The pediatric population seems to be less affected by severe disease caused by Coronavirus. There are additional factors contributing to the lower inpatient census as well as outpatient visit numbers including:
With decreased patient volumes, we have restructured the CYAS resident schedule and clinical workflow to keep potential exposures to a minimum while continuing to support resident educations. Some measures include:
There have also been changes to the inpatient side including:
There are concerns about these changes impacting clinical education. To mitigate the potential impact, residents are invited to rotate in subspecialty clinics which will continue to see patients on the telemedicine platform as well as select in-person visits. Relevant readings and online resources have been identified and distributed to our residents.
As this is a very dynamic situation and may change. If we enter a Pandemic response, our residents may be "redeployed." A number of residents have volunteered to be redeployed to adult services if needed, we will pull these residents preferentially before re-assigning others. Regardless of where our residents may be working, they will continue to receive adequate supervision and PPE. Regardless of changes, all schedules will abide by ACGME duty hour restrictions.
Faculty members have been keeping current with research and publications regarding COVID-19. Roughly once per week, our providers compile relevant pediatric specific information for distribution to our department as well as other frontline providers.