ABSTRACT
The 2020 SARS-CoV-2 pandemic created a unique opportunity for Public Health/General Preventive Medicine (PH/GPM) and Occupational and Environmental Medicine (OM) residents to contribute to pandemic public health response activities. We surveyed all 18 Health Resources and Services Administration (HRSA)-funded PH/GPM and OM residency program directors to evaluate program and resident involvement in pandemic response activities from January 1 through June 30, 2020. Of 116 residents, 110 (95%) participated at some level in the response activities including screening/testing, contact tracing, surveillance, data analysis, incident command, provider support, reopening, direct patient care, education, and risk communication. Residents' response activities were in multiple settings, such as state, local, and federal health agencies; hospital systems; long-term care facilities; academic centers; local businesses and labor unions; Federally Qualified Health Centers; homeless shelters; and clinics. Residents' participation was facilitated by their training in public health, epidemiology, the care of patients and populations, and emergency preparedness. Programs should continue to promote these experiences and key roles that PH/GPM and OM residents can play, as this leadership is a necessity for the successful navigation of future major public health events. As the pandemic continues, evaluation of residents' experiences will help guide longer-term changes to program curriculum and partnerships. Many trainees' contributions and expertise met both educational and service goals and therefore should be integrated into ongoing pandemic response work in PH/GPM and OM programs.
Subject(s)
COVID-19/prevention & control , Internship and Residency/methods , Preventive Medicine/education , COVID-19/diagnosis , COVID-19/therapy , Humans , Internship and Residency/statistics & numerical data , Surveys and Questionnaires , United States , United States Health Resources and Services Administration/organization & administrationABSTRACT
The shortage of personal protective equipment exposes doctors and nurses to the risk of being infected by CoViD-19. Hospital managers and administrators ask healthcare professionals not to talk about the problem. In this way, however, the problem is enormously underestimated. It is unthinkable, explains the author, that your profession as a health worker can risk taking your life.