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ENT trainees’ experience of redeployment during the coronavirus disease 2019 pandemic: a qualitative study

Published online by Cambridge University Press:  18 March 2021

P Lion*
Affiliation:
Department of ENT, Great Ormond Street Hospital, London, UK
F McClenaghan
Affiliation:
Department of ENT, Great Ormond Street Hospital, London, UK
A Hall
Affiliation:
Department of ENT, Cardiff and Vale University Health Board, Cardiff, Wales, UK
S Mackinnon
Affiliation:
Department of ENT, NHS England and NHS Improvement, London, UK
AV Navaratnam
Affiliation:
Department of ENT, Royal National ENT and Eastman Dental Hospitals, London, UK
*
Author for correspondence: Mr Peter Lion, Department of ENT, Great Ormond Street Hospital, Great Ormond Street, LondonWC1N 3JH, UK E-mail: peter.lion@nhs.net

Abstract

Background

As a response to the acute strain placed on the National Health Service during the first wave of coronavirus disease 2019 in the UK, a number of junior doctors including ENT trainees were redeployed to other clinical specialties. This presented these trainees with novel challenges and opportunities.

Methods

A qualitative study was performed to explore these experiences, undertaking semi-structured interviews with ENT trainees between 17th and 30th July. Participants were recruited through purposeful sampling. Interview transcripts underwent thematic analysis using Dedoose software.

Results

Seven ENT trainees were interviewed, ranging from specialty trainee years four to eight (‘ST4’ to ‘ST8’) in grade. Six core themes were identified: organisation of redeployment, utilisation of skill set, emotional impact of redeployment, redeployed team dynamics, concerns about safety and impact on training.

Conclusion

The ENT trainees’ experiences of redeployment described highlight some important lessons and considerations for future redeployments.

Type
Main Articles
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Mr P Lion takes responsibility for the integrity of the content of the paper

References

Aziz, S, Arabi, YM, Alhazzani, W, Evans, L, Citerio, G, Fischkoff, K et al. Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Med 2020;46:1303–25CrossRefGoogle ScholarPubMed
Basky, G. All hands on deck as cases of COVID-19 surge. CMAJ 2020;192:E415–16CrossRefGoogle ScholarPubMed
Thomson, E, Lovegrove, S. ‘Let us help’- why senior medical students are the next step in battling the COVID-19 pandemic. Int J Clin Pract 2020;74:e13516CrossRefGoogle ScholarPubMed
Kinnear, B, Kelleher, M, Olson, AP, Sall, D, Schumacher, DJ. Developing trust with early medical school graduates during the COVID-19 pandemic. J Hosp Med 2020;15:367–9CrossRefGoogle ScholarPubMed
Griffin, KM, Karas, MG, Ivascu, NS, Lief, L. Hospital preparedness for COVID-19: a practical guide from a critical care perspective. Am J Respir Crit Care Med 2020;201:1337–44CrossRefGoogle ScholarPubMed
Coughlan, C, Nafde, C, Khodatars, S, Jeanes, AL, Habib, S, Donaldson, E et al. COVID-19: lessons for junior doctors redeployed to critical care. Postgrad Med J 2021;97:188–91CrossRefGoogle ScholarPubMed
Caruana, EJ, Patel, A, Kendall, S, Rathinam, S. Impact of coronavirus 2019 (COVID-19) on training and well-being in subspecialty surgery: a national survey of cardiothoracic trainees in the United Kingdom. J Thorac Cardiovasc Surg 2020;160:980–7CrossRefGoogle ScholarPubMed
Dhar, SI. An otolaryngologist redeployed to a COVID-19 intensive care unit: lessons learned. Otolaryngol Head Neck Surg 2020;163:471–2CrossRefGoogle ScholarPubMed
Shipchandler, TZ, Nesemeier, BR, Schmalbach, CE, Ting, JY. Otolaryngologists’ role in redeployment during the COVID-19 pandemic: a commentary. Otolaryngol Head Neck Surg 2020;163:94–5CrossRefGoogle ScholarPubMed
Badhey, AK, Laitman, BM. If not us, who? And if not now, when?: Perspective from a COVID-19 intensive care unit run by otolaryngology residents. JAMA Otolaryngol Head Neck Surg 2020;146:997–8CrossRefGoogle ScholarPubMed
Lim, C, De Silva, I, Moussa, G, Islam, T, Osman, L, Malick, H et al. Redeployment of ophthalmologists in the United Kingdom during the coronavirus disease pandemic. Euro J Ophthalmol 2020. Epub 2020 Aug 27CrossRefGoogle ScholarPubMed
Faria, G, Tadros, BJ, Holmes, N, Virani, S, Reddy, GK, Dhinsa, BS et al. Redeployment of the trainee orthopaedic surgeon during COVID-19: a fish out of water? Acta Orthop 2020;91:650–3CrossRefGoogle ScholarPubMed
Punch, KF. Introduction to Social Research: Quantitative and Qualitative Approaches, 3rd edn. London: Sage Publications, 2013Google Scholar
Dunn, M, Sheehan, M, Hordern, J, Turnham, HL, Wilkinson, D. ‘Your country needs you’: the ethics of allocating staff to high-risk clinical roles in the management of patients with COVID-19. J Med Ethics 2020;46:436–40CrossRefGoogle ScholarPubMed
Vindrola-Padros, C, Andrews, L, Dowrick, A, Djellouli, N, Fillmore, H, Gonzalez, EB et al. Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK. BMJ Open 2020;10:e040503CrossRefGoogle ScholarPubMed
Royal College of Physicians. Statement Regarding Redeployment of Dual Trainees in ICM/EM/Medical Specialities. In: https://www.rcplondon.ac.uk/news/redeployment-dual-trainees-icm-em-medical-specialties [15 April 2020]Google Scholar
Weick, KE. Sensemaking in Organizations, Vol. 3. Thousand Oaks, CA: Sage Publications, 1995Google Scholar
Sun, N, Wei, L, Shi, S, Jiao, D, Song, R, Ma, L et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control 2020;48:592–8CrossRefGoogle ScholarPubMed
Payne, A, Rahman, R, Bullingham, R, Vamadeva, S, Alfa-Wali, M. Redeployment of surgical trainees to intensive care during the COVID-19 pandemic: evaluation of the impact on training and wellbeing. J Surg Educ 2020. Epub 2020 Sep 14Google ScholarPubMed
Maunder, RG, Lancee, WJ, Balderson, KE, Bennett, JP, Borgundvaag, B, Evans, S et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis 2006;12:1924–32CrossRefGoogle ScholarPubMed
General Medical Council. Joint Statement: Supporting Doctors in the Event of a Covid-19 Epidemic in the UK. In: https://www.gmc-uk.org/news/news-archive/supporting-doctors-in-the-event-of-a-covid19-epidemic-in-the-uk [11 March 2020]Google Scholar
Singh, SE, Parajuli, M, Ahmed, R, Singh, I. Lessons from Bawa-Garba and moving forward. Br J Hosp Med (Lond) 2018;79:484–5CrossRefGoogle ScholarPubMed
British Medical Association. Personal Impact of the Covid-19 Pandemic on Doctors' Wellbeing Revealed in Major BMA Survey. In: https://www.bma.org.uk/bma-media-centre/personal-impact-of-the-covid-19-pandemic-on-doctors-wellbeing-revealed-in-major-bma-survey [1 June 2020]Google Scholar
Simonds, AK, Sokol, DK. Lives on the line? Ethics and practicalities of duty of care in pandemics and disasters. Eur Respir J 2009;34:303–9CrossRefGoogle ScholarPubMed
Cox, CL. ‘Healthcare heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. J Med Ethics 2020;46:510–13CrossRefGoogle ScholarPubMed
General Medical Council. Supporting the COVID-19 Response: Guidance Regarding Medical Education and Training. In: https://www.gmc-uk.org/news/news-archive/guidance-regarding-medical-education-and-training-supporting-the-covid-19-response [11 March 2020]Google Scholar
Faderani, R, Monks, M, Peprah, D, Colori, A, Allen, L, Amphlett, A et al. Improving wellbeing among UK doctors redeployed during the COVID-19 pandemic. Future Healthc J 2020;7:e71–6CrossRefGoogle ScholarPubMed
Ghosh, S, Ahmed-Little, Y, Lesser, T. The implications of the European Working Time Directive in the medium and smaller sized craft specialties. Clin Otolaryngol 2009;34:413–17CrossRefGoogle ScholarPubMed