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A faculty-led resident strike team as a force expander during disaster
Angela P Cornelius1, Axel Rodrigues-Rosa2
1John Peter Smith Hospital, Fort Worth Emergency Medicine Residency; Associate Professor, Clinical Emergency Medicine TCU/UNT, Fort Worth, Texas; Associate Professor, Louisiana State University-Shreveport Academic Medical Center, Shreveport, Louisiana. ORCID: https://orcid.org/0000-0002-0405-1433.
American Journal of Disaster Medicine
|April 10, 2024
Summary
During the COVID-19 pandemic, a faculty-led resident strike team provided crucial medical support in New Orleans, demonstrating a successful strategy for expanding healthcare workforce capacity during disasters.
Area of Science:
- Medical Education
- Disaster Medicine
- Healthcare Administration
Background:
- The COVID-19 pandemic exacerbated existing physician shortages in the US.
- Increased patient acuity and physician illness further strained medical systems.
- Federal medical teams were deployed extensively, highlighting the need for alternative staffing solutions.
Purpose of the Study:
- To describe the formation and function of a faculty-led multispecialty resident strike team.
- To evaluate the effectiveness of this resident strike team as a force expander during a healthcare crisis.
- To provide a qualitative review of the first reported use of such a team in a disaster setting.
Main Methods:
- A multispecialty resident strike team, led by attending physicians, was formed from LSU Health Shreveport.
- Administrative agreements regarding credentialing, malpractice, and oversight were established between institutions.
- Residents were deployed to New Orleans to manage patients in emergency medicine, medical floors, and ICUs.
Main Results:
- The resident strike team comprised approximately 10 physicians from various specialties.
- The team successfully managed over 100 patients within the first week in the medical floor and ICU.
- Residents integrated into a new hospitalist service on the medical floor, enhancing patient care.
Conclusions:
- Faculty-led resident strike teams are a viable and beneficial solution for expanding the healthcare workforce during disasters.
- Multidisciplinary teams foster comprehensive patient care and efficient workflow.
- This model offers a creative approach to address critical staffing shortages in emergent situations.
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