• Neurology · Jun 2020

    Training in neurology: Flexibility and adaptability of a neurology training program at the epicenter of COVID-19.

    • Shashank Agarwal, Sakinah Sabadia, Nada Abou-Fayssal, Arielle Kurzweil, Laura J Balcer, and Steven L Galetta.
    • From the Departments of Neurology (S.A., S.S., N.A.-F., A.K., L.J.B., S.L.G.), Population Health (L.J.B.), and Ophthalmology (L.J.B., S.L.G.), New York University Grossman School of Medicine, New York.
    • Neurology. 2020 Jun 16; 94 (24): e2608-e2614.

    ObjectiveTo outline changes made to a neurology residency program in response to coronavirus disease 2019 (COVID-19).MethodsIn early March 2020, the first cases of COVID-19 were announced in the United States. New York City quickly became the epicenter of a global pandemic, and our training program needed to rapidly adapt to the increasing number of inpatient cases while being mindful of protecting providers and continuing education. Many of these changes unfolded over days, including removing residents from outpatient services, minimizing the number of residents on inpatient services, deploying residents to medicine services and medical intensive care units, converting continuity clinic patient visits to virtual options, transforming didactics to online platforms only, and maintaining connectedness in an era of social distancing. We have been able to accomplish this through daily virtual meetings among leadership, faculty, and residents.ResultsOver time, our program has successfully rolled out initiatives to service the growing number of COVID-related inpatients while maintaining neurologic care for those in need and continuing our neurologic education curriculum.ConclusionIt has been necessary and feasible for our residency training program to undergo rapid structural changes to adapt to a medical crisis. The key ingredients in doing this successfully have been flexibility and teamwork. We suspect that many of the implemented changes will persist long after the COVID-19 crisis has passed and will change the approach to neurologic and medical training.© 2020 American Academy of Neurology.

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