Serveur d'exploration Stress et Covid

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<title xml:lang="en">COVID-19 outbreak situation and its psychological impact among surgeon in training in France</title>
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<name sortKey="Maher, Abdessater" sort="Maher, Abdessater" uniqKey="Maher A" first="Abdessater" last="Maher">Abdessater Maher</name>
<affiliation>
<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
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<name sortKey="Roupret, Morgan" sort="Roupret, Morgan" uniqKey="Roupret M" first="Morgan" last="Rouprêt">Morgan Rouprêt</name>
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<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
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<author>
<name sortKey="Misrai, Vincent" sort="Misrai, Vincent" uniqKey="Misrai V" first="Vincent" last="Misrai">Vincent Misrai</name>
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31300 Toulouse, France</nlm:aff>
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<author>
<name sortKey="Pinar, Ugo" sort="Pinar, Ugo" uniqKey="Pinar U" first="Ugo" last="Pinar">Ugo Pinar</name>
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<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
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<name sortKey="Matillon, Xavier" sort="Matillon, Xavier" uniqKey="Matillon X" first="Xavier" last="Matillon">Xavier Matillon</name>
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Lyon, France</nlm:aff>
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<name sortKey="Tellier, Bastien Gondran" sort="Tellier, Bastien Gondran" uniqKey="Tellier B" first="Bastien Gondran" last="Tellier">Bastien Gondran Tellier</name>
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<institution>Department of Urology,</institution>
<institution>La Conception University Hospital, Assistance-Publique Marseille,</institution>
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Marseille, France</nlm:aff>
</affiliation>
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<name sortKey="Freton, Lucas" sort="Freton, Lucas" uniqKey="Freton L" first="Lucas" last="Freton">Lucas Freton</name>
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<institution>University Hospital of Rennes,</institution>
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Rennes, France</nlm:aff>
</affiliation>
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<name sortKey="Vallee, Maxime" sort="Vallee, Maxime" uniqKey="Vallee M" first="Maxime" last="Vallée">Maxime Vallée</name>
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<institution>Department of Urology,</institution>
<institution>Poitiers University Hospital,</institution>
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Poitiers, France</nlm:aff>
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<name sortKey="Dominique, Ines" sort="Dominique, Ines" uniqKey="Dominique I" first="Inès" last="Dominique">Inès Dominique</name>
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Paris, France</nlm:aff>
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<name sortKey="Felber, Margaux" sort="Felber, Margaux" uniqKey="Felber M" first="Margaux" last="Felber">Margaux Felber</name>
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<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
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<name sortKey="Khene, Zine Eddine" sort="Khene, Zine Eddine" uniqKey="Khene Z" first="Zine-Eddine" last="Khene">Zine-Eddine Khene</name>
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<institution>University Hospital of Rennes,</institution>
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Rennes, France</nlm:aff>
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<name sortKey="Fortier, Edouard" sort="Fortier, Edouard" uniqKey="Fortier E" first="Edouard" last="Fortier">Edouard Fortier</name>
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<institution>Department of Urology,</institution>
<institution>Montpellier University Hospital,</institution>
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Montpellier, France</nlm:aff>
</affiliation>
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<name sortKey="Lannes, Francois" sort="Lannes, Francois" uniqKey="Lannes F" first="François" last="Lannes">François Lannes</name>
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<institution>La Conception University Hospital, Assistance-Publique Marseille,</institution>
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Marseille, France</nlm:aff>
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<name sortKey="Michiels, Clement" sort="Michiels, Clement" uniqKey="Michiels C" first="Clément" last="Michiels">Clément Michiels</name>
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<institution>Department of Urology,</institution>
<institution>Bordeaux University Hospital,</institution>
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Bordeaux, France</nlm:aff>
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<name sortKey="Grevez, Tristan" sort="Grevez, Tristan" uniqKey="Grevez T" first="Tristan" last="Grevez">Tristan Grevez</name>
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<nlm:aff id="Aff10">Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France</nlm:aff>
</affiliation>
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<name sortKey="Szabla, Nicolas" sort="Szabla, Nicolas" uniqKey="Szabla N" first="Nicolas" last="Szabla">Nicolas Szabla</name>
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<nlm:aff id="Aff11">
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<institution>Department of Urology and Transplantation,</institution>
<institution>Caen University Hospital,</institution>
</institution-wrap>
Caen, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bardet, Florian" sort="Bardet, Florian" uniqKey="Bardet F" first="Florian" last="Bardet">Florian Bardet</name>
<affiliation>
<nlm:aff id="Aff12">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.31151.37</institution-id>
<institution>Department of Urology,</institution>
<institution>Dijon University Hospital,</institution>
</institution-wrap>
Dijon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kaulanjan, Kevin" sort="Kaulanjan, Kevin" uniqKey="Kaulanjan K" first="Kevin" last="Kaulanjan">Kevin Kaulanjan</name>
<affiliation>
<nlm:aff id="Aff13">Department of Urology, CHU Pointe à Pitre, Guadeloupe, France</nlm:aff>
</affiliation>
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<author>
<name sortKey="De Mazancourt, Emilien Seizilles" sort="De Mazancourt, Emilien Seizilles" uniqKey="De Mazancourt E" first="Emilien Seizilles" last="De Mazancourt">Emilien Seizilles De Mazancourt</name>
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<institution>Edouard Herriot Hospital, Hospices Civils de Lyon,</institution>
</institution-wrap>
Lyon, France</nlm:aff>
</affiliation>
</author>
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<name sortKey="Ploussard, Guillaume" sort="Ploussard, Guillaume" uniqKey="Ploussard G" first="Guillaume" last="Ploussard">Guillaume Ploussard</name>
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<nlm:aff id="Aff14">Department of Urology, Ramsay Santé, Clinique la Croix du Sud, Quint Fonsegrives, France</nlm:aff>
</affiliation>
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<name sortKey="Pradere, Benjamin" sort="Pradere, Benjamin" uniqKey="Pradere B" first="Benjamin" last="Pradere">Benjamin Pradere</name>
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<nlm:aff id="Aff10">Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="Aff15">
<institution-wrap>
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<institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id>
<institution>Department of Urology, Comprehensive Cancer Center,</institution>
<institution>Medical University of Vienna,</institution>
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Vienna, Austria</nlm:aff>
</affiliation>
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<title xml:lang="en" level="a" type="main">COVID-19 outbreak situation and its psychological impact among surgeon in training in France</title>
<author>
<name sortKey="Maher, Abdessater" sort="Maher, Abdessater" uniqKey="Maher A" first="Abdessater" last="Maher">Abdessater Maher</name>
<affiliation>
<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
</author>
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<name sortKey="Roupret, Morgan" sort="Roupret, Morgan" uniqKey="Roupret M" first="Morgan" last="Rouprêt">Morgan Rouprêt</name>
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<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Misrai, Vincent" sort="Misrai, Vincent" uniqKey="Misrai V" first="Vincent" last="Misrai">Vincent Misrai</name>
<affiliation>
<nlm:aff id="Aff2">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.464538.8</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0638 3698</institution-id>
<institution>Clinique Pasteur,</institution>
</institution-wrap>
31300 Toulouse, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pinar, Ugo" sort="Pinar, Ugo" uniqKey="Pinar U" first="Ugo" last="Pinar">Ugo Pinar</name>
<affiliation>
<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Matillon, Xavier" sort="Matillon, Xavier" uniqKey="Matillon X" first="Xavier" last="Matillon">Xavier Matillon</name>
<affiliation>
<nlm:aff id="Aff3">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412180.e</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2198 4166</institution-id>
<institution>Department of Urology and Transplantation,</institution>
<institution>Edouard Herriot Hospital, Hospices Civils de Lyon,</institution>
</institution-wrap>
Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tellier, Bastien Gondran" sort="Tellier, Bastien Gondran" uniqKey="Tellier B" first="Bastien Gondran" last="Tellier">Bastien Gondran Tellier</name>
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<nlm:aff id="Aff4">
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<institution>Department of Urology,</institution>
<institution>La Conception University Hospital, Assistance-Publique Marseille,</institution>
</institution-wrap>
Marseille, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Freton, Lucas" sort="Freton, Lucas" uniqKey="Freton L" first="Lucas" last="Freton">Lucas Freton</name>
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<nlm:aff id="Aff5">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411154.4</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2175 0984</institution-id>
<institution>Department of Urology,</institution>
<institution>University Hospital of Rennes,</institution>
</institution-wrap>
Rennes, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vallee, Maxime" sort="Vallee, Maxime" uniqKey="Vallee M" first="Maxime" last="Vallée">Maxime Vallée</name>
<affiliation>
<nlm:aff id="Aff6">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411162.1</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9336 4276</institution-id>
<institution>Department of Urology,</institution>
<institution>Poitiers University Hospital,</institution>
</institution-wrap>
Poitiers, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dominique, Ines" sort="Dominique, Ines" uniqKey="Dominique I" first="Inès" last="Dominique">Inès Dominique</name>
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<nlm:aff id="Aff7">
<institution-wrap>
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<institution>Department of Urology,</institution>
<institution>Groupe Hospitalier Diaconesses Croix Saint-Simon,</institution>
</institution-wrap>
Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Felber, Margaux" sort="Felber, Margaux" uniqKey="Felber M" first="Margaux" last="Felber">Margaux Felber</name>
<affiliation>
<nlm:aff id="Aff1">Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Khene, Zine Eddine" sort="Khene, Zine Eddine" uniqKey="Khene Z" first="Zine-Eddine" last="Khene">Zine-Eddine Khene</name>
<affiliation>
<nlm:aff id="Aff5">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411154.4</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2175 0984</institution-id>
<institution>Department of Urology,</institution>
<institution>University Hospital of Rennes,</institution>
</institution-wrap>
Rennes, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fortier, Edouard" sort="Fortier, Edouard" uniqKey="Fortier E" first="Edouard" last="Fortier">Edouard Fortier</name>
<affiliation>
<nlm:aff id="Aff8">
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<institution-id institution-id-type="ISNI">0000 0000 9961 060X</institution-id>
<institution>Department of Urology,</institution>
<institution>Montpellier University Hospital,</institution>
</institution-wrap>
Montpellier, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lannes, Francois" sort="Lannes, Francois" uniqKey="Lannes F" first="François" last="Lannes">François Lannes</name>
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<nlm:aff id="Aff4">
<institution-wrap>
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<institution>La Conception University Hospital, Assistance-Publique Marseille,</institution>
</institution-wrap>
Marseille, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Michiels, Clement" sort="Michiels, Clement" uniqKey="Michiels C" first="Clément" last="Michiels">Clément Michiels</name>
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<nlm:aff id="Aff9">
<institution-wrap>
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<institution>Bordeaux University Hospital,</institution>
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Bordeaux, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Grevez, Tristan" sort="Grevez, Tristan" uniqKey="Grevez T" first="Tristan" last="Grevez">Tristan Grevez</name>
<affiliation>
<nlm:aff id="Aff10">Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Szabla, Nicolas" sort="Szabla, Nicolas" uniqKey="Szabla N" first="Nicolas" last="Szabla">Nicolas Szabla</name>
<affiliation>
<nlm:aff id="Aff11">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411149.8</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0472 0160</institution-id>
<institution>Department of Urology and Transplantation,</institution>
<institution>Caen University Hospital,</institution>
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Caen, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bardet, Florian" sort="Bardet, Florian" uniqKey="Bardet F" first="Florian" last="Bardet">Florian Bardet</name>
<affiliation>
<nlm:aff id="Aff12">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.31151.37</institution-id>
<institution>Department of Urology,</institution>
<institution>Dijon University Hospital,</institution>
</institution-wrap>
Dijon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kaulanjan, Kevin" sort="Kaulanjan, Kevin" uniqKey="Kaulanjan K" first="Kevin" last="Kaulanjan">Kevin Kaulanjan</name>
<affiliation>
<nlm:aff id="Aff13">Department of Urology, CHU Pointe à Pitre, Guadeloupe, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="De Mazancourt, Emilien Seizilles" sort="De Mazancourt, Emilien Seizilles" uniqKey="De Mazancourt E" first="Emilien Seizilles" last="De Mazancourt">Emilien Seizilles De Mazancourt</name>
<affiliation>
<nlm:aff id="Aff3">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412180.e</institution-id>
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<institution>Department of Urology and Transplantation,</institution>
<institution>Edouard Herriot Hospital, Hospices Civils de Lyon,</institution>
</institution-wrap>
Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ploussard, Guillaume" sort="Ploussard, Guillaume" uniqKey="Ploussard G" first="Guillaume" last="Ploussard">Guillaume Ploussard</name>
<affiliation>
<nlm:aff id="Aff14">Department of Urology, Ramsay Santé, Clinique la Croix du Sud, Quint Fonsegrives, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pradere, Benjamin" sort="Pradere, Benjamin" uniqKey="Pradere B" first="Benjamin" last="Pradere">Benjamin Pradere</name>
<affiliation>
<nlm:aff id="Aff10">Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="Aff15">
<institution-wrap>
<institution-id institution-id-type="GRID">grid.22937.3d</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id>
<institution>Department of Urology, Comprehensive Cancer Center,</institution>
<institution>Medical University of Vienna,</institution>
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Vienna, Austria</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">World Journal of Urology</title>
<idno type="ISSN">0724-4983</idno>
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<name sortKey="Roumiguie, M" uniqKey="Roumiguie M">M Roumiguié</name>
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</TEI>
<pmc article-type="letter">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">World J Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J Urol</journal-id>
<journal-title-group>
<journal-title>World Journal of Urology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0724-4983</issn>
<issn pub-type="epub">1433-8726</issn>
<publisher>
<publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">32333109</article-id>
<article-id pub-id-type="pmc">7181962</article-id>
<article-id pub-id-type="publisher-id">3207</article-id>
<article-id pub-id-type="doi">10.1007/s00345-020-03207-x</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Letter to the Editor</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>COVID-19 outbreak situation and its psychological impact among surgeon in training in France</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Maher</surname>
<given-names>Abdessater</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Rouprêt</surname>
<given-names>Morgan</given-names>
</name>
<address>
<email>morgan.roupret@aphp.fr</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Misrai</surname>
<given-names>Vincent</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pinar</surname>
<given-names>Ugo</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Matillon</surname>
<given-names>Xavier</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tellier</surname>
<given-names>Bastien Gondran</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Freton</surname>
<given-names>Lucas</given-names>
</name>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vallée</surname>
<given-names>Maxime</given-names>
</name>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dominique</surname>
<given-names>Inès</given-names>
</name>
<xref ref-type="aff" rid="Aff7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Felber</surname>
<given-names>Margaux</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khene</surname>
<given-names>Zine-Eddine</given-names>
</name>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fortier</surname>
<given-names>Edouard</given-names>
</name>
<xref ref-type="aff" rid="Aff8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lannes</surname>
<given-names>François</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Michiels</surname>
<given-names>Clément</given-names>
</name>
<xref ref-type="aff" rid="Aff9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Grevez</surname>
<given-names>Tristan</given-names>
</name>
<xref ref-type="aff" rid="Aff10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Szabla</surname>
<given-names>Nicolas</given-names>
</name>
<xref ref-type="aff" rid="Aff11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bardet</surname>
<given-names>Florian</given-names>
</name>
<xref ref-type="aff" rid="Aff12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kaulanjan</surname>
<given-names>Kevin</given-names>
</name>
<xref ref-type="aff" rid="Aff13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Mazancourt</surname>
<given-names>Emilien Seizilles</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ploussard</surname>
<given-names>Guillaume</given-names>
</name>
<xref ref-type="aff" rid="Aff14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pradere</surname>
<given-names>Benjamin</given-names>
</name>
<xref ref-type="aff" rid="Aff10">10</xref>
<xref ref-type="aff" rid="Aff15">15</xref>
</contrib>
<aff id="Aff1">
<label>1</label>
Sorbonne Université, GRC n°5, Predictive Onco-Urology, Ap-Hp, Hôpital Pitié-Salpêtrière, Urology, 75013 Paris, France</aff>
<aff id="Aff2">
<label>2</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.464538.8</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0638 3698</institution-id>
<institution>Clinique Pasteur,</institution>
</institution-wrap>
31300 Toulouse, France</aff>
<aff id="Aff3">
<label>3</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.412180.e</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2198 4166</institution-id>
<institution>Department of Urology and Transplantation,</institution>
<institution>Edouard Herriot Hospital, Hospices Civils de Lyon,</institution>
</institution-wrap>
Lyon, France</aff>
<aff id="Aff4">
<label>4</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411535.7</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0638 9491</institution-id>
<institution>Department of Urology,</institution>
<institution>La Conception University Hospital, Assistance-Publique Marseille,</institution>
</institution-wrap>
Marseille, France</aff>
<aff id="Aff5">
<label>5</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411154.4</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2175 0984</institution-id>
<institution>Department of Urology,</institution>
<institution>University Hospital of Rennes,</institution>
</institution-wrap>
Rennes, France</aff>
<aff id="Aff6">
<label>6</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411162.1</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9336 4276</institution-id>
<institution>Department of Urology,</institution>
<institution>Poitiers University Hospital,</institution>
</institution-wrap>
Poitiers, France</aff>
<aff id="Aff7">
<label>7</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.490149.1</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9356 5641</institution-id>
<institution>Department of Urology,</institution>
<institution>Groupe Hospitalier Diaconesses Croix Saint-Simon,</institution>
</institution-wrap>
Paris, France</aff>
<aff id="Aff8">
<label>8</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.157868.5</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9961 060X</institution-id>
<institution>Department of Urology,</institution>
<institution>Montpellier University Hospital,</institution>
</institution-wrap>
Montpellier, France</aff>
<aff id="Aff9">
<label>9</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.42399.35</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0593 7118</institution-id>
<institution>Department of Urology,</institution>
<institution>Bordeaux University Hospital,</institution>
</institution-wrap>
Bordeaux, France</aff>
<aff id="Aff10">
<label>10</label>
Department of Urology, CHRU Tours, Francois Rabelais University, Tours, France</aff>
<aff id="Aff11">
<label>11</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.411149.8</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 0472 0160</institution-id>
<institution>Department of Urology and Transplantation,</institution>
<institution>Caen University Hospital,</institution>
</institution-wrap>
Caen, France</aff>
<aff id="Aff12">
<label>12</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.31151.37</institution-id>
<institution>Department of Urology,</institution>
<institution>Dijon University Hospital,</institution>
</institution-wrap>
Dijon, France</aff>
<aff id="Aff13">
<label>13</label>
Department of Urology, CHU Pointe à Pitre, Guadeloupe, France</aff>
<aff id="Aff14">
<label>14</label>
Department of Urology, Ramsay Santé, Clinique la Croix du Sud, Quint Fonsegrives, France</aff>
<aff id="Aff15">
<label>15</label>
<institution-wrap>
<institution-id institution-id-type="GRID">grid.22937.3d</institution-id>
<institution-id institution-id-type="ISNI">0000 0000 9259 8492</institution-id>
<institution>Department of Urology, Comprehensive Cancer Center,</institution>
<institution>Medical University of Vienna,</institution>
</institution-wrap>
Vienna, Austria</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>24</day>
<month>4</month>
<year>2020</year>
</pub-date>
<fpage>1</fpage>
<lpage>2</lpage>
<history>
<date date-type="received">
<day>7</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>8</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© Springer-Verlag GmbH Germany, part of Springer Nature 2020</copyright-statement>
<license>
<license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body>
<p id="Par1">Dear Editor,</p>
<p id="Par2">The COVID-19 outbreak is a challenge for health care workers (HCW). Young surgeons have switched immediately their daily practice into eclectic tasks (e.g., nursing patients in ICU, examining COVID patients…). These individuals represent one of the most at-risk population to become infected and potentially COVID-19 spillers.</p>
<p id="Par3">Only 2 weeks after the beginning of COVID-19 lockdown, a self-administered questionnaire was e-mailed to the members of the French Association of Urologists in Training (AFUF), who have been routinely evaluated concerning their stress [
<xref ref-type="bibr" rid="CR1">1</xref>
,
<xref ref-type="bibr" rid="CR2">2</xref>
].</p>
<p id="Par4">In less than 72 h, 275 (59.6%) members replied to the questionnaire (see Table
<xref rid="Tab1" ref-type="table">1</xref>
). Overall 76.7% had COVID-19 patients in their department, 61.5% judged themselves unable to treat their symptoms and 75.3% did not receive any updated guidelines on respiratory tract infection treatment. Despite all the widespread recommendations given by the national authorities, only 43.3% felt to have sufficient personal protective equipment (PPE). According to this condition, 92% of the participants reported to be stressed, with a medium-to-high level of stress in 56.5% of the cases. Moreover, more than 60% of responders noted that this health crisis was impacting the quality of their work.
<table-wrap id="Tab1">
<label>Table 1</label>
<caption>
<p>Responders characteristics</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left"></th>
<th align="left">
<italic>N</italic>
 = 275</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Age in years, mean (SD)</td>
<td char="(" align="char">29.5 (0.47)</td>
</tr>
<tr>
<td align="left">Female gender,
<italic>n</italic>
(%)</td>
<td char="(" align="char">90 (32.7)</td>
</tr>
<tr>
<td align="left" colspan="2">Medical history,
<italic>n</italic>
(%)</td>
</tr>
<tr>
<td align="left"> None</td>
<td char="(" align="char">244 (88.7)</td>
</tr>
<tr>
<td align="left"> Respiratory</td>
<td char="(" align="char">20 (7.3)</td>
</tr>
<tr>
<td align="left"> Other</td>
<td char="(" align="char">11 (4)</td>
</tr>
<tr>
<td align="left">Psychiatry history,
<italic>n</italic>
(%)</td>
<td char="(" align="char">3 (1.1)</td>
</tr>
<tr>
<td align="left">Smoker,
<italic>n</italic>
(%)</td>
<td char="(" align="char">54 (19.6)</td>
</tr>
<tr>
<td align="left" colspan="2">Experience,
<italic>n</italic>
(%)</td>
</tr>
<tr>
<td align="left"> 1st year-resident</td>
<td char="(" align="char">21 (7.6)</td>
</tr>
<tr>
<td align="left"> 2nd year-resident</td>
<td char="(" align="char">33 (12)</td>
</tr>
<tr>
<td align="left"> 3rd year-resident</td>
<td char="(" align="char">30 (10.9)</td>
</tr>
<tr>
<td align="left"> 4th year-resident</td>
<td char="(" align="char">31 (11.3)</td>
</tr>
<tr>
<td align="left"> 5th year-resident</td>
<td char="(" align="char">41 (14.9)</td>
</tr>
<tr>
<td align="left"> Senior</td>
<td char="(" align="char">90 (32.7)</td>
</tr>
<tr>
<td align="left"> Science research</td>
<td char="(" align="char">29 (10.6)</td>
</tr>
<tr>
<td align="left">Presence of Covid-19 patients,
<italic>n</italic>
(%)</td>
<td char="." align="char"></td>
</tr>
<tr>
<td align="left"> In the same building</td>
<td char="(" align="char">253 (92)</td>
</tr>
<tr>
<td align="left"> In the same department</td>
<td char="(" align="char">211 (76.7)</td>
</tr>
<tr>
<td align="left">Sufficient protection material,
<italic>n</italic>
(%)</td>
<td char="(" align="char">119 (43.3)</td>
</tr>
<tr>
<td align="left">COVID-19 knowledge,
<italic>n</italic>
(%)</td>
<td char="." align="char"></td>
</tr>
<tr>
<td align="left"> Ability to treat COVID-19</td>
<td char="(" align="char">106 (38.6)</td>
</tr>
<tr>
<td align="left"> Updated on COVID-19</td>
<td char="(" align="char">200 (72.7)</td>
</tr>
<tr>
<td align="left"> Updated on URTI</td>
<td char="(" align="char">68 (24.7)</td>
</tr>
<tr>
<td align="left">COVID-19 negative impact,
<italic>n</italic>
(%)</td>
<td char="." align="char"></td>
</tr>
<tr>
<td align="left"> On quality work (none to low)</td>
<td char="(" align="char">109 (39.6)</td>
</tr>
<tr>
<td align="left"> On quality work (medium to high)</td>
<td char="(" align="char">166 (60.4)</td>
</tr>
<tr>
<td align="left"> On urological training (none to low)</td>
<td char="(" align="char">46 (16.7)</td>
</tr>
<tr>
<td align="left"> On urological training (medium to high)</td>
<td char="(" align="char">229 (83.3)</td>
</tr>
<tr>
<td align="left"> Added level of stress (none to low)</td>
<td char="(" align="char">120 (43.6)</td>
</tr>
<tr>
<td align="left"> Added level of stress (medium to high)</td>
<td char="(" align="char">155 (56.5)</td>
</tr>
<tr>
<td align="left"> New psychiatric treatment initiated</td>
<td char="(" align="char">2 (0.7)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>
<italic>URTI</italic>
Upper Respiratory Tract Infection</p>
</table-wrap-foot>
</table-wrap>
</p>
<p id="Par5">Importantly, the increase of stress was significantly more frequent for those who were in a high epidemic region, when COVID-19 patients were in their department and when they already had a personal past medical history of respiratory disease. The pandemic was more likely to have a negative impact on the quality of work for the most experienced urologists in training and when COVID-19 patients were hospitalized in their own urology department.</p>
<p id="Par6">Moreover, 83.3% of the responders judged that the COVID crisis had a negative impact on their urological training, knowing that overall satisfaction with urology training in Europe is low [
<xref ref-type="bibr" rid="CR3">3</xref>
], this finding has an additional psychological burden, since “being well trained” was a strong protective factor against burnout [
<xref ref-type="bibr" rid="CR2">2</xref>
].</p>
<p id="Par7">Several options could help mitigating the negative effects of the current situation: webinar as well as e-learnings including practical surgical videos [
<xref ref-type="bibr" rid="CR4">4</xref>
,
<xref ref-type="bibr" rid="CR5">5</xref>
], could have the potential to create a supportive educational environment [
<xref ref-type="bibr" rid="CR6">6</xref>
]. Updates on COVID-19 and guidelines on upper respiratory tract infections (URTI) should also be promoted by our institutions through webinar sessions, or even on social media [
<xref ref-type="bibr" rid="CR7">7</xref>
].</p>
<p id="Par8">Young urologists expressed that the crisis had an important impact on their work quality. This might be explained by the fear driven by unusual medical responsibilities far from surgical considerations, and far from their general medicine training. Hence, it is important to implement medical and psychological reinforcement in every urological team who is involved in the management of COVID-19 patients.</p>
<p id="Par9">During the crisis, it is important to keep in mind that young urologists in high epidemic regions require a particular attention. COVID-19 crisis seems to be a major stressor for urologists in training and could lead to poorer caregiver mental health.</p>
<p id="Par10">Managing the psychosocial well-being during this time appears to be of utmost importance not only for coronavirus but also in the perspective of future similar pandemic crisis.</p>
</body>
<back>
<fn-group>
<fn>
<p>
<bold>Publisher's Note</bold>
</p>
<p>Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p>
</fn>
</fn-group>
<notes notes-type="author-contribution">
<title>Author contributions</title>
<p>MA: protocol/project development, data analysis, manuscript writing/editing. MR: protocol/project development, manuscript writing/editing. VM: protocol/project development, manuscript writing/editing. UP: protocol/project development, data analysis, manuscript writing/editing. XM: data collection. BGT: data collection. LF: data collection. MV: data collection. ID: data collection. MF: data collection. ZEK: data collection. EF: data collection. FL: data collection. CM: data collection. TG: data collection. NS: data collection. FB: data collection. KK: data collection. ESM: data collection. GP: protocol/project development; manuscript writing/editing. BP: protocol/project development; data management and collection; data analysis, manuscript writing/editing.</p>
</notes>
<notes notes-type="ethics">
<title>Compliancw with ethical standards</title>
<notes notes-type="COI-statement">
<title>Conflict of interest</title>
<p id="Par11">The authors declare that they have no conflict of interest.</p>
</notes>
</notes>
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