{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T14:07:34Z","timestamp":1781705254171,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"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":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective was to provide a longitudinal assessment of anxiety levels and work and home concerns of U.S. emergency physicians during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a longitudinal, cross\u2010sectional email survey of clinically active emergency physicians (attending, fellow, and resident) at seven academic emergency departments. Follow\u2010up surveys were sent 4 to 6\u00a0weeks after the initial survey and assessed the following: COVID\u201019 patient exposure, availability of COVID\u201019 testing, levels of home and workplace anxiety\/stress, changes in behaviors, and performance on a primary care posttraumatic stress disorder screen (PC\u2010PTSD\u20105). Logistic regression explored factors associated with a high PC\u2010PTSD\u20105 scale score (\u22653), indicating increased risk for PTSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 426 surveyed initial respondents, 262 (61.5%) completed the follow\u2010up survey. While 97.3% (255\/262) reported treating suspected COVID\u201019 patients, most physicians (162\/262, 61.8%) had not received testing themselves. In follow\u2010up, respondents were most concerned about the relaxing of social distancing leading to a second wave (median score\u00a0= 6, IQR\u00a0= 4\u20137). Physicians reported a consistently high ability to order COVID\u201019 tests for patients (median score\u00a0= 6, IQR\u00a0= 5\u20137) and access to personal protective equipment (median score\u00a0= 6, IQR\u00a0= 5\u20136). Women physicians were more likely to score \u2265 3 than men on the PC\u2010PTSD\u20105 screener on the initial survey (43.3% vs. 22.5%; \u0394 20.8%, 95% confidence interval [CI]\u00a0= 9.3% to 31.5%), and despite decreases in overall proportions, this discrepancy remained in follow\u2010up (34.7% vs. 16.8%; \u0394 17.9%, 95% CI\u00a0= 7.1% to 28.1%). In examining the relationship between demographics, living situations, and institution location on having a PC\u2010PTSD\u20105 score \u2265 3, only female sex was associated with a PC\u2010PTSD\u20105 score \u2265 3 (adjusted odds ratio\u00a0= 2.48, 95% CI\u00a0= 1.28 to 4.79).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While exposure to suspected COVID\u201019 patients was nearly universal, stress levels in emergency physicians decreased with time. At both initial and follow\u2010up assessments, women were more likely to test positive on the PC\u2010PTSD\u20105 screener compared to men.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14219","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T19:53:51Z","timestamp":1611604431000},"page":"314-324","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Emergency physician stressors, concerns, and behavioral changes during COVID\u201019: A longitudinal study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8046-6227","authenticated-orcid":false,"given":"Brigitte M.","family":"Baumann","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Cooper Medical School of Rowan University Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richelle J.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California at Los Angeles School of Medicine Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Medak","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California at San Diego School of Medicine San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Lim","sequence":"additional","affiliation":[{"name":"Section of Emergency Medicine Louisiana State University Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5456-6243","authenticated-orcid":false,"given":"Brian","family":"Chinnock","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UCSF\u2013Fresno Medical Education Program Fresno California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remi","family":"Frazier","sequence":"additional","affiliation":[{"name":"Academic Research Systems University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7690-997X","authenticated-orcid":false,"given":"Brian W.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Cooper Medical School of Rowan University Camden New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elissa S.","family":"Epel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California at San Francisco School of Medicine San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1354-1773","authenticated-orcid":false,"given":"Robert M.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California at San Francisco School of Medicine San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2020.03.011"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000507639"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.3976"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.04.049"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.10185"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113130"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.14065"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.5893"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3703-5"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2020.06.005"},{"key":"e_1_2_10_13_1","unstructured":"National Nurses United COVID\u201019 survey.2020. 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