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. 2020 Sep 12;231(6):613–626. doi: 10.1016/j.jamcollsurg.2020.08.766

Table 5.

Frequency of Severe Impact on Trainee Health and Institutional Adaptations Occurring to a Great Extent

Survey parameter Total,
% (n/N)
Stage 1,
% (n/N)
Stage 2,
% (n/N)
Stage 3,
% (n/N)
Stage 1 vs stage 3
Stage 2 vs stage 3
OR (95% CI) p Value OR (95% CI) p Value
Learner health
 Physical health 9 (35/406) 0 (0/85) 7 (13/194) 17 (22/127) NR§ 0.343 (0.166–0.709) 0.0039
 Emotional health 27 (109/404) 11 (9/83) 24 (47/194) 42 (53/127) 0.170 (0.078–0.369) < 0.0001 0.446 (0.276–0.723) 0.0010
 Physical safety 15 (62/403) 6 (5/83) 9 (18/193) 31 (39/127) 0.145 (0.054–0.385) 0.0001 0.232 (0.126–0.429) < 0.00001
Institutional adaptation
 Coping assistance 71 (287/406) 60 (51/85) 71 (137/193) 77 (99/128) 0.439 (0.241–0.800) 0.0072 0.717 (0.427–1.203) 0.2073
 Sensitivity to learners 73 (295/407 59 (50/85) 76 (148/194) 76 (97/128) 0.464 (0.258–0.834) 0.0104 1.135 (0.674–1.911) 0.6330
 Sensitivity to faculty 58 (235/406) 54 (46/85) 56 (108/193) 63 (81/128) 0.684 (0.392–1.196) 0.1827 0.737 (0.466–1.166) 0.1923
 Additional safety measures 86 (249/407) 85 (72/85) 84 (163/194) 88 (124/128) 0.680 (0.302–1.530) 0.3513 0.646 (0.329–1.268) 0.2041

OR, odds ratio; NR, no result.

Stage 1, business as usual.

Stage 2, increasing but manageable.

Stage 3, crossing the threshold.

§

Proportion of physical health stage 1 vs stage 3 cannot be determined by logistic regression.