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Understanding drivers of influenza-like illness presenteeism within training programs: A survey of trainees and their program directors

tetano

Editor, Senior Moderator
Am J Infect Control. 2019 Mar 12. pii: S0196-6553(19)30073-2. doi: 10.1016/j.ajic.2019.02.004. [Epub ahead of print]
[h=1]Understanding drivers of influenza-like illness presenteeism within training programs: A survey of trainees and their program directors.[/h] Cowman K[SUP]1[/SUP], Mittal J[SUP]2[/SUP], Weston G[SUP]3[/SUP], Harris E[SUP]4[/SUP], Shapiro L[SUP]4[/SUP], Schlair S[SUP]4[/SUP], Park S[SUP]3[/SUP], Nori P[SUP]3[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Working with influenza-like illness (ILI) is pervasive throughout health care. We assessed knowledge, attitudes, and practices regarding ILI presenteeism of both postgraduate trainees and program leaders.
[h=4]METHODS:[/h] This survey study was conducted at the Montefiore Medical Center, Albert Einstein College of Medicine, a large academic center in the Bronx, New York. Internal medicine and subspecialty house staff and program directors completed an anonymous electronic survey between April 23 and June 15, 2018.
[h=4]RESULTS:[/h] A total of 197 of 400 (49%) house staff and 23 of 39 (59%) program leaders participated; 107 (54%) trainees and 6 (26%) program leaders self-reported ILI presenteeism in the past 12 months. More than 90% of trainees and program leaders reported that ILI presenteeism places others at risk. Only 9% of program leaders accurately estimated trainee ILI presenteeism prevalence. Both cited "not wanting to burden colleagues" as the top reason for ILI presenteeism. Twenty-six (24%) trainees practiced ILI presenteeism on critical care units. The majority reported that they would provide patient care with upper respiratory symptoms without fever. Most trainees incorrectly answered influenza knowledge questions.
[h=4]CONCLUSIONS:[/h] ILI presenteeism prevalence is high within training programs at our medical center. Program leaders can model best practices, enforce nonpunitive sick-leave policies, and ensure infection prevention competencies are met annually.
Copyright ? 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.


[h=4]KEYWORDS:[/h] ILI; Medical training programs; Occupational health

PMID: 30898375 DOI: 10.1016/j.ajic.2019.02.004
 
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