From the Division of Plastic Surgery, University of Washington.
Plast Reconstr Surg. 2020 Aug;146(2):447-454. doi: 10.1097/PRS.0000000000007072.
Plastic surgeons have the unique perspective of working with all types of patients and care teams from almost all specialties in surgery and medicine, which creates unique challenges in times of distress. As the initial epicenter of coronavirus disease 2019 cases in the United States, the University of Washington program was required to rapidly develop strategies to deal with the escalating crisis. All aspects of the program were affected, including the need to triage the urgency of plastic surgery care, safe staffing of plastic surgery teams, and the role of plastic surgery in the greater hospital community. In addition, as a residency training program, limiting the impact of resident education and maintaining a sense of community and connection among members of the program developed into important considerations. The authors hope that the narrative of their experience will provide insight into the decisions made in the University of Washington health care system but also remind others that they are not alone in dealing with the challenges of this pandemic.
整形外科医生具有与来自外科和医学各个专业的各种类型的患者和护理团队合作的独特视角，这在困难时期带来了独特的挑战。作为美国 2019 年冠状病毒病病例的最初震中，华盛顿大学项目需要迅速制定应对不断升级的危机的策略。该项目的各个方面都受到了影响，包括需要对整形手术护理的紧迫性进行分类、安全配置整形外科团队，以及整形外科在更大的医院社区中的作用。此外，作为一个住院医师培训项目，限制住院医师教育的影响并保持项目成员之间的社区感和联系成为重要的考虑因素。作者希望他们的经验叙述能深入了解华盛顿大学医疗系统做出的决策，但也要提醒其他人，他们在应对这一流行病的挑战时并不孤单。
