Inova Fairfax Hospital Falls Church, VA, United States
Reem Q. Al Shabeeb, MD1, Esther Lee, BS2, Muhammad El Shatanofy, BS3, Erika Pashai, MD3, Ivy Benjenk, PhD3, Marian Sherman, MD3, Eric Heinz, MD, PhD3, David Yamane, MD3, Marie L. Borum, MD, EdD, MPH3 1Inova Fairfax Hospital, Falls Church, VA; 2Western University of Health Sciences, Pomona, CA; 3George Washington University School of Medicine and Health Sciences, Washington, DC
Introduction: PPE has served to protect providers against aerosol-generating procedures, like endoscopies. The improper use of PPE can increase the risk of viral transmission. This study evaluated the level of PPE education and/or training among gastroenterologists during the COVID-19 pandemic and assessed whether the education and/or training reduced provider fear levels during endoscopic procedures.
Methods: In this IRB-approved multi-center cross-sectional study, snowball sampling approach was used to disseminate a 42-question survey, pilot-tested for reliability and validity, to gastroenterologists across the United States. We collected information about provider demographics as well as education and PPE training. We also used a Likert scale from 1-10, with 10 being the greatest levels of fear possible, to gauge how PPE training and/or education affected fear levels during upper and lower endoscopies. Data was analyzed using Pearson’s chi-squared, Mann-Whitney U, and Wilcoxon rank tests with significance set at p < 0.05.
Results: We analyzed 69 responses from gastroenterologists at 30 sites across the nation. Respondents were attending physicians (75.4%) and gastroenterology fellows (24.6%). The majority of the providers (52.2%) reported having both education and training about the use of PPE, 44.9% noted having education only, and 2.9% reported having neither education nor training (p < 0.05). None of the providers reported having training only. Almost half of the providers (47.8%) felt that education and/or training helped reduce their fear during endoscopic procedures, while a third (33.3%) did not experience less fear and 18.8% were unsure. There was no significant differences in fear levels in providers who received both PPE education and training compared to those who received PPE education without training; first upper endoscopy (pre-vaccine: p=0.963; post-vaccine p=0.399) and first lower endoscopy (pre-vaccine: p=0.898; post-vaccine p=0.279).
Discussion: The majority of gastroenterologists in the United States have received education or training on using PPE during the COVID-19 pandemic. While PPE training, when combined with education, likely reduced COVID-19 transmission, it did not significantly reduce gastroenterologists’ fear. Future studies should evaluate factors that can result in fear reduction to allow for optimization of educational interventions.
Reem Al Shabeeb indicated no relevant financial relationships.
Esther Lee indicated no relevant financial relationships.
Muhammad El Shatanofy indicated no relevant financial relationships.
Erika Pashai indicated no relevant financial relationships.
Ivy Benjenk indicated no relevant financial relationships.
Marian Sherman indicated no relevant financial relationships.
Eric Heinz indicated no relevant financial relationships.
David Yamane indicated no relevant financial relationships.
Marie Borum indicated no relevant financial relationships.
Reem Q. Al Shabeeb, MD1, Esther Lee, BS2, Muhammad El Shatanofy, BS3, Erika Pashai, MD3, Ivy Benjenk, PhD3, Marian Sherman, MD3, Eric Heinz, MD, PhD3, David Yamane, MD3, Marie L. Borum, MD, EdD, MPH3. P0428 - Personal Protective Equipment (PPE) Education Among Gastroenterologists Performing Endoscopies During the COVID-19 Pandemic: Results From a U.S. National Survey, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.