TY - JOUR
T1 - Knowing Your Team
T2 - Rapid Assessment of Residents and Fellows for Effective Horizontal Care Delivery in Emergency Events
AU - Dennis, Bradley
AU - Highet, Alexandra
AU - Kendrick, Daniel
AU - Mazer, Laura
AU - Loiselle, Sean
AU - Bandeh-Ahmadi, Hoda
AU - Gupta, Tanvi
AU - Abbott, Kenneth
AU - Lea, Jarrett
AU - Dang, Thu
AU - Ramey, Mischon
AU - George, Brian
AU - Terhune, Kyla
N1 - Publisher Copyright:
Accreditation Council for Graduate Medical Education 2020.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Background: Horizontal care, in which clinicians assume roles outside of their usual responsibilities, is an important health care systems response to emergency situations. Allocating residents and fellows into skill-concordant clinical roles, however, is challenging. The most efficient method to accomplish graduate medical education (GME) assessment and deployment for horizontal care is not known. Objective: We designed a categorization schema that can efficiently facilitate clinical and educational horizontal care delivery for trainees within a given institution. Methods: In September 2019, as part of a general emergency response preparation, a 4-tiered system of trainee categorization was developed at one academic medical center. All residents and fellows were mapped to this system. This single institution model was disseminated to other institutions in 2020 as the COVID-19 pandemic began to affect hospitals nationally. In March 2020, a multi-institution collaborative launched the Trainee Pandemic Role Allocation Tool (TPRAT), which allows institutions to map institutional programs to COVID-19 roles within minutes. This was disseminated to other GME programs for use and refinement. Results: The emergency response preparation plan was disseminated and selectively implemented with a positive response from the emergency preparedness team, program directors, and trainees. The TPRAT website was visited more than 100 times in the 2 weeks after its launch. Institutions suggested rapid refinements via webinars and e-mails, and we developed an online user's manual. Conclusions: This tool to assess and deploy trainees horizontally during emergency situations appears feasible and scalable to other GME institutions.
AB - Background: Horizontal care, in which clinicians assume roles outside of their usual responsibilities, is an important health care systems response to emergency situations. Allocating residents and fellows into skill-concordant clinical roles, however, is challenging. The most efficient method to accomplish graduate medical education (GME) assessment and deployment for horizontal care is not known. Objective: We designed a categorization schema that can efficiently facilitate clinical and educational horizontal care delivery for trainees within a given institution. Methods: In September 2019, as part of a general emergency response preparation, a 4-tiered system of trainee categorization was developed at one academic medical center. All residents and fellows were mapped to this system. This single institution model was disseminated to other institutions in 2020 as the COVID-19 pandemic began to affect hospitals nationally. In March 2020, a multi-institution collaborative launched the Trainee Pandemic Role Allocation Tool (TPRAT), which allows institutions to map institutional programs to COVID-19 roles within minutes. This was disseminated to other GME programs for use and refinement. Results: The emergency response preparation plan was disseminated and selectively implemented with a positive response from the emergency preparedness team, program directors, and trainees. The TPRAT website was visited more than 100 times in the 2 weeks after its launch. Institutions suggested rapid refinements via webinars and e-mails, and we developed an online user's manual. Conclusions: This tool to assess and deploy trainees horizontally during emergency situations appears feasible and scalable to other GME institutions.
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U2 - 10.4300/JGME-D-20-00290.1
DO - 10.4300/JGME-D-20-00290.1
M3 - Article
C2 - 32595843
AN - SCOPUS:85087253415
SN - 1949-8349
VL - 12
SP - 272
EP - 279
JO - Journal of graduate medical education
JF - Journal of graduate medical education
IS - 3
ER -