COVID-19 Reveals Why We Need Physician Advocates Now

Cantave, Melissa; Perlson, Jacob; Lewis, Chad Y.; Byers, Brianna

doi:10.1097/acm.0000000000003479

Cited by 5 publications

(3 citation statements)

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“…The general supportiveness of students and residents was known long before Covid-19. Yet, the current situation rekindled the discussion of whether we may need a longitudinal social justice and advocacy framework in medical school to prepare students even better for such worldwide events [ 90 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges of students and residents of human medicine in the first four months of the fight against the Covid-19 pandemic – Implications for future waves and scenarios

2021

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Introduction In the fight against the Covid-19 pandemic, medical students and residents are expected to adapt and contribute in a healthcare environment characterized by ever-changing measures and policies. The aim of this narrative review is to provide a summary of the literature that addresses the challenges of students and residents of human medicine in the first 4 months of the fight against the Covid-19 pandemic in order to identify gaps and find implications for improvement within the current situation and for potential future scenarios. Methods We performed a systematic literature search and content analysis (CA) of articles available in English language that address the challenges of students and residents of human medicine in the first 4 months of the fight against the Covid-19 pandemic. Results We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics: “faculty preparation”, «uncertainties and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of (re-)deployment, interruption of training and career, safety issues, transmission of disease, and restricted social interaction were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout. Discussion Students and residents are willing and able to participate in the fight against Covid-19 when provided with appropriate deployment, legal guidance, safety measures, clinical knowledge, thorough supervision, social integration and mental health support. Preceding interviews to decide on reasonable voluntary deployment, the use of new technology and frequent feedback communication with faculties, educators and policymakers can further help with a successful and sustainable integration of students and residents in the fight against the pandemic. Conclusion It is critical that faculties, educators and policymakers have a thorough understanding of the needs and concerns of medical trainees during pandemic times. Leaders should facilitate close communication with students and residents, value their intrinsic creativeness and regularly evaluate their needs in regards to deployment, knowledge aspects, safety measures, legal concerns and overall well-being.

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Section: Discussionmentioning

confidence: 99%

Challenges of students and residents of human medicine in the first four months of the fight against the Covid-19 pandemic – Implications for future waves and scenarios

2021

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“…The general supportiveness of students and residents were known long before Covid-19. Yet, current situation rekindled the discussion if we may need a longitudinal social justice and advocacy framework in medical school for an even better preparation [93]. Furthermore, a nationwide coordination has been suggested for a homogenous form of practical help [23].…”

Section: (Self-)support and Supplymentioning

confidence: 99%

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

Wohlfarth

Gloor

Hautz

2020

Preprint

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Introduction: In the Covid-19 pandemic, medical students and residents find themselves in a healthcare environment with measures and policies changing by the hour. Reports regarding those in training were scarce and scattered in the early pandemic, what made an overarching insight a challenge. This review compiles and analyzes the literature addressing the preparation of students and residents in the first four months of the Covid-19 pandemic to find gaps and implications for the current pandemic as well as for future scenarios.Methods: We performed a systematic literature search and content analysis (CA) for articles available in English language that focus on the preparation of students and residents in human medicine within the first four months of the Covid-19 pandemic.Results: We retrieved 82 articles from a wide range of journals, professional backgrounds and countries. CA identified five recurring subgroup topics of «faculty preparation», «uncertainty and mental health», «clinical knowledge», «rights and obligations» and «(self-) support and supply». Within these subgroups the main concerns of «(re)deployment», «interruption of training and career», «safety issues», «transmission of disease», and «restricted social interaction» were identified as potential stressors that hold a risk for fatigue, loss of morale and burnout.Discussion: Students and residents are willing and able to participate, when provided with appropriate deployment, thorough supervision, Personal Protective Equipment (PPE) and valid knowledge. Faculties and policymakers should be in close contact with the youngest in training to value their concerns and intrinsic creativity on the scenario. The use of new technology for interaction and knowledge provision, interviews for voluntary deployment and the provision of mental health support seem appropriate measures to support students and residents under the current pandemic.Conclusion: Our review holds thorough implications for faculties and policymakers. Not only for surge capacity, but also for the safety and the professional identity formation of those in training, it is crucial to understand their needs and concerns. Leaders should strive for a close communication with students and residents, value their intrinsic creativeness and constantly evaluate on their needs regarding knowledge aspects, safety measures, legal concerns and well-being for the construction of nation-wide homogenous policies.

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“…DfC frames itself as a physician advocacy organization, drawing upon the idea that doctors should use their social position to advocate on issues of health-related inequality ( Cantave et al, 2020 ; Kirmayer et al, 2018 ). Yet “physician advocacy” remains a loosely conceptualized framework ( Earnest et al, 2010 ; Gruen et al, 2004 ) and there are no dedicated case studies of physician advocacy organizations in the social science literature.…”

Section: Introductionmentioning

confidence: 99%

“The kind of doctor who doesn't believe doctor knows best”: Doctors for Choice and the medical voice in Irish abortion politics, 2002–2018

Bergen

2022

Social Science & Medicine

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COVID-19 Reveals Why We Need Physician Advocates Now

Cited by 5 publications

References 0 publications

Challenges of students and residents of human medicine in the first four months of the fight against the Covid-19 pandemic – Implications for future waves and scenarios

Challenges of students and residents of human medicine in the first four months of the fight against the Covid-19 pandemic – Implications for future waves and scenarios

Preparation of students and residents of human medicine in the first four months of the Covid-19 pandemic. Implications for a second wave.

“The kind of doctor who doesn't believe doctor knows best”: Doctors for Choice and the medical voice in Irish abortion politics, 2002–2018

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