• Yi Cai, Arushi Gulati, Nicole T Jiam, Katherine C Wai, Elizabeth A Shuman, Steven D Pletcher, Megan L Durr, and Jolie L Chang.
• Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
• Head Neck. 2020 Dec 1; 42 (12): 3712-3719.

BackgroundThe roles of US otolaryngology residents have changed in response to the coronavirus disease 2019 (COVID-19) pandemic. As the pandemic peaked in the United States, we characterized resident activities and concerns.MethodsA cross-sectional study of US otolaryngology residents between April 20, 2020 and May 2, 2020.ResultsA total of 219 residents at 65/118 (55%) institutions responded. Thirty (14%) residents had been redeployed. Residents reported greatest concerns regarding education (P < .00001). Assuming adequate protective equipment, 55% desired active participation in high-risk procedures on COVID-19-positive patients. Redeployed residents had greater concern for burnout and reduced in-hospital well-being (P < .05). Resident satisfaction correlated with comfort communicating concerns to their department (odds ratio [OR] = 4.9, 95% confidence interval [CI] 1.4-17.3, P = .01) and inversely correlated with low perceived meaning in work (OR = 3.1, CI 1.1-9.1, P = .03).ConclusionOtolaryngology resident concerns have evolved as the pandemic progressed. Residency programs should prioritize resident education, well-being in redeployed residents, and open communication as they transition toward recovery.© 2020 Wiley Periodicals LLC.

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