Department of Medicine, Hackensack Meridian School of Medicine, Nutley, New Jersey.
Hackensack University Medical Center, Hackensack, New Jersey.
Disaster Med Public Health Prep. 2022 Apr;16(2):473-476. doi: 10.1017/dmp.2020.377. Epub 2020 Oct 12.
The aim of this study was to describe the planning, implementation, and outcome of an acute care physician supplemental workforce during the local coronavirus disease 2019 (COVID-19) surge at a 771-bed academic medical center, from March 25 to May 5, 2020, in New Jersey, United States.
The Department of Medicine sought participation by "independent" and redeployed "employed" physicians to provide acute hospital care, as well as assistance with occupational health and family communication. Plans addressed training, compensation, clinical privileges, malpractice, and collaboration with the existing hospitalist service.
Redeployed employed physicians (81% internists) selected either acute care ( = 68; median age, 52 y [range, 32-72 y]; 28% female) or non-face-to-face supportive roles ( = 69; median age, 52 y [range, 32-84 y]; 28% female). The redeployed physician group totaled 474 twelve-h daytime shifts typically caring for 10 patients per day. Six employed physicians refused redeployment, and only 3 independent physicians participated (all acute care). Of note, COVID-19 infection occurred in 10 hospitalists and intensivists, and in several redeployed physicians.
Successful physician workforce staffing for medical disasters, such as the COVID-19 pandemic, requires consideration of personal risk, as well as medicolegal, financial, and clinical competency issues.
本研究旨在描述美国新泽西州一家拥有 771 张床位的学术医疗中心在当地 2019 年冠状病毒病（COVID-19）疫情高峰期（2020 年 3 月 25 日至 5 月 5 日）期间，内科补充劳动力的规划、实施和结果。
内科寻求“独立”和重新部署的“受雇”医生参与提供急性医院护理，以及协助职业健康和家庭沟通。计划涉及培训、补偿、临床特权、医疗事故和与现有医院医生服务的合作。
重新部署的受雇医生（81%为内科医生）选择了急性护理（=68；中位年龄 52 岁[范围 32-72 岁]；28%为女性）或非面对面的支持角色（=69；中位年龄 52 岁[范围 32-84 岁]；28%为女性）。重新部署的医生总数为 474 个十二小时白天班次，平均每天照顾 10 名患者。有 6 名受雇医生拒绝重新部署，只有 3 名独立医生参与（均为急性护理）。值得注意的是，COVID-19 感染发生在 10 名医院医生和重症监护医生以及几名重新部署的医生中。
成功的医疗灾难（如 COVID-19 大流行）劳动力配置需要考虑个人风险，以及医疗法律、财务和临床能力问题。
