scholarly journals Rapid Mobilization of Medical Student Volunteers to Administer Vaccines During the COVID-19 Pandemic

2022 ◽  
Vol 9 ◽  
pp. 238212052110730
Author(s):  
Taneisha Sinclair ◽  
Brett I. Bell ◽  
Karol Perez ◽  
Daniel Klyde ◽  
Mitchell Veith ◽  
...  

In December 2020, the first COVID-19 vaccines were approved for emergency use by the U.S. Food and Drug Administration, and vaccination efforts rapidly launched across the country. Concurrently, New York City experienced an increase in COVID-19 hospitalizations. This created an immediate need to inoculate frontline workers in a strained health system that lacked sufficient personnel to meet the demand. In response, New York State permitted medical students with appropriate clinical experience to administer vaccinations. Albert Einstein College of Medicine students rapidly stepped in to administer vaccines and serve as clinic navigators. Student leaders at Einstein collaborated with Montefiore Medical Center to rapidly implement a student vaccination initiative. Medical students underwent virtual and on-site training regarding COVID-19 vaccines and their administration. In January 2021, students began to staff vaccine clinics across the Bronx. By July 2021, 291 out of 830 eligible medical and Medical Scientist Training Program (MSTP) students (35.1%) had volunteered >2400 h. Of the 291 volunteers, 77 (26.5%) worked as vaccinators and administered approximately 2929 COVID-19 vaccines from January to May 2021. We demonstrate success using the concept of Entrustable Professional Activities (EPAs) in the context of training medical students in a specific clinical skill. Our framework resulted in the administration of approximately 2929 COVID-19 vaccines from January to May 2021. The authors believe that this framework can be implemented at peer institutions to alleviate the burden on hospital systems and outpatient clinics vaccinating their communities against COVID-19, or to meet future clinical needs.

Author(s):  
Thomas J Smith ◽  
Louise M Ryan ◽  
Harold O Douglass ◽  
Daniel G Haller ◽  
Yogeshwar Dayal ◽  
...  

2021 ◽  
Vol 10 ◽  
pp. 216495612098848
Author(s):  
Elaine O Cheung ◽  
Ian Kwok ◽  
Allison B Ludwig ◽  
William Burton ◽  
Xinzi Wang ◽  
...  

Background Mental health tends to worsen over the course of medical school, with steep declines in well-being in students’ clerkship year (M3). Positive emotion promotes adaptive coping to stress and may help preserve medical student well-being. Objective This study describes the development of LAVENDER (Leveraging Affect and Valuing Empathy for Nurturing Doctors’ Emotional Resilience), a program aimed at increasing positive emotion to preserve well-being in medical students. Methods We conducted a single-arm pilot of LAVENDER, a positive psychology intervention developed for medical students delivered in an interactive classroom format to a cohort of 157 third-year medical students at the Albert Einstein College of Medicine. Our primary outcome was the acceptability of LAVENDER. We also examined preliminary efficacy using measures of emotion, stress and burnout collected at each intervention session. Results LAVENDER showed good acceptability: 76% of participants agreed that the LAVENDER skills were useful and 72% agreed that they would recommend the LAVENDER program to others. Qualitative feedback suggested that medical students enjoyed the program and found the skills to be useful for coping with stress, but also reported the following barriers to engagement: lack of time to practice the skills, resistance to the mandatory nature of the wellness sessions, and difficulty integrating the skills in daily life. We did not find support for the preliminary efficacy of LAVENDER for improving medical student well-being in students’ clerkship year. Participants showed decreases in positive emotion and increases in symptoms of burnout over the intervention period ( ps < .01). Conclusion The current paper describes the development and a single-arm pilot test of LAVENDER, a positive psychology program tailored for medical students. Although we found preliminary evidence for the acceptability of LAVENDER, we did not find support for the preliminary efficacy. Lessons learned and next steps for the program are discussed.


PEDIATRICS ◽  
1951 ◽  
Vol 8 (2) ◽  
pp. 277-292
Author(s):  
GEORGE BAEHR ◽  
NEVA R. DEARDORFF

1. Under a comprehensive system of prepaid medical care (HIP), the services of qualified pediatricians, as well as of laboratories, clinical specialists, and visiting nurses have been made available to children without any extra charges to prevent their full utilization. 2. The 63,500 children under 15 years of age enrolled in HIP on March 1, 1951, constituted 24.5% of the total insured population on that date (259,170). Of these 36.0% were under 5 years, 34.6% between 5 and 9 years and 29.4% were aged 10 to 14. 3. Of the 5,500 children born into HIP since it was established four years ago, 90% were delivered by qualified obstetricians. 4. Since 1949 all infants are routinely under the care of a qualified pediatrician at least until the end of the first year of life, 48.5% of HIP children are cared for by pediatricians to school age, and almost 32% receive all their routine care from pediatricians to the age of puberty. 5. Of the 62 qualified pediatricians on the staffs of the 30 HIP medical groups, 40 are diplomates of the American Board of Pediatrics. 6. HIP has one pediatrician for each 1,025 enrolled children under 15. This is 2½ times the proportionate number available to children living in the larger urban centers of New York State, assuming that all of the pediatricians in the State are located in such areas. 7. In medical groups in which pediatricians provide child care to puberty, the proportion of home visiting is high as compared with their medical center, office, and hospital services; 34% of their services are home calls, 59% medical center or office calls, and 7% are rendered in the hospital. The pediatricians who serve chiefly as consultants do much less home visiting (8.4% of their total services) but provide a much higher percentage of medical center and office services (79.3%) and also a higher proportion (12.3%) of their services in the hospital. 8. Children under one year average 13.1 physicians' services per year, many of a purely preventive nature. Age-specific utilization rates have been computed for the 1948 experience on 500,000 physician services and are reported in this paper. 9. HIP's neonatal mortality rate was about 9 per 1,000 live births, whereas the rate of New York City as a whole during the same year was 20 per 1,000, of New York State 20.7 per 1,000, and of the country about 25 per 1,000. 10. An analysis is reported in this paper of HIP's experience with pediatric surgery during the last six months of 1949, which included 1,528 surgical procedures in relation to 27,925 enrollee years of children. 11. Although consultant services of psychiatrists can be provided under a comprehensive system of prepaid group practice, the pediatricians of the medical group must continue to carry the responsibility, as in any other system of medical care, for that large part of medical practice which is concerned with the behavior and emotional problems of childhood. In comprehensive group practice it has therefore been found desirable for the pediatrician to relieve the family physician of the routine care of young children in the family, at least during infancy and the preschool period.


PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 164-165

Officers Elected: At the annual meeting of the Ambulatory Pediatric Association in Atlantic City in April 1970, the following officers and members of the Executive Council were elected: President John H. Kennell, President Elect Donald L. Fink, Executive Council Members: Ray E. Helfer and Roland B. Scott. Institites for Physicians and Nurses in the Care of Premature and Other Highrisk Infants, sponsored by the New York State Department of Health and the United States Department of Health, Education and Welfare, and conducted at the New York Hospital-Cornell Medical Center five times during the academic year, will begin in September, 1970.


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