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. 2021 Mar 15;72(6):1074-1080.
doi: 10.1093/cid/ciaa903.

Rapid Reorganization of an Academic Infectious Diseases Program During the Coronavirus Disease 2019 Pandemic in Detroit: A Novel Unit-based Group Rounding Model

Amit T Vahia  1 , Zohra S Chaudhry  1 , Linda Kaljee  1 , Tommy Parraga-Acosta  1 , Smitha Gudipati  1 , Gina Maki  1 , Zain Tariq  1 , Anita Shallal  1 , Varidhi Nauriyal  1 , Jonathan D Williams  1 , Geehan Suleyman  1 , Odaliz Abreu-Lanfranco  1 , Anne Chen  1 , Nicholas Yared  1 , Erica Herc  1 , John E McKinnon  1 , Indira Brar  1 , Pallavi Bhargava  1 , Marcus Zervos  1 , Mayur Ramesh  1 , George Alangaden  1
Affiliations

Rapid Reorganization of an Academic Infectious Diseases Program During the Coronavirus Disease 2019 Pandemic in Detroit: A Novel Unit-based Group Rounding Model

Amit T Vahia et al. Clin Infect Dis. .

Abstract

The surge of coronavirus disease 2019 (COVID-19) hospitalizations at our 877-bed quaternary care hospital in Detroit led to an emergent demand for Infectious Diseases (ID) consultations. The traditional 1-on-1 consultation model was untenable. Therefore, we rapidly restructured our ID division to provide effective consultative services. We implemented a novel unit-based group rounds model that focused on delivering key updates to teams and providing unit-wide consultations simultaneously to all team members. Effectiveness of the program was studied using Likert-scale survey data. The survey captured data from the first month of the Detroit COVID-19 pandemic. During this period there were approximately 950 patients hospitalized for treatment of COVID-19. The survey of trainees and faculty reported an overall 95% positive response to delivery of information, new knowledge acquisition, and provider confidence in the care of COVID-19 patients. This showed that the unit-based consult model is a sustainable effort to provide care during epidemics.

Keywords: COVID-19; Detroit; epidemic response; medical education; unit-based consultation.

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