Residency and Fellowship Program Accreditation: Effects of the Novel Coronavirus (COVID-19) Pandemic
Residency and Fellowship Program Accreditation: Effects of the Novel Coronavirus (COVID-19) Pandemic
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DOI：
10.1016/j.jamcollsurg.2020.03.026
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发表时间：
2020-06-01
影响因子：
5.2
通讯作者：
Potts, John R., III
中科院分区：
文献类型：
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作者：
Potts, John R., III
美国目前正遭受新冠肺炎 (COVID-19)（SARS COV2）大流行的影响。截至本文撰写之时（2020 年 3 月 27 日），该国确诊患有该疾病的患者数量仍处于急剧上升的曲线上。许多消息来源预测，该曲线的顶点要到 2020 年 6 月才会达到。手术服务已受到严重干扰，并且这种情况至少会持续几个月。这场大流行给外科住院医师和奖学金计划带来了前所未有的挑战。反过来，这些项目的认证过程也面临着前所未有的挑战。本文描述了其中一些挑战以及迄今为止已知的应对措施。 对外科住院医师和奖学金计划的影响此时生效的计划计划的“正常”每日、每周、每月和每年时间表已受到严重影响。在西雅图、纽约市和其他大流行先锋城市中确实如此，但在迄今为止该疾病发病率相对较低的城市中也是如此。通常由居民/研究员处理的选择性案件已被推迟或取消。 1 诊所和办公室就诊已被严重减少或取消。外科研究员正在或将被部署为其核心专业的主治医师。住院医生和研究员已经或将被安排轮班，这既符合当前外科服务的临床需求，又最大限度地减少他们接触病毒的机会。住院医师和研究员已经或将被部署为筛查设施、急诊室和内科病房的初级保健医生，或补充医疗重症监护病房的医生队伍。由于临床需求和“社交距离”的需要，临床和教育
The US is now in the grip of the COVID-19 (SARS COV2) pandemic. As this is written (March 27, 2020), the nation is still on the very steep upslope of the curve of the number of patients diagnosed with the disease. Many sources predict that the apex of that curve will not be reached until June 2020. Surgical services have been severely disrupted and will be for at least several months. The pandemic poses unprecedented challenges to surgical residency and fellowship programs. In turn, there are unprecedented challenges to the process of accrediting those programs. This article delineates some of those challenges and the responses to them that are known, to date.IMPACT ON SURGICAL RESIDENCY AND FELLOWSHIP PROGRAMS The “normal” daily, weekly, monthly, and annual schedules planned by programs, which were to be in effect at this time, have been severely affected. This is certainly true in Seattle, New York City, and other cities in the vanguard of the pandemic, but it is also true in cities that have, so far, a relatively low incidence of the disease. Elective cases normally done by residents/fellows have been postponed or cancelled. 1 Clinic and office visits have been severely curtailed or eliminated. Surgical fellows are being, or will be, deployed as attending physicians in their core specialties. Residents and fellows have been, or will be, placed on rotating shifts, both consistent with current clinical demands for surgical services and to minimize their exposure to the virus. Residents and fellows have been, or will be, deployed as primary care doctors in screening facilities, emergency rooms, and medical wards, or to supplement the physician force in medical critical care units. Because of both clinical demands and the need for “social distancing,” clinical and educational