Wellness in Physicians in the Era of the COVID-19 Pandemic

As the COVID-19 pandemic approaches its second year, wellness of healthcare workers has become increasingly important as we acknowledge the chronicity of the current situation. It has become essential as staff shortages fostered by burnout play a key role in dealing with the overwhelmed healthcare system. It is increasingly recognized that the finite collective mental health reserves of our providers is as important as the physical challenges such as hospital beds and ventilators in dealing with the pandemic. Physicians with preexisting burnout were suddenly exposed to a sudden surge of rapidly deteriorating patients compounded by a lack of capacity and supplies. This chapter explores those stressors and efforts to mitigate them. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Update in Hospital Medicine: Trends in Compensation, COVID-19, Workplace Environment and Malpractice

Currently, there are more than 60, 000 practicing hospitalists in the United States. This represents a steady and slight exponential growth over the past 25 years. No specialty has grown as fast and has had a greater impact on the delivery of healthcare than hospital medicine. Certainly, the COVID-19 pandemic has given the hospitalist a time to shine. During the COVID-19 pandemic, the specialty demonstrated its value by its flexibility and adaptability. One trend remains constant in this time of uncertainty - hospitalist have undisputed value. This chapter reviews current compensation trends and career satisfaction. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Clinical Approaches to Hospital Medicine: Advances, Updates and Controversies: Second Edition

This book provides an update on recent clinical practice and an in-depth view of selected topics relevant to hospital medicine. It is divided into four sections that explore clinical, administrative, systems and ethical issues. Each section places an emphasis on the opportunities, challenges and potential directions of this bourgeoning subspecialty. This new edition expands on topics covered in the previous edition, including the COVID-19 pandemic, racial disparities in healthcare delivery and providers, and pediatric hospital medicine. Other chapters explore worldwide practice patterns and practical application of philosophical tools in daily practice. This up-to-date resource provides hospitalists, advanced nurse practitioners, medical students and administrators with the latest research, trends and issues in hospital medicine. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Understanding the impact of the coronavirus pandemic on families involved in the child welfare system: Technological capital and pandemic practice

Child-welfare practices transformed drastically in 2020 after governments instituted quarantining and social-distancing measures. Child visitation, mental health evaluations and treatment, and court hearings either ceased or only accessible via information communication technologies (ICTs). Peer-reviewed published scholarship about technology use in child welfare is limited to voluntary, supplemental contexts and insufficient to understand the nuanced effects of this transition on vulnerable populations. We used a critical case study ethnography to name this phenomenon, 'pandemic practice', and describe how case-management challenges were compounded and/or masked by pandemic practice. Mandatory ICT use in case management contributed to injustices for some families in the child-welfare system, including children spending extended time in foster care, families receiving superficial treatment services and irreparable harm to timely case progression. We used technology adoption theory and technological capital framework to identify and understand the complexities of pandemic practice beyond a simple digital divide perspective. We present a hierarchy of technological capital necessary to participate in pandemic practice, suggestions to create sufficient capital and implications for policy and practice.

[Recommendations for Performing Bronchoscopy in Times of the COVID-19 Pandemic - Update 12/2020]. / Empfehlungen zur Durchführung einer Bronchoskopie in Zeiten der COVID-19-Pandemie: Update 12/2020.

The SARS-CoV-19 pandemic continues to be globally related with significant morbidity and mortality, making protective measures to prevent transmission of the virus still necessary. Healthcare employees are exposed to a higher risk of infection and this is particularly true when performing aerosol-generating procedures such as bronchoscopy.Since the publication of recommendations for performing a bronchoscopy in the times of COVID-19 more than six months ago, the risk situation has not changed significantly, but due to the considerable gain in knowledge in the meantime, an update of the recommendations was necessary.The updated recommendations include the reduction of aerosol formation, the personal protection of the people involved in the procedure, as well as measures to better organize the processes in the endoscopy suite in order to perform bronchoscopic procedures securely even in times of COVID-19.

[Recommendations for Performing Bronchoscopy in Times of the COVID-19 Pandemic]. / Empfehlungen zur Durchführung einer Bronchoskopie in Zeiten der COVID-19-Pandemie.

COVID-19, caused by coronavirus SARS-CoV-2 is a new and ongoing infectious disease affecting healthcare systems worldwide. Healthcare worker are at high risk for COIVD-19 and many have been infected or even died in countries severely affected by COVID-19 like China or Italy. Bronchoscopy causes cough and aerosol production and has to be considered a significant risk for the staff to get infected. Particular recommendations should guide to prevent spreading COVID-19 and to protect healthcare worker when performing a bronchoscopy.