Academic Medicine Open Forum

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  • 1.  CMO - Physician re-deployment plans

    Posted 03-30-2020 04:35:00 PM
    CMO - Physician re-deployment plans

    Has anyone developed or come across a set of guiding principles or strategy for physician re-deployment?

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    Jennifer Faerberg
    Director, ACLQ
    Association of American Medical Colleges
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  • 2.  RE: CMO - Physician re-deployment plans

    Posted 04-30-2020 10:34:00 AM
    Jennifer, I sent this to our University of Texas System DIOs and Leadership this a.m. so thought I would share here.

    UT Health San Antonio has been blessed with time to develop processes others were challenged to put in place.  Hopefully, we will be a little better prepared with a second wave or double wave (COVID + Non-COVID surge).  We have shared these resources now posted on with the ACGME (1,2, & 4) … which are available at the following links.

     

    1. Patient Clinical and Procedural "Buckets" – Each program has defined the level of supervision their individual trainees would need to work within these buckets.
    2. GME Cross-Department Deployment Plan (CDDP) – This is the spreadsheet of each resident's bucket/supervision level and availability to deploy.  The front page outlines the \ cross-deployment process for residents if necessary.  We are looking for volunteers first and foremost.  We have had number of residents volunteer to deploy … including our Psychiatry and Pediatric residents.   Given NY experience, I have never said in an "all-hands-on-deck" scenario we would not move past a volunteer only workforce.   Speaking with DIOs in DC and Boston Monday, they are starting to cross-deploy not due to overwhelming numbers but the chronic, high numbers mentioned in the opening paragraph.
    3. Just-in-Time Training – We have learned from military deployments targeted training is very helpful.  We developed a intranet site and rotational opportunities in hospital medicine and palliative care.  We have not had a lot of takers but have had Psychiatry residents rotate on the hospital services for a couple days.
    4. PPE/Supervision – We found it important in the rapidly changing environment to ensure residents have the same degree of PPE as their faculty in order to provide care of a patient.  We are in a system where faculty get mask from the University and residents from the county hospital.  This policy was to ensure faculty and departments who felt higher levels of PPE were warranted would ensure they were fully engage with the hospital on synergy of policy or they would care for patients without the residents. To date, this has been very effective.   


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    Woodson Jones
    Vice Dean of GME/DIO
    University of Texas Health, San Antonio
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    Original Message


  • 3.  RE: CMO - Physician re-deployment plans

    Posted 05-01-2020 08:06:00 AM
    It will be important to align residents schedules with whether faculty will be returning to work on site. At Pennsylvania Psychiatric Institute (PPI) we have 89 beds.  In a move to single occupancy for social distancing, we reduced to 64 beds. Faculty are working off site and on site in 1 week rotations. Only the on site inpatient MDs are seeing pts.  So far we have tested pts but have no + pts so far. PPI is a joint venture between PSH and UPMC-Pinnacle so all of our residents and faculty come from PennState Health. the resident schedules have been aligned w the new faculty schedules.  We are now deciding how long to extend this schedule which is set through 6/30. In PA we are at the top of the curve but expecting a second surge w reopening coming soon.
    Elisabeth Kunkel, MD
    CMO PPI

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    Elisabeth Kunkel
    CMO
    Pennsylvania Psychiatric Institute
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    Original Message