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. Accreditation Council for Graduate Medical Education 2020.
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. Accreditation Council for Graduate Medical Education 2020.
Authors: T C S Martin; M A Chand; P Bogue; A Aryee; D Mabey; S D Douthwaite; S Reece; P Stoller; N M Price Journal: J Hosp Infect Date: 2015-05-28 Impact factor: 3.926
Authors: Eric Goralnick; Pinchas Halpern; Stephanie Loo; Jonathan Gates; Paul Biddinger; John Fisher; George Velmahos; Sarita Chung; David Mooney; Calvin Brown; Brien Barnewolt; Peter Burke; Alok Gupta; Andrew Ulrich; Horacio Hojman; Eric McNulty; Barry Dorn; Leonard Marcus; Kobi Peleg Journal: Disaster Med Public Health Prep Date: 2015-06-22 Impact factor: 1.385
Authors: Michael A Smit; Kenneth A Rasinski; Barbara I Braun; Linda L Kusek; Aaron M Milstone; Daniel J Morgan; Leonard A Mermel Journal: Infect Control Hosp Epidemiol Date: 2017-03-06 Impact factor: 3.254
Authors: Michael L Cheatham; Chadwick P Smith; Joseph A Ibrahim; William S Havron; Matthew W Lube; Marc S Levy; Susan K Ono Journal: Bull Am Coll Surg Date: 2016-11
Authors: David A Klima; Sarah H Seiler; Jeff B Peterson; A Britton Christmas; John M Green; Greg Fleming; Michael H Thomason; Ronald F Sing Journal: J Trauma Acute Care Surg Date: 2012-09 Impact factor: 3.313
Authors: Rachel M Russo; Joseph M Galante; John B Holcomb; Warren Dorlac; Jason Brocker; David R King; M Margaret Knudson; Thomas M Scalea; Michael L Cheatham; Raymond Fang Journal: Trauma Surg Acute Care Open Date: 2018-10-09
Authors: Dennis J Baumgardner; Alexander Schwank; Jessica J F Kram; Wilhelm Lehmann; Jacob L Bidwell; Tricia La Fratta; Kenneth Copeland Journal: J Patient Cent Res Rev Date: 2022-01-17
Authors: John Q Young; Karen A Friedman; Krima Thakker; Marije P Hennus; Martina Hennessy; Aileen Patterson; Andrew Yacht; Olle Ten Cate Journal: Acad Med Date: 2022-03-01 Impact factor: 7.840