(From Jama Network) 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.
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Key elements (below) are quoted from the article. (Please visit the full article for details.)
- Interteam isolation
- Intrateam distancing
- Virtual handoffs and digital communication
- Specified workstations
- Virtual rounding
- Assigned bedside rounds
Team Structure
- Larger teams
- Functionally independent teams
- Capability to withstand member loss
- Residents of all levels per team
Macrostructure
- Supplement members affected by illness or subject to self-isolation with research residents
- Fluidity to deconstruct remaining large teams and reconstruct smaller teams as needed
- Inclusion of at-home residents in the workforce
Conceptual Points
- Resident and faculty buy-in
- Swift conception and assembly
- Committee for the triaging and implementation of revisions
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Amer H. Nassar, MD1Nicole K. Zern, MD1,2Lisa K. McIntyre, MD1,3; et al