Purpose: The coronavirus disease (COVID-19) pandemic increased anxiety among general population . The purpose of this project was to investigate attitudes and anxiety among Oral and Maxillofacial Surgery (OMS) residents during the early COVID-19 pandemic . Materials and
Methods: This was a cross-sectional study . OMS residents were invited electronically to answer a survey . The survey was sent in April and May 2020 . Residents enrolled in OMS residency programs accredited by the Commission of Dental Accreditation (CODA) were included . Predictor variable was attitudes of OMS residents toward pandemic . The outcome variable was anxiety levels of OMS residents due to pandemic according to Hospital Anxiety and Depression Scale-A (HADS-A). Other variables were: demographics, general knowledge regarding pandemic, and attitudes of OMS residents toward pandemic . Statistical analysis consisted of Fisher's exact test, Wilcoxon rank sum test, and univariate and multivariable logistic regression (P <0.05 significance).
Results: We received 275 responses . Majority were males (74.5 %) in 26-30 age group (52.7 %). Residents reported different levels of anxiety (i.e . mild 58.2%, severe 41.8 %). Based on multivariable analysis, moderate or severe anxiety was associated with being a female (p= 0.048) and a senior resident (p=0.049). Factors such as potential deployment to other services, availability of personal protective equipment (PPE), and unclear disease status of patients contributed to anxiety . Conclusion: Our study found that during early COVID-19 pandemic, all residents experienced some anxiety . Senior OMS residents, and female OMS residents experience higher anxiety levels than other residents.