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Emergency Restructuring of a General Surgery Residency Program During the Coronavirus Disease 2019 Pandemic: The University of Washington Experience.
Nassar, Amer H; Zern, Nicole K; McIntyre, Lisa K; Lynge, Dana; Smith, Caitlin A; Petersen, Rebecca P; Horvath, Karen D; Wood, Douglas E.
  • Nassar AH; Department of Surgery, University of Washington School of Medicine, Seattle.
  • Zern NK; Department of Surgery, University of Washington School of Medicine, Seattle.
  • McIntyre LK; Division of General Surgery, Department of Surgery, University of Washington School of Medicine, Seattle.
  • Lynge D; Department of Surgery, University of Washington School of Medicine, Seattle.
  • Smith CA; Division of Trauma, Burns, and Critical Care, Department of Surgery, University of Washington School of Medicine, Seattle.
  • Petersen RP; Department of Surgery, University of Washington School of Medicine, Seattle.
  • Horvath KD; Division of General Surgery, Veterans Affairs Puget Sound Health Care System, Department of Surgery, University of Washington School of Medicine, Seattle.
  • Wood DE; Department of Surgery, University of Washington School of Medicine, Seattle.
JAMA Surg ; 155(7): 624-627, 2020 07 01.
Article in English | MEDLINE | ID: covidwho-38769
ABSTRACT
Seattle, Washington, is an epicenter of the coronavirus disease 2019 epidemic in the United States. In response, the Division of General Surgery at the University of Washington Department of Surgery in Seattle has designed and implemented an emergency restructuring of the facility's general surgery resident care teams in an attempt to optimize workforce well-being, comply with physical distancing requirements, and continue excellent patient care. This article introduces a unique approach to general surgery resident allocation by dividing patient care into separate inpatient care, operating care, and clinic care teams. Separate teams made up of all resident levels will work in each setting for a 1-week period. By creating this emergency structure, we have limited the number of surgery residents with direct patient contact and have created teams working in isolation from one another to optimize physical distancing while still performing required work. This also provides a resident reserve without exposure to the virus, theoretically flattening the curve among our general surgery resident cohort. Surgical resident team restructuring is critical during a pandemic to optimize patient care and ensure the well-being and vitality of the resident workforce while ensuring the entire workforce is not compromised.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / General Surgery / Coronavirus Infections / Disease Transmission, Infectious / Education, Medical, Graduate / Emergency Service, Hospital / Betacoronavirus / Internship and Residency Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: JAMA Surg Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / General Surgery / Coronavirus Infections / Disease Transmission, Infectious / Education, Medical, Graduate / Emergency Service, Hospital / Betacoronavirus / Internship and Residency Type of study: Cohort study / Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: JAMA Surg Year: 2020 Document Type: Article