Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York.
Department of Population Health Sciences, Weill Cornell Medicine, New York, New York.
JAMA Surg. 2020 Sep 1;155(9):870-875. doi: 10.1001/jamasurg.2020.3107.
On March 1, 2020, the first case of coronavirus disease 2019 (COVID-19) was confirmed in New York, New York. Since then, the city has emerged as an epicenter for the ongoing pandemic in the US. To meet the anticipated demand caused by the predicted surge of patients with COVID-19, the Department of Surgery at NewYork-Presbyterian Hospital/Weill Cornell Medicine developed and executed an emergent restructuring of general surgery resident teams and educational infrastructure. The restructuring of surgical services described in this Special Communication details the methodology used to safely deploy the necessary amount of the resident workforce to support pandemic efforts while maintaining staffing for emergency surgical care, limiting unnecessary exposure of residents to infection risk, effectively placing residents in critical care units, and maintaining surgical education and board eligibility for the training program as a whole.
2020 年 3 月 1 日，首例 2019 冠状病毒病（COVID-19）病例在纽约州纽约市得到确认。自此，纽约市成为美国当前大流行的中心。为了满足预计因 COVID-19 患者激增而产生的需求，纽约长老会医院/威尔·康奈尔医学院外科部制定并实施了一项紧急的普通外科住院医师团队和教育基础设施重组计划。本专题通讯中描述的外科服务重组详细介绍了安全部署必要数量的住院医师劳动力以支持大流行工作的方法，同时维持了紧急外科护理的人员配置，限制了住院医师不必要的感染风险，有效地将住院医师安置在重症监护病房，并维持了整个培训计划的外科教育和委员会资格认证。
