Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine, New York, New York.
Division of Geriatrics and Palliative Medicine, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.
Gerontol Geriatr Educ. 2022 Jan-Mar;43(1):55-63. doi: 10.1080/02701960.2021.1968855. Epub 2021 Oct 12.
The COVID-19 pandemic provided an opportunity for geriatricians, especially geriatrics fellows, to demonstrate leadership in a crisis that has significantly affected the 65 and older demographic. Given their expertise in care delivery to complex, multimorbid patients, as well as their ability to navigate different healthcare settings, geriatrics fellows became a valuable resource during the pandemic, particularly at one large, urban academic health system. Their training in patient-centered, value-based care helped determine the best course of action for patients not only in the hospital, but also in the community. Utilizing innovative strategies such as a newly developed Palliative Care Hotline (PATCH-24 line), telehealth, and community paramedicine, fellows delivered services to complex patients in community settings. In addition to providing direct patient care, geriatrics fellows also taught their skills to frontline physicians of other specialties. Strong support from the fellowship program's leadership, as well as an ongoing focus on clinician wellbeing and resilience, have been central factors in the success of geriatrics fellows during the COVID-19 crisis.
COVID-19 大流行为老年病医生，尤其是老年病学研究员，提供了一个在这场严重影响 65 岁及以上人群的危机中展示领导力的机会。鉴于他们在为复杂、多病共存的患者提供护理方面的专业知识，以及他们在不同医疗环境中导航的能力，老年病学研究员在大流行期间成为了宝贵的资源，尤其是在一个大型城市学术医疗系统中。他们在以患者为中心、以价值为基础的护理方面的培训有助于确定不仅在医院，而且在社区中为患者提供最佳治疗方案。老年病学研究员利用创新策略，如新开发的姑息治疗热线 (PATCH-24 热线)、远程医疗和社区医疗，为社区环境中的复杂患者提供服务。除了提供直接的患者护理外，老年病学研究员还向其他专业的一线医生传授他们的技能。来自研究金项目领导层的大力支持，以及对临床医生福祉和韧性的持续关注，是老年病学研究员在 COVID-19 危机期间取得成功的核心因素。
