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10.1089/lap.2021.0120

http://scihub22266oqcxt.onion/10.1089/lap.2021.0120
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33844942!ä!33844942

suck abstract from ncbi


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pmid33844942      J+Laparoendosc+Adv+Surg+Tech+A 2021 ; 31 (5): 541-545
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  • Rapid Adoption of an Interdisciplinary Care Team Model for Surgical Residents Managing Coronavirus Disease-19 #MMPMID33844942
  • Kangas-Dick AW; Diaz-Siso JR; Griffiths A; Khachane A; Bilbro N; Hwang R; Prien C; Chandler P; Berman Z; Dellituri A; Gelfand I; Roszokha V; Borgen PI; Wiesel O; Mongiu A; Glithero KJ; Rhee RJ
  • J Laparoendosc Adv Surg Tech A 2021[May]; 31 (5): 541-545 PMID33844942show ga
  • Introduction: Patients infected with SARS-Cov-2, the causative virus behind the coronavirus disease-19 (COVID-19) pandemic, have been increasing rapidly in New York City. New York City has the highest incidence in the United States and fully 45% of all deaths from COVID-19. Our medical center is located within a high-density region of cases in south Brooklyn and, in fact, three of our neighborhood zip codes are in the top seven in New York in incidence. As a result, our center has experienced a dramatic increase in hospitalizations, particularly respiratory distress secondary to COVID-19, which rapidly exceeded the capacity of our internal medicine service. This necessitated the formation of new COVID-19 units throughout the hospital, replacing all former service lines. These units employed management teams composed of residents from many medical and surgical disciplines, including general surgery residents. Methods: Our general surgery residency program established a surgical COVID-19 (SCOVID) management team. Initially, 4 surgical residents (2 senior and 2 junior), 1 attending surgeon, and 1 attending internal medicine physician were allocated to the initial SCOVID team. On day 3 of implementation, to achieve more rapid competence in the complex management of these patients, a senior medicine resident with direct experience in the care of COVID-19 patients was added in an advisory capacity. Results: The addition of an experienced senior medical resident and attending allowed for the quick adoption of uniform management protocols by surgical residents and attendings. Discussion: We describe a protocol for the establishment of COVID-19 management teams staffed with general surgical residents, as well as a strategy for the achievement of rapid increases in competency. The addition of a senior internal medicine resident and attending to our SCOVID team allowed for rapid achievement of competency in the care of COVID-19 patients in our large institution at the epicenter of the COVID-19 pandemic.
  • |*COVID-19[MESH]
  • |*Internship and Residency[MESH]
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |Humans[MESH]
  • |Models, Organizational[MESH]
  • |New York City/epidemiology[MESH]


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