About: Managing Resident Workforce and Education During the COVID-19 Pandemic: Evolving Strategies and Lessons Learned

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Managing Resident Workforce and Education During the COVID-19 Pandemic: Evolving Strategies and Lessons Learned
Creator	Boden, Scott Bradbury, Thomas Fletcher, Nicholas Moore, Thomas Schwartz, Andrew »more»
source	PMC
abstract	The novel coronavirus and associated Coronavirus Disease 2019 (COVID-19) is rapidly spreading throughout the world, with robust growth in the United States. Its drastic impact on the global population and international health care is swift, evolving, and unpredictable. The effects on orthopaedic surgery departments are predominantly indirect, with widespread cessation of all nonessential orthopaedic care. Although this is vital to the system-sustaining measures of isolation and resource reallocation, there is profound detriment to orthopaedic training programs. METHODS: In the face of new pressures on the finite timeline on an orthopaedic residency, the Emory University School of Medicine Department of Orthopaedics has devised a 5-pronged strategy based on the following: (1) patient and provider safety, (2) uninterrupted necessary care, (3) system sustainability, (4) adaptability, and (5) preservation of vital leadership structures. RESULTS: Our 5 tenants support a 2-team system, whereby the residents are divided into cycling “active-duty” and “working remotely” factions. In observation of the potential incubation period of viral symptoms, phase transitions occur every 2 weeks with strict adherence to team assignments. Intrateam redundancy can accommodate potential illness to ensure a stable unit of able residents. Active duty residents participate in in-person surgical encounters and virtual ambulatory encounters, whereas remotely working residents participate in daily video-conferenced faculty-lead, case-based didactics and pursue academic investigation, grant writing, and quality improvement projects. To sustain this, faculty and administrative 2-team systems are also in place to protect the leadership and decision-making components of the department. CONCLUSIONS: The novel coronavirus has decimated the United States healthcare system, with an unpredictable duration, magnitude, and variability. As collateral damage, orthopaedic residencies are faced with new challenges to provide care and educate residents in the face of safety, resource redistribution, and erosion of classic learning opportunities. Our adaptive approach aims to be a generalizable tactic to optimize our current landscape.
has issue date	2020-04-15(xsd:dateTime)
bibo:doi	10.2106/jbjs.oa.20.00045
has license	cc-by-nc-nd
sha1sum (hex)	b7b43a58e9ca0d3a45d8e5812637289b02eb1b55
schema:url	https://doi.org/10.2106/jbjs.oa.20.00045
resource representing a document's title	Managing Resident Workforce and Education During the COVID-19 Pandemic: Evolving Strategies and Lessons Learned
has PubMed Central identifier	PMC7408274
schema:publication	JB JS Open Access
resource representing a document's body	covid:b7b43a58e9ca0d3a45d8e5812637289b02eb1b55#body_text
is schema:about of	named entity 'remotely' named entity 'potential' named entity 'virtual' named entity 'decision-making' named entity 'team' »more»

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