OBJECTIVES: The objective of this study is to address issues faced by doctors working in the COVID-19 units during the second phase of COVID-19 in the Czech Republic, when the country registered the highest per capita rate of new COVID-19 cases in the world. METHODS: A prospective study was designed using Google online questionnaire. Inclusion criteria were doctors from medical and surgical specialties working in COVID-19 units. The Czech Medical Association was approached in obtaining permission and helping us distribute the questionnaire with an introductory message with the aims of the study via email to the chairpersons of 18 medical and surgical Czech Societies and their respective members. The online questionnaire link was active for 31 days. Completion of a questionnaire implied consent to participate. Data was collected from the completed responses and statistical analysis was done. RESULTS: Fifteen out of eighteen invited Societies participated in the study. Out of all the transferred or volunteering doctors at the COVID units, 47.6% were from 9 medical specialties and 52.4% from 6 surgical units. The highest transfers were seen amongst male surgeons with 21 to 35 years of work experience, whilst the youngest group of doctors made the highest contribution. There was no statistical significance between the effects of COVID-19 and gender. Despite adequate medical provisions, 42% of all doctors had issues with procedural diagnostic methods, 40% tested positive for COVID-19 and 31% reported staff reduction leading to diminished patients' admissions and compromised care. Doctors from surgical departments experienced more difficulties in working in COVID-19 units. Furthermore, on contraction of COVID-19, 114 doctors asserted a lack of support and another 26% were unaware of any services. CONCLUSIONS: Our survey reiterates the relationship between factors related to occupational health and safety, standards of patient care and possibility of medicolegal consequences with the continuing COVID-19 pandemic.

Department of Anaesthesiology and Resuscitation University Hospital Bulovka Prague Czech Republic

Department of Internal Medicine Charles University 3rd Faculty of Medicine and University Hospital Kralovske Vinohrady Prague Czech Republic

Department of Otorhinolaryngology Charles University 3rd Faculty of Medicine and University Hospital Kralovske Vinohrady Prague Czech Republic

Department of Otorhinolaryngology General University Hospital Prague Prague Czech Republic

Department of Otorhinolaryngology Head and Neck Surgery Charles University 1st Faculty of Medicine and University Hospital Motol Prague Czech Republic

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Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID-19 on the mental health of surgeons and coping strategies. Head Neck. 2020 Jul;42(7):1638-44. DOI

Firew T, Sano ED, Lee JW, Flores S, Lang K, Salman K, et al. Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers' infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open. 2020;10(10):e042752. doi: 10.1136/bmjopen-2020-042752. PubMed DOI

Bennett P, Noble S, Johnston S, Jones D, Hunter R. COVID-19 confessions: a qualitative exploration of healthcare workers experiences of working with COVID-19. BMJ Open. 2020;10(12):e043949. doi: 10.1136/bmjopen-2020-043949. PubMed DOI

Abdel Wahed WY, Hefzy EM, Ahmed MI, Hamed NS. Assessment of knowledge, attitudes, and perception of health care workers regarding COVID-19, a cross-sectional study from Egypt. J Community Health. 2020;45(6):1242-51. DOI

Iyengar KP, Ish P, Upadhyaya GK, Malhotra N, Vaishya R, Jain VK. COVID-19 and mortality in doctors. Diabetes Metab Syndr. 2020;14(6):1743-6. DOI

Guha A, Plzak J, Chovanec M. Face to face with COVID-19: highlights of challenges encountered in various ENT practices across the Czech Republic (a national survey). Eur Arch Otorhinolaryngol. 2021 Mar;278(3):807-12. DOI

Guha A, Plzak J, Schalek P, Chovanec M. Extremely wicked, shockingly evil and undoubtedly COVID-19: the silent serial killer. Eur Arch Otorhinolaryngol. 2021 Jun;278(6):2101-6. DOI

Guha A, Plzak J, Schalek P, Chovanec M. Otorhinolaryngology in the COVID-19 era: are there significant differences between hospital-based and private practices? Int J Clin Pract. 2021 May;75(5):e14054. doi: 10.1111/ijcp.14054. PubMed DOI

Hussain ZB, Shoman H, Yau PWP, Thevendran G, Randelli F, Zhang M, et al. Protecting healthcare workers from COVID-19: learning from variation in practice and policy identified through a global cross-sectional survey. Bone Jt Open. 2020 May;1(5):144-51. DOI

Houlihan CF, Vora N, Byrne T, Lewer D, Kelly G, Heaney J, et al. Pandemic peak SARS-CoV-2 infection and seroconversion rates in London frontline health-care workers. Lancet. 2020 Jul;396(10246):e6-7. doi: 10.1016/S0140-6736(20)31484-7. PubMed DOI

El-Boghdadly K, Wong DJN, Owen R, Neuman MD, Pocock S, Carlisle JB, et al. Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study. Anaesthesia. 2020 Nov 9;75(11):1437-47. DOI

Cook TM. Risk to health from COVID-19 for anaesthetists and intensivists - a narrative review. Anaesthesia. 2020 Nov 11;75(11):1494-508. DOI

van der Tas J, Dodson T, Buchbinder D, Fusetti S, Grant M, Leung YY, et al. The Global impact of COVID-19 on craniomaxillofacial surgeons. Craniomaxillofac Trauma Reconstr. 2020 Sep 31;13(3):157-67. DOI

de Almeida Barros Mourão CF, Javid K, Bastos Barbosa I. How can we reduce the risks of SARS-CoV-2 (COVID-19) for dentists and their patients? Evid Based Dent. 2020;21(2):50-1. DOI

Maffia F, Fontanari M, Vellone V, Cascone P, Mercuri LG. Impact of COVID-19 on maxillofacial surgery practice: a worldwide survey. Int J Oral Maxillofac Surg. 2020 Jun;49(6):827-35. DOI

Worldometers. Czech Republic (Czechia) COVID - Coronavirus Statistics [Internet]. Dover: Worldometers [cited 2022 Apr 1]. Available from: https://www.worldometers.info/coronavirus/country/czech-republic.

Guha A, Schalek P, Chovanec M, Kraml P, Bala J, Plzak J. Not just a 'breath of death': indirect consequences of working in a COVID-19 Unit. Int J Environ Res Public Health. 2021 Oct 14;18(20):10802. doi: 10.3390/ijerph182010802. PubMed DOI

Jeyabaladevan P. COVID-19: an FY1 on the frontline. Med Educ Online. 2020 Dec;25(1):1759869. doi: 10.1080/10872981.2020.1759869. PubMed DOI

Prescott K, Baxter E, Lynch C, Jassal S, Bashir A, Gray J. COVID-19: how prepared are front-line healthcare workers in England? J Hosp Infect. 2020 Jun;105(2):142-5. DOI

World Health Organization; International Labour Organization. COVID-19: Occupational health and safety for health workers: Interim guidance, 2 February 2021 [Internet]. Geneva: WHO; 2021 [cited 2023 Aug 12]. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-HCW_advice-2021-1.

Yeo D, Yeo C, Kaushal S, Tan G. COVID-19 and the General Surgical Department - measures to reduce spread of SARS-COV-2 among surgeons. Ann Surg. 2020;272(1):e3-4. doi: 10.1097/SLA.0000000000003957. PubMed DOI

Komenda M, Panoška P, Bulhart V, Žofka J, Brauner T, Hak J, et al. [COVID 19: An overview of the current situation in the Czech Republic] [Internet]. Prague: Ministry of Health of the Czech Republic; 2020 [cited 2023 Aug 12]. Available from: https://onemocneni-aktualne.mzcr.cz/covid-19. Czech.

Gholami M, Fawad I, Shadan S, Rowaiee R, Ghanem H, Hassan Khamis A, et al. COVID-19 and healthcare workers: a systematic review and meta-analysis. Int J Infect Dis. 2021 Mar;104:335-46. DOI

Iversen K, Bundgaard H, Hasselbalch RB, Kristensen JH, Nielsen PB, Pries-Heje M, et al. Risk of COVID-19 in health-care workers in Denmark: an observational cohort study. Lancet Infect Dis. 2020;20(12):1401-8. DOI

Susicky M, Stanek J. [Vaccination statistics. COVID vaccination] [Internet]. Prague: Faculty of Information Technology CTU; 2021 [cited 2023 Aug 12]. Available from: https://ockovani.opendatalab.cz/statistiky_ockovani. Czech.

Institute of Health Information and Statistics of the Czech Republic. [Healthcare in the Czech Republic: personnel capacities and remuneration 2020] [Internet]. Prague: IHIS CR; 2021 [cited 2023 Aug 12]. Available from: https://www.uzis.cz/res/f/008372/nzis-rep-2021-e04-personalni-kapacity-odmenovani-2020.pdf. Czech.

Bilotta C, Zerbo S, Perrone G, Malta G, Argo A. The medico-legal implications in medical malpractice claims during Covid-19 pandemic: increase or trend reversal? Med Leg J. 2020 Nov 10;88(Suppl 1):35-7. DOI

Duignan K, Bradbury C. Covid-19 and medical negligence litigation: immunity for healthcare professionals? Med Leg J. 2020 Nov;88(Suppl 1):31-4. DOI

Riley-Smith Qc T, Heppinstall A, Foster F. Is Covid-19 sowing the seeds for future litigation? Med Leg J. 2020 Jul;88(2):90-7. DOI

Occupational Safety and Health Administration. Worker exposure risk to COVID-19 [Internet]. Washington, D.C.: OSHA; 2020 [cited 2023 Aug 12]. Available from: https://www.osha.gov/sites/default/files/publications/OSHA3993.pdf.