University of Arizona, Department of Emergency Medicine, Tucson, Arizona.
West J Emerg Med. 2020 Apr 13;21(3):490-496. doi: 10.5811/westjem.2020.4.47553.
In disasters such as the COVID-19 pandemic, we need to use all available resources to bolster our healthcare workforce. Many factors go into this process, including selecting the groups of professionals we will need, streamlining their licensing and credentialing processes, identifying appropriate roles for them, and supporting their health and well-being. The questions we must answer are these: How many staff will we need? How do we provide them with emergency licenses and credentials to practice? What interstate licensing compacts and registration systems exist to facilitate the process? What caveats are there to using retired healthcare professionals and healthcare students? How can we best avoid attrition among and increase the numbers of international medical graduates? Which non-clinical volunteers can we use and in what capacities? The answers to these questions will change as the crisis develops, although the earlier we address them, the smoother will be the process of using augmentees for the healthcare system.
在 COVID-19 等灾害中,我们需要利用所有可用资源来增强我们的医疗保健劳动力。这一过程涉及许多因素,包括选择我们需要的专业人员群体,简化他们的许可和认证流程,确定适合他们的角色,并支持他们的健康和福祉。我们必须回答的问题是:我们需要多少员工?我们如何为他们提供紧急许可证和凭证以进行执业?有哪些州际许可协议和注册系统可以促进这一过程?使用退休医护人员和医学生有哪些注意事项?如何才能最好地避免国际医学毕业生的流失并增加他们的数量?我们可以使用哪些非临床志愿者以及以什么身份使用?随着危机的发展,这些问题的答案将会发生变化,尽管我们越早解决这些问题,利用增员人员来加强医疗系统的过程就会越顺利。