Workforce Planning Key Clinical Questions
02. How did hospital medicine groups and hospitals adapt staffing models (team and individual level adaptations)?
a. HOMERuN institutions
At the team level, sites saw redeployment of residents, fellows, and advanced practice providers as well as non-hospitalists being deployed into general inpatient settings. Hospitalists were frequently deployed (or planned to) deploy to intensive care unit settings. Hospitalists were slated to help supervise other attending physicians however at most institutions this wasn’t deployed (Tables 1 and 2).
b. What is Known
Based on institutional specific reports in the literature, physicians, APPs, residents, and fellows were frequently deployed to new areas to serve the surge need, with hospitalists frequently moving to ICU settings and others moving into inpatient floor settings.4,5
c. What is Not Known
While there are institutional reports of redeployment, it is unclear what the outcomes are when providers are moved into less familiar care settings.
Key Clinical Questions
- Bowden K, Burnham EL, Keniston A, et al. Harnessing the power of hospitalists in operational disaster planning: COVID-19. J Gen Intern Med. 2020.
- Auerbach A, O’Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488.