21% (25 of 120) of FITs expressed concern about potentially lacking clinical experience for independently practicing allergy and immunology. However, FITs using telehealth reported lower concern compared with those who did not (18.4% [21 of 114] vs 66.7% [4 of 6]; P = .01). The survey shows that allergy and immunology trainee experiences have varied considerably since the COVID-19 outbreak. Notably, the adoption of telehealth and virtual learning was commonly reported, and optimization of these virtual experiences will be helpful. Even outside of pandemics, training on the use of telemedicine may be a sound strategy in preparation for future health care delivery and unexpected events.

Authors+Show Affiliations

Division of Allergy and Immunology, Department of Otolaryngology, The Ohio State University College of Medicine, Columbus, Ohio; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.Department of Pediatrics, Columbia University Irving Medical Center, New York, NY. Electronic address: deeptidesh22@gmail.com.Department of Allergy and Immunology, Springfield Clinic, Springfield, Ill.Division of Basic and Clinical Immunology, Department of Medicine, University of California, Irvine, Orange, Calif.Division of Allergy, Asthma, and Immunology, Scripps Health, San Diego, Calif.Department of Medicine, Pediatrics and Biomedical Sciences, Penn State University, Hershey, Pa.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33144147

Citation

Kahwash, Basil M., et al. "Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee." The Journal of Allergy and Clinical Immunology. in Practice, vol. 9, no. 1, 2021, pp. 1-6.e1.
Kahwash BM, Deshpande DR, Guo C, et al. Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee. J Allergy Clin Immunol Pract. 2021;9(1):1-6.e1.
Kahwash, B. M., Deshpande, D. R., Guo, C., Panganiban, C. M., Wangberg, H., & Craig, T. J. (2021). Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee. The Journal of Allergy and Clinical Immunology. in Practice, 9(1), 1-e1. https://doi.org/10.1016/j.jaip.2020.09.036
Kahwash BM, et al. Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee. J Allergy Clin Immunol Pract. 2021;9(1):1-6.e1. PubMed PMID: 33144147.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Allergy/Immunology Trainee Experiences During the COVID-19 Pandemic: AAAAI Work Group Report of the Fellows-in-Training Committee. AU - Kahwash,Basil M, AU - Deshpande,Deepti R, AU - Guo,Canting, AU - Panganiban,Christine M, AU - Wangberg,Hannah, AU - Craig,Timothy J, Y1 - 2020/11/02/ PY - 2020/09/24/received PY - 2020/09/26/accepted PY - 2020/11/5/pubmed PY - 2021/2/2/medline PY - 2020/11/4/entrez KW - Allergy and immunology KW - COVID-19 KW - Education KW - Fellows-in-training KW - Survey KW - Telehealth KW - Telemedicine KW - Trainee KW - Virtual learning SP - 1 EP - 6.e1 JF - The journal of allergy and clinical immunology. In practice JO - J Allergy Clin Immunol Pract VL - 9 IS - 1 N2 - As a result of the coronavirus disease 2019 (COVID-19) global pandemic, medical trainees have faced unique challenges and uncertainties. To capture the experiences of allergy and immunology fellows throughout the United States and Canada during this time, a 17-item electronic questionnaire was distributed to 380 fellow-in-training (FIT) members of the American Academy of Allergy, Asthma, and Immunology enrolled in US and Canadian allergy/immunology fellowship programs. Voluntary and anonymous responses were collected from April 15 to May 15, 2020. In addition to summary statistics, categorical data were compared using χ2 tests (Fisher's exact). Responses were obtained from FITs across all years of training and primary specialties (Internal Medicine, Pediatrics, and Medicine-Pediatrics) with a response rate of 32.6% (124 of 380). Reassignment to COVID-19 clinical responsibilities was reported by 12% (15 of 124) of FITs, with the largest proportion in the US northeast region. A majority of FITs used telehealth (95%) and virtual learning (82%) during the pandemic. Overall, 21% (25 of 120) of FITs expressed concern about potentially lacking clinical experience for independently practicing allergy and immunology. However, FITs using telehealth reported lower concern compared with those who did not (18.4% [21 of 114] vs 66.7% [4 of 6]; P = .01). The survey shows that allergy and immunology trainee experiences have varied considerably since the COVID-19 outbreak. Notably, the adoption of telehealth and virtual learning was commonly reported, and optimization of these virtual experiences will be helpful. Even outside of pandemics, training on the use of telemedicine may be a sound strategy in preparation for future health care delivery and unexpected events. SN - 2213-2201 UR - https://www.unboundmedicine.com/medline/citation/33144147/Allergy/Immunology_Trainee_Experiences_During_the_COVID_19_Pandemic:_AAAAI_Work_Group_Report_of_the_Fellows_in_Training_Committee_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2213-2198(20)31085-0 DB - PRIME DP - Unbound Medicine ER -