Presented for the Weitzman ECHO webinar, Aug 19, 2020

1. Sustaining Health Professions
Training Through COVID-19
August 19, 2020

2. CME Credit
• Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State
Medical Society to sponsor continuing medical education for physicians. The
Bridgeport Hospital Yale New Haven Health designates this live activity for a
maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only
credits commensurate with the extent of their participation in the various
activities.
• This activity has been planned and implemented in accordance with the Essential
Areas and policies of the Accreditation Council for Continuing Medical Education
through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and
the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited
by the Connecticut State Medical Society to provide continuing medical education
for physicians.
• The content of this activity is not related to products or services of an ACCME-
defined commercial interest; therefore, no one in control of content has a relevant
financial relationship to disclose and there is no potential for conflicts of interest.
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3. https://www.wellingtonregional.com
Sustaining Health Professions Training
Through COVID-19

4. COVID-19 Global Cases
5,481,795 cases on 8/18/20 up from 5,141,208 cases on 8/11/20
171,808 deaths https://coronavirus.jhu.edu/map.html

5. Daily New Cases per 100k people, USA
Data shown from 1/22/20 to 8/18/20
https://coronavirus.jhu.edu/data/new-cases-50-states
2 weeks ago:

6. News updates
• Quick and affordable saliva-based COVID-19 test
developed by Yale scientists receives FDA
Emergency Use Authorization
– SalivaDirect
– Cheap ($10), less invasive (no brain tickler) & easy to
process (avoid shortages of reagents)
– “game changer…[reduced demand] for scarce testing
resources,"
• Adm. Brett P. Giroir, the U.S. assistant secretary for health;
COVID-19 testing coordinator

7. News updates
• Monday: Univ. of North Carolina at Chapel Hill -> online
– 177 students positive; 349 students quarantined
• Tuesday: Notre Dame outbreak -> online
– Students returned 8/3; 147 cases
– 2 off-campus parties –no masks or social distancing
• Other schools: Concerns
– Ithaca College (NY) - extend remote learning through Fall
• The World: France – cases going up
– 30% new infections in young adults (15 to 44)
~ 3000 day: socializing in cafes, restaurants, parks

8. Resources
• Nuvance health:
https://spark.adobe.com/page/qrH7iY0Gi0hU9/
• CDC:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
https://emergency.cdc.gov/coca/calls/2020/
• WHO:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
• Johns Hopkins:
https://coronavirus.jhu.edu/map.html
• Others
https://www.thelancet.com/coronavirus
https://covidactnow.org/

9. Sustaining Health
Professions Training
Through COVID-19
Dr. Mary Blankson, Chief Nursing Officer
Charise Corsino, Program Director, Nurse Practitioner Residency Programs
Jaclyn Cunningham, Inter-professional Student Coordinator, Human Resources
Dr. Dariush Fathi, Post Doctoral Residency Group and Telehealth Coordinator

10. The Student Experience
• Adaptations & Changes
– Affiliation agreements with academic partners
– Remote / Online learning infrastructure (IT)
– Remote worker policies
– Communication with Academic Partners
– Supplemental learning opportunities
• Challenges
– IT Setup
– Limited capacity: site and preceptors
– Preceptor support
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11. The Student Experience
• Planning for next semester
– Format of instruction
– Infection Control
– Standardizing process (remote and on-site
placements)
– Student evaluations
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12. Nurse Practitioner Residency Program
• Impact On Training
– Virtual precepting, leveraging technology
– Virtual Education
• Group support – check-ins to stay connected, reduce isolation
• Office hours with medical director – additional connections & education
– Virtual interview process for first time
• Leveraging New Opportunities
– Residents piloted initial video visits – adapters of change!
– Involved in community testing & testing results
– Involving trainees in public health crisis response
• Next Steps:
– New cohort coming; in-person training in first few months
– Continuing virtual education
– Virtual precepting – with enhanced training for preceptors
– Mentorship: connect outgoing cohort to ingoing cohort
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13. Medical Trainees
• Infrastructure & Infection Control
– Visit volume dropped, majority to telephonic care
– Schools made own decisions to create low fidelity simulations depending
on hours for rest of semester
• How to Safely Incorporate Students
– At beginning, took hiatus
• Priority is patient access
– Preserve learner experience, don’t want to overburden providers
– Recalculate capacity for students so they have best, rounded experiences
– CANNOT reduce the pipeline to zero – we need to hire them!
• Adjustments to curriculum
– Onsite competencies, add telehealth competencies, CCM ECHO
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14. Behavioral Health Trainees
• Initial Challenges
– Abrupt stop to onsite visits – disrupt for students & disrupt to care of patients
– Getting ourselves & students up and running while preparing for next cohort
– Quickly and Effectively train students in telehealth delivery
• Develop strategies for telehealth supervision/training
– Recreating Integrated Care Magic: an immersive integrated care training
experience
• Positives and Lessons Learned
– Increased BH demand due to COVID-19
• Students provided increased access to care
• Students helped with crisis calls/triage
• Students co-facilitate virtual groups (need two people)
– Intentionally re-create integrated care elements
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15. Behavioral Health Trainees
• Virtual Supervision/Training
– Aim to emulate as closely as possible in-person supervision
and training
• Zoom Healthcare – Virtual Trainee Experience
– 1on1 supervision, team meetings, patient visits, training
– Dual Screens: trainees watch provider chart live on one
screen, and view patient-provider interaction on the other
• Provider shares screen to demonstrate and teach patient charting
and EHR workflow, role plays
• Next Steps
– Develop guidelines to support supervisors across agency
– Integrate student feedback: EHR shadowing, training
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16. 16 * This initiative is supported by 16

17. Thank You!
www.weitzmaninstitute.org/coronavirus
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