Redesigning a Department of Surgery during the COVID-19 Pandemic

Abstract

Background COVID-19 has created an urgent need for reorganization and surge planning among departments of surgery across the USA. Methods Review of the COVID-19 planning process and work products in preparation for a patient surge. Organizational and process changes, workflow redesign, and communication plans are presented. Results The planning process included widespread collaboration among leadership from many disciplines. The department of surgery played a leading role in establishing clinical protocols, guidelines, and policies in preparation for a surge of COVID-19 patients. A multidisciplinary approach with input from clinical and nonclinical stakeholders is critical to successful crisis planning. A clear communication plan should be implemented early and input from trainees, staff, and faculty should be solicited. Conclusion Major departmental and health system reorganization is required to adapt academic surgical practices to a widespread crisis. Surgical leadership, innovation, and flexibility are critical to successful planning and implementation.

A survey assessing the early effects of COVID-19 pandemic on oral and maxillofacial surgery training programs

“… [29] Similarly other surgical departments rapidly redesigned and shifted workforce based on need. [30] …”

“…Similar surveys have been conducted by most surgical specialties including Otolaryngology, Urology, Orthopedic surgery and General surgery. [ 30 , 36 , 37 , 38 ] They reported more stringent schedules to manage the staffing shortages and, structured didactic training including virtual surgical simulation programs, seminars and access to video libraries as well as, time for virtual social hours with colleagues and faculty. A qualitative study conducted by He et al surveyed general surgery residents in 2 major Hospitals in the Boston area regarding their concerns about the COVID-19 outbreak.…”

Recommendations for acting in elective and urgent thoracic surgery during SARS-CoV-2 pandemic. Spanish Society of Thoracic Surgery

“…We present a possible order of prioritization for thoracic cancer disease and the requirements that must be met before performing surgery. 6 …”

Efficacy of Virtual Case-Based General Surgery Clerkship Curriculum During COVID-19 Distancing

“…the practice paradigm. [6,7] For the General Surgery clerkship, the pandemic was particularly impactful given that the key components of learning, clinical exposure, and student mentorship occur in an operating room or procedural setting that is not as easily replicated as in other elements of medical practice. [8,9] This study examines the efficacy of a remote curriculum in lieu of an in-person General Surgery clerkship.…”