Preparing a neurology department for SARS-CoV-2 (COVID-19)
Early experiences at Columbia University Irving Medical Center and the New York Presbyterian Hospital in New York City
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Dr. Waldman and colleagues provide a helpful review of their department’s approach to addressing the impact of the COVID-19 pandemic on their programs and operations.1 Several of the themes they discuss are widely applicable with the understanding that each department also faces unique challenges in this setting.
Planning for a potential large surge of patients with COVID-19, the University of Kentucky Department of Neurology also needed to develop flexible staffing models to provide appropriate care for patients with neurologic disorders but also needed to simultaneously prepare for the need for neurology faculty, residents, and staff to be directly involved in COVID-19 related care. Adapting ambulatory TeleHealth technology to support resident continuity clinics and identifying strategies for addressing the needs of patients without broadband access were additional issues. We rapidly developed processes to support E-rounding on all our inpatient services to allow full participation in team rounding while minimizing the numbers of providers and staff in hallways and having direct patient contact. TeleHealth was also adapted to allow follow-up of research participants enrolled in therapeutic trials in their homes whenever feasible. All our educational programs were transitioned to interactive e-learning platforms.
As was stressed in the response at Columbia University, active faculty, trainee, and staff communication and engagement are critical. Since the start of the crisis, we have provided daily e-mail, neurology department specific summaries of plans, available resources, and initiatives, including offerings to support personal health and well-being. Continuing to share best practices will be critical as the academic neurology community faces this current challenge and its aftermath.
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The author reports no relevant disclosures. Contact [email protected] for full disclosures.
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