Charlene Dewey, MD, MEd; Susan Hingle, MD; Elizabeth Goelz, MD; Mark Linzer, MD
Disclosures: Dr. Linzer reports grants from the American Medical Association and the American College of Physicians outside the submitted work. Authors not named here have disclosed no conflicts of interest. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-1033.
Corresponding Author: Charlene M. Dewey, MD, MEd, Center for Professional Health, Vanderbilt University School of Medicine, 1107 Oxford House, Nashville, TN 37232-4300; e-mail, Charlene.firstname.lastname@example.org.
Current Author Addresses: Dr. Dewey: Center for Professional Health, Vanderbilt University School of Medicine, 1107 Oxford House, Nashville, TN 37232-4300.
Dr. Hingle: Southern Illinois University School of Medicine, 913 North Rutledge cHOP, Mailcode 9623, Springfield, IL 62794-9623.
Dr. Goelz: Hennepin Healthcare, 701 Park Avenue, (P5), Minneapolis, MN 55415.
Dr. Linzer: Institute for Professional Worklife, Hennepin Healthcare, 701 Park Avenue, (G5), Minneapolis, MN 55415.
Author Contributions: Conception and design: C. Dewey, S. Hingle, E. Goelz.
Drafting of the article: C. Dewey, S. Hingle, M. Linzer.
Critical revision of the article for important intellectual content: C. Dewey, S. Hingle, E. Goelz.
Final approval of the article: C. Dewey, S. Hingle, E. Goelz, M. Linzer.
Administrative, technical, or logistic support: C. Dewey, S. Hingle.
In this video, Charlene Dewey, MD, MEd, offers additional insight into the article, "Supporting Clinicians During the COVID-19 Pandemic."
American Medical Association
March 23, 2020
Crowdsourcing Ideas for Caring for Clinicians during COVID 19
Do you have ideas or experiences for how your organization is or could be caring for clinicians during COVID 19? (i.e. enhanced access to mental health care, rooms for naps, physicians at home working other's inboxes and doing telehealth....). Medical students making a difference deserve special shout out!We've begun crowdsourcing these ideas, posting and regularly updating on the AMA website here: https://www.ama-assn.org/delivering-care/public-health/caring-our-caregivers-during-covid-19?fbclid=IwAR0RFyQlS6YXR1D1XRoVm7aGzfmEsf7PhxogcBsBe8r-yJdzj0uty7nobG4If you have an idea or an implementation plan please email Kyra.Cappelucci@ama-assn.org .or add directly to our Google doc here: https://docs.google.com/document/d/18VwDA0ozaEUMG-jr4iNkg1F4kHh38ahZtXeQ2MCsrw8/edit
Charlene Dewey MD, Mark Linzer, MD, Susan Hingle MD, Elizabeth Goetz MD
Hennepin Healthcare, Vanderbilt University, Southern Illinois University
March 26, 2020
Authors' Response to Sinsky
We applaud the AMA for developing the invaluable resource page provided and resonate with the emphases on childcare, mental health, PPE and providing healthy food and adequate rest for clinicians.
Great ideas will continue to evolve. Each institution, organization and practice will find what works best. Supporting clinicians, nurses and all employees can take several forms.1,2 Everyone wants to feel valued and supported, and anyone can send supportive messages.
Here’s a few examples recently discovered. Colleagues/teams are encouraging each other via emails and text messages. Leaders in a hospital in Glasgow KY emailed supportive messages to physicians, while our leaders at VUMC send us video messages that demonstrate a clear plan and caring. For a more formal or scheduled approach to encouraging employees, consider the EncourageX® program.3 This program sends personalized encouraging comments to all employees on a scheduled basis for a low cost. Senders choose from a variety of pre-made comments or create his/her own.
Find incentives – even little ones. Our community is offering discounted meals for front-line providers in Nashville and several restaurants/businesses are taking part in this initiative as a thank you to providers.
We need examples of creative, modified schedules and workload redistributions. For example, like hospitalists, providers work a few days on-site for patient care (3-5 days) and then cycle off to a home-based role (1-2 days) followed by off days (1-2 days). Some are already creating work pools to gather all non-clinical personnel and redistribute work based on priority areas. (E.g.: an administrator would use his/her skills in several areas based on institutional need.) Enlisting capable retired providers (MD, RN/APRN, PA) to care for non-COVID-19 patients or senior students (last year medical, nursing, PA students) to volunteer for non-clinical essential activities as outlined by the AAMC.4,5
Because knowledge is power, physicians seek knowledge. We can reduce the burden of providers staying abreast the changes with the pandemic or within the work area by keeping physicians updated through one source. Daily clinical updates on best approaches can eliminate physicians from seeking information from various sites or organizations, and getting sucked into the virtual, never-ending web content. (E.g.: VUMC created an app for this purpose.)
As this situation continues to evolve, we are best positioned as a profession and a country, if we work together and share best practices that include attention to our clinicians. We look forward to others joining the conversation. Thank you.
1. John Hall. 11 Simple Ways To Show Your Employees You Care. Mar 10, 2014 at: https://www.forbes.com/sites/johnhall/2014/03/10/11-simple-ways-to-show-your-employees-you-care/#69ce72ae450e - Last accessed March 25, 2020.
2. Tips For Social Distancing, Quarantine, And Isolation During An Infectious Disease Outbreak at: https://www.samhsa.gov/sites/default/files/tips-social-distancing-quarantine-isolation-031620.pdf - Last accessed March 25, 2020.
3. EncourageX at https://encouragex.com/encourage - Last accessed March 25, 2020.
4. AAMC: Read guidance on medical students’ voluntary participation in direct patient contact (PDF) – at https://www.aamc.org/coronavirus-covid-19-resource-hub#services – Last accessed March 25, 2020.
5. Emma Goldberg. A Medical Class ‘Minted by the Pandemic’. New York Times at: https://www.nytimes.com/2020/03/24/health/medical-school-coronavirus-students.html?referringSource=articleShare – Last accessed March 25, 2020.
Dewey C, Hingle S, Goelz E, et al. Supporting Clinicians During the COVID-19 Pandemic. Ann Intern Med. 2020;:. [Epub ahead of print 20 March 2020]. doi: https://doi.org/10.7326/M20-1033
Download citation file:
Published: Ann Intern Med. 2020.
Published at www.annals.org on 20 March 2020
Hospital Medicine, Infectious Disease.
Results provided by:
Copyright © 2020 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use