Residency training in the time of COVID-19: A framework for academic medical centers dealing with the pandemic

Perspectives on Medical Education

article

Abdel-Razig, Sawsan¹  Ahmad, Waqaas¹  Shkoukani, Mahdi A.¹  Nusair, Ahmad¹  Ramirez, Antonio¹  Siddiqi, Kashif¹  Akmal, Yasir¹  Al Khusaibi, Ziyana¹  Tuzcu, E. Murat¹ 

[1] Cleveland Clinic Abu Dhabi, United Arab Emirates;Cleveland Clinic Lerner College of Medicine, Case Western Reserve University

关键词: COVID-19;    Coronavirus;    Pandemic;    Graduate medical education;    International medical education;    Academic medical center;    Academic health center;   

DOI  :  10.1007/s40037-020-00622-z

学科分类：医学（综合）

来源: Bohn Stafleu van Loghum B.V.

【 摘 要 】

Background As cases of COVID-19 climb worldwide, academic medical centers (AMCs) are scrambling to balance the increasing demand for medical services while maintaining safe learning environments. The scale and nature of the current pandemic, limitations on key resources, risks of transmission, and the impact on trainee wellbeing pose additional challenges to AMCs. We propose a framework for AMCs to utilize in facilitating health system, organization and program-level adjustments to meet the needs of medical trainees during the pandemic. Approach In February 2020, we developed a three-level approach to the pandemic response of training programs at our AMC. The first level involved AMC alignment and engagement with regulatory stakeholders. The second level utilized the graduate medical education committee and leveraged organizational functions such as human resources, finance, and clinical departments. The third level of intervention focused on common approaches used by programs to ensure continuity of learning in the context of dynamic changes in workflows and service operations. Evaluation Outcomes at each level are reported. These include the co-development of a national framework on medical trainee responses to COVID-19, the composition of an operational guidance document, organizational protocols to accommodate novel challenges posed by the pandemic, and multiple program-level interventions. Reflection This methodical approach, employed during a global crisis, was critical in facilitating interventions required to fulfill the mission of AMCs. Future steps include assessing the impact of these changes on trainee performance and the applicability of the approach in diverse settings.

【 授权许可】

CC BY