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Search Results for covid
Abstract Number: 245
SHM Converge 2021
Background: Diagnostic errors are often attributed to cognitive and systems factors, including breakdowns in patient-clinician communication. The COVID-19 pandemic has limited this communication due to institutional infection control policies and physical distancing mandates, potentially increasing risk of diagnostic error. Virtually administered questionnaires that engage patients in assessing their experience with the diagnostic process have potential […]
Abstract Number: 249
SHM Converge 2021
Background: In March 2020, with a precipitous surge of cases within a three-week period, the hospital infrastructure crumbled–COVID-19 impacted New York with unparalleled intensity. The unrelenting volume of patients coupled with the prolonged intensive care unit (ICU) stays of COVID patients led to a rapid expansion from two medical ICUs at our two academic centers […]
Abstract Number: 251
SHM Converge 2021
Background: COVID-19 has drastically changed medical school curriculum across the country. In March, the AAMC recommended pausing clinical activities for all medical students [1]. In response, the University of New Mexico School of Medicine (UNM SOM) transitioned to a virtual curriculum and implemented a four-week virtual public health course on COVID-19, followed by virtual clerkships […]
Abstract Number: 256
SHM Converge 2021
Background: It is typical for new advanced practice providers (APPs) to onboard within our hospital medicine division for at least six months. With the arrival of the first Covid-19 surge in Spring 2020, we onboarded a dozen off-service APPs on a much shorter timeline, typically one week. This required intensive precepting and teaching. As the […]
Abstract Number: 259
SHM Converge 2021
Background: The diagnostic process is fraught with diagnostic uncertainty. Typically, discussions about diagnostic uncertainty occur upon admission and during rounds, which are increasingly conducted virtually during the COVID-19 pandemic. Furthermore, key dimensions in the diagnostic process (history taking, physical examination, interpretation of diagnostic tests) are affected by breakdowns in communication between patients and clinicians, physical […]
Abstract Number: 263
SHM Converge 2021
Background: Hospital Medicine (HM) programs are struggling with providing care for existing patients while responding to multiple surges of COVID-19. The COVID crisis has challenged HM programs to learn and develop expertise in a new pathogen, while facing the emotional and social difficulties of being the primary responders to the pandemic. At our institution, the […]
Abstract Number: 267
SHM Converge 2021
Background: The SARS-CoV-2 (COVID-19) pandemic has led to challenging staffing situations for health systems. Rapid increases in patient volumes, coupled with clinician illness, need for quarantine/isolation as well as other workforce restrictions, have required systems to become nimble in clinician staffing. To overcome these challenges, novel approaches have been utilized including the employment of non-traditional […]
Abstract Number: 270
SHM Converge 2021
Background: In April 2020, New York was the global epicenter of the COVID-19 pandemic. With as many as 12,000 new COVID-19 cases reported each day, many hospital beds and intensive care units were at capacity. As a part of Operation Gotham, the US Army Corps of Engineers transformed the Jacob K Javits Center in Manhattan […]
Abstract Number: 290
SHM Converge 2021
Background: The evolving COVID-19 pandemic has raised direct patient care clinical questions that require rapid answers and flexibility in data generation and analysis. Thorough and reliable patient-level data is not available at the local, state, national, or international levels. Institutional efforts to produce datasets derived from electronic health records (EHR) can take months to years […]
Abstract Number: 308
SHM Converge 2021
Background: The COVID-19 crisis has put an unprecedented strain on the US healthcare system (1). Hospital Medicine (HM) has been on the front lines of the crisis response (2). Multiple surges and troughs are expected before the pandemic subsides with a very large surge predicted for the winter of 2020-2021 (3). As the HM service […]