Redeployment of dermatologists during COVID-19: Implementation of a large-scale, centralized results management infrastructure

Ran, Nina A.; Samimi, Sara; Zhang, Junqian; Chaiyachati, Krisda H.; Mallozzi, Colleen P.; Hanson, C. William; Howell, John T.; Day, Susan; Mollanazar, Nicholas

doi:10.1016/j.jaad.2020.06.034

Cited by 7 publications

(6 citation statements)

References 2 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cardiac surgeons, dermatologists, oncologists, obstetrician-gynecologists, and pediatricians have published guidelines to help with training, supporting, and transitioning providers to COVID-19 care settings. [13][14][15][16][17][18] Second, frequent, multimodal, and data-driven communication emerged as a critical component of effective redeployment. Multiple touchpoints seemed to inform the workforce and create opportunities for 2-way communication as policies evolved, fostering a culture that supported the redeployed workforce with information and opportunities to provide feedback.…”

Section: Discussionmentioning

confidence: 99%

Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies

et al. 2021

View full text Add to dashboard Cite

This study aimed to determine the strategies used and critical considerations among an international sample of hospital leaders when mobilizing human resources in response to the clinical demands associated with the COVID-19 pandemic surge.Methods: This was a cross-sectional, qualitative research study designed to investigate strategies used by health system leaders from around the world when mobilizing human resources in response to the global COVD-19 pandemic. Prospective interviewees were identified through nonprobability and purposive sampling methods from May to July 2020. The primary outcomes were the critical considerations, as perceived by health system leaders, when redeploying health care workers during the COVID-19 pandemic determined through thematic analysis of transcribed notes. Redeployment was defined as reassigning personnel to a different location or retraining personnel for a different task.Results: Nine hospital leaders from 9 hospitals in 8 health systems located in 5 countries (United States, United Kingdom, New Zealand, Singapore, and South Korea) were interviewed. Six hospitals in 5 health systems experienced a surge of critically ill patients with COVID-19, and the remaining 3 hospitals anticipated, but did not experience, a similar surge. Seven of 8 hospitals redeployed their health care workforce, and 1 had a redeployment plan in place but did not need to use it. Thematic analysis of the interview notes identified 3 themes representing effective practices and lessons learned when preparing and executing workforce redeployment: process, leadership, and communication. Critical considerations within each theme were identified. Because of the various expertise of redeployed personnel, retraining had to be customized and a decentralized flexible strategy was implemented. There were 3 concerns regarding redeployed personnel. These included the fear of becoming infected, the concern over their skills and patient safety, and concerns regarding professional loss (such as loss of education opportunities in their chosen profession). Transparency via multiple different types of communications is important to prevent the development of doubt and rumors.Conclusions: Redeployment strategies should critically consider the process of redeploying and supporting the health care workforce, decentralized leadership that encourages and supports local implementation of systemwide plans, and communication that is transparent, regular, consistent, and informed by data.

show abstract

Section: Discussionmentioning

confidence: 99%

Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies

et al. 2021

View full text Add to dashboard Cite

show abstract

“…This history holds an important lesson, describing a model for dermatology's engagement in clinical care, teaching, research, and advocacy for vulnerable populations around the world. This model was recently put to the test as dermatologists all over the world responded to the coronavirus disease 2019 pandemic within weeks, rapidly documenting the virus’ cutaneous manifestations; addressing telemedicine, education, and redeployment strategies; and creating international registries for research collaboration . This coordinated response to coronavirus disease 2019 represents well the legacy of the few dermatologists who were leaders in the early HIV/AIDS epidemic.…”

Section: Discussionmentioning

confidence: 99%

The Role of Dermatologists in the Early HIV/AIDS Epidemic

Milbar

James

2021

JAMA Dermatol

View full text Add to dashboard Cite

“…Redeployment of trainees to cover clinical services outside their training specialty has been reported in epicenters of the pandemic and raises concerns about the challenges and the longterm impact of COVID-19 on trainee well-being as residents and fellows across different specialties are redeployed to practice outside their scope of current training. 27,28 An added challenge faced by PDs and GME programs during the pandemic is ensuring that the education, research training, and professional development of trainees is not compromised during the pandemic. Similar to other training programs, 22,23 the large majority of HO PDs transitioned their educational conferences to the virtual environment.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Hematology-Oncology Fellowship Programs: A Quantitative and Qualitative Survey Assessment of Fellowship Program Directors

Velazquez

Durani

Weeks

et al. 2022

JCO Oncology Practice

View full text Add to dashboard Cite

PURPOSE: The COVID-19 pandemic led to unprecedented challenges in medical training, and we sought to assess the specific impact of COVID-19 on hematology-oncology (HO) fellowship programs. METHODS: We conducted a cross-sectional anonymous online survey of 103 HO program directors (PDs) in conjunction with the American Society of Hematology (ASH) and ASCO. We sought to assess the specific impact of COVID-19 on HO fellowship programs' clinical, educational, and research activities, evaluate perceptions regarding PD and trainee emotional and mental health, and identify ways to support programs. Data were analyzed using descriptive statistics, parametric and nonparametric tests, and multivariable logistic regression models. Responses to open-ended questions were analyzed with thematic analysis. RESULTS: Significant changes to fellowship activities included transitioning fellow training from outpatient clinics to telehealth (77.7%), shifting to virtual education (94.2%), and moving to remote research work (63.1%). A minority (21.4%) of PDs reported that their fellows were redeployed to cover non-HO services. Most PDs (54.4%) believed COVID-19 had a slight negative impact on fellowship training. PD self-reported burnout increased significantly from 15.5% prepandemic to 44.7% during the pandemic, and most PDs witnessed minor signs of fellow burnout (52.4%). Common PD concerns included inadequate supervision for telehealth activities, reduced opportunities for fellow advancement and promotion, lack of professional development activities, limited research operations and funding, program financial constraints, and virtual recruitment. CONCLUSION: We encourage institutions and national societies to allocate resources and develop programs that can support fellowships and mitigate the potential negative effects of COVID-19 on trainee and PD career development.

show abstract

Redeployment of dermatologists during COVID-19: Implementation of a large-scale, centralized results management infrastructure

Cited by 7 publications

References 2 publications

Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies

Redeployment of Health Care Workers in the COVID-19 Pandemic: A Qualitative Study of Health System Leaders’ Strategies

The Role of Dermatologists in the Early HIV/AIDS Epidemic

Impact of COVID-19 on Hematology-Oncology Fellowship Programs: A Quantitative and Qualitative Survey Assessment of Fellowship Program Directors

Contact Info

Product

Resources

About