Prevocational Medical Education Fellow/Senior Registrar Emergency Medicine; Clinical Education and Training Unit/Adult Emergency Department | Te Toka Tumai | Auckland City Hospital, New Zealand.
Associate Professor of Emergency Medicine, Department of Surgery, University of Auckland; Chair, NZ Emergency Medicine Network; Director of Emergency Research; Adult Emergency Department | Te Toka Tumai | Auckland City Hospital, New Zealand.
N Z Med J. 2023 Feb 17;136(1570):20-29. doi: 10.26635/6965.6002.
Te Toka Tumai Auckland Hospital enacted a multi-faceted plan in response to widespread community transmission of the Omicron variant of SARS-CoV-2 in 2022.1 This included redeploying a number of resident medical officers (RMOs) from other specialties to assist emergency medicine and general medicine services within the adult emergency department (AED). The purpose of this report is to evaluate the experience of the redeployed RMOs and identify ways to improve the redeployment process in the future.
An anonymous survey was sent out to the nineteen RMOs who were redeployed. Nine of 18 eligible RMOs responded (50%), with both quantitative and qualitative feedback collated. The quantitative data were descriptively compared, and a thematic analysis was performed.
RMOs provided a range of responses about the redeployment experience, with 56% willing to be redeployed to the AED in a future crisis. Impact on training was the most commonly reported negative experience. Positive redeployment experiences related to feeling welcomed and appreciated, and to having the opportunity to enhance acute clinical skills. Areas for improvement included structured orientation, RMO input and consent in the redeployment planning process, and having a single point of communication between the RMOs being redeployed and the administration.
The report identified areas of strength and areas for improvement in the redeployment process. Despite a small sample size, useful insights into the RMOs' experiences of being redeployed to acute medical services in the AED were gained.
奥克兰泰托卡托玛依医院(Te Toka Tumai Auckland Hospital)针对 2022 年 SARS-CoV-2 奥密克戎变异株在社区广泛传播的情况,实施了一项多方面的计划。1 这包括从其他专业重新部署多名驻院医生(resident medical officers,RMO),以协助成人急症科(adult emergency department,AED)的急诊医学和普通内科服务。本报告旨在评估重新部署的 RMO 的经验,并确定未来改进重新部署流程的方法。
向 19 名被重新部署的 RMO 发送了匿名调查。18 名符合条件的 RMO 中有 9 名(50%)做出了回应,收集了定量和定性的反馈。对定量数据进行了描述性比较,并进行了主题分析。
RMO 对重新部署经历提供了各种反馈,56%的人愿意在未来的危机中被重新部署到 AED。对培训的影响是最常报告的负面经历。积极的重新部署经历与感到受欢迎和感激有关,并有机会提高急性临床技能。改进的领域包括结构化的入职培训、重新部署规划过程中 RMO 的投入和同意,以及为被重新部署的 RMO 与行政部门之间建立单一的沟通点。
报告确定了重新部署流程中的优势和改进领域。尽管样本量较小,但仍获得了 RMO 被重新部署到 AED 急性医疗服务的经验的有用见解。