Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California San Francisco, San Francisco, California, USA.
Head Neck. 2020 Jul;42(7):1403-1408. doi: 10.1002/hed.26225. Epub 2020 May 6.
The global COVID-19 pandemic brings new challenges to otolaryngology resident education. Surgical volume and clinic visits are curtailed, personal protective equipment for operating room participation is restricted, and the risk of COVID-19 disease transmission during heretofore routine patient care is the new norm.
We describe a small-team "cohorting" protocol including guidelines for faculty and resident in common clinical scenarios with attention paid to the risk of common otolaryngologic procedures.
A rotating small-team approach was implemented at each clinical site, limiting interaction between department members but providing comprehensive coverage. Faculty were involved at the earliest phase of clinical interactions. Guidelines delineated faculty and resident roles based on risk stratification by patient COVID status and anticipated procedures. Special consideration was given to high-risk procedures such as endoscopy and tracheotomy.
A small-team-based approach with guidelines for faculty/resident roles may mitigate risk while optimizing patient care and maximizing education.
全球 COVID-19 大流行给耳鼻喉科住院医师教育带来了新的挑战。手术量和门诊就诊减少，参与手术室所需的个人防护设备受到限制，而在此前常规患者护理中 COVID-19 疾病传播的风险已成新常态。
我们描述了一种小团队“分组”方案，其中包括针对常见临床情况的教职员工和住院医师指南，重点关注常见耳鼻喉科手术的风险。
在每个临床地点实施了轮转小团队方法，限制了科室成员之间的互动，但提供了全面的覆盖。教职员工在临床互动的最早阶段参与。指南根据患者 COVID 状态和预期手术的风险分层，划定了教职员工和住院医师的角色。特别考虑了内窥镜检查和气管切开术等高风险手术。
基于小团队的方法和教职员工/住院医师角色指南可以在优化患者护理和最大化教育的同时降低风险。
