{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T07:21:23Z","timestamp":1778570483034,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective was to assess anxiety and burnout levels, home life changes, and measures to relieve stress of U.S. academic emergency medicine (EM) physicians during the COVID\u201019 pandemic acceleration phase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We sent a cross\u2010sectional e\u2010mail survey to all EM physicians at seven academic emergency departments. The survey incorporated items from validated stress scales and assessed perceptions and key elements in the following domains: numbers of suspected COVID\u201019 patients, availability of diagnostic testing, levels of home and workplace anxiety, severity of work burnout, identification of stressors, changes in home behaviors, and measures to decrease provider anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 426 (56.7%) EM physicians responded. On a scale of 1 to 7 (1\u00a0=\u00a0not at all, 4\u00a0=\u00a0somewhat, and 7\u00a0=\u00a0extremely), the median (interquartile range) reported effect of the pandemic on both work and home stress levels was 5 (4\u20136). Reported levels of emotional exhaustion\/burnout increased from a prepandemic median (IQR) of 3 (2\u20134) to since the pandemic started a median of 4 (3\u20136), with a difference in medians\u00a0of 1.8 (95% confidence interval\u00a0=\u00a01.7 to 1.9). Most physicians (90.8%) reported changing their behavior toward family and friends, especially by decreasing signs of affection (76.8%). The most commonly cited measures cited to alleviate stress\/anxiety were increasing personal protective equipment (PPE) availability, offering rapid COVID\u201019 testing at physician discretion, providing clearer communication about COVID\u201019 protocol changes, and assuring that physicians can take leave for care of family and self.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the acceleration phase, the COVID\u201019 pandemic has induced substantial workplace and home anxiety in academic EM physicians, and their exposure during work has had a major impact on their home lives. Measures cited to decrease stress include enhanced availability of PPE, rapid turnaround testing at provider discretion, and clear communication about COVID\u201019 protocol changes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14065","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T18:29:07Z","timestamp":1592850547000},"page":"700-707","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":124,"title":["Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID\u201019 Pandemic"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1354-1773","authenticated-orcid":false,"given":"Robert M.","family":"Rodriguez","sequence":"first","affiliation":[{"name":"From the Department of Emergency Medicine University of California at San Francisco School of Medicine San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony J.","family":"Medak","sequence":"additional","affiliation":[{"name":"the Department of Emergency Medicine University of California at San Diego School of Medicine San Diego CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte M.","family":"Baumann","sequence":"additional","affiliation":[{"name":"the Department of Emergency Medicine Cooper Medical School of Rowan University Camden NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Lim","sequence":"additional","affiliation":[{"name":"the Section of Emergency Medicine Louisiana State University Health Sciences Center New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Chinnock","sequence":"additional","affiliation":[{"name":"the Department of Emergency Medicine UCSF\u2010Fresno Medical Education Program Fresno CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remi","family":"Frazier","sequence":"additional","affiliation":[{"name":"Academic Research Systems University of California San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richelle J.","family":"Cooper","sequence":"additional","affiliation":[{"name":"and the Department of Emergency Medicine University of California at Los Angeles School of Medicine Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"KeeterS.People Financially Affected by Coronavirus Outbreak Are Experiencing More Psychological Distress Than Others. 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Accessed Apr 29 2020."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.04.041"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facem.14065","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.14065","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/acem.14065","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acem.14065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:06:22Z","timestamp":1693897582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acem.14065"}},"subtitle":[],"editor":[{"given":"Steven B.","family":"Bird","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,7,21]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/acem.14065"],"URL":"https:\/\/doi.org\/10.1111\/acem.14065","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,21]]},"assertion":[{"value":"2020-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}