Table 6.
Deployment Requirements at Peak of COVID‐19
| Rotation | Cardiology Attending | Cardiology FIT | Shiftsa | Duration, d | Responsibility | ||
|---|---|---|---|---|---|---|---|
| On Service | Poolb | On Service | Poolb | ||||
| CC‐AB | 2 | 8 | 3 | 8 | 7 am–7 pm | 7 | Cardiology consultations on COVID‐19 patients in ICU and medical units; manage CCU patients |
| ICU‐L | ··· | ··· | 1 | 6 | 7 am–7 pm | 4 | Manage COVID‐19 ICU patients, lines, rounds |
| ··· | ··· | 1 | 6 | 7 pm–7 am | 4 | Cover COVID‐19 ICU patients and lines, cover cardiac emergencies | |
| IM‐AB | 2 | 8 | 2 | 8 | 7 am–7 pm | 7 | Primary care of COVID‐19 units |
| HICU | ··· | ··· | 1 | 4 | 7 pm–7 am | 4 | Primary care of HICU patients; cover cardiac emergencies |
| CCL | 2 | 22 | 2 | 5 | 7 am–7 pm | 7 | Only IC FIT; emergency and urgent procedures |
| 1 | 22 | 1 | 5 | 7 pm–7 am | 7 | Only IC FIT; emergency procedures | |
CC‐AB indicates COVID‐19 cardiology consultation teams A and B; CCL, cardiac catheterization laboratory; CCU, coronary care unit; COVID‐19, coronavirus disease 2019; FIT, fellows in training; HICU, hybrid ICU (non‐ICU setting includes sick patients on and off ventilators); IC, interventional cardiology; ICU, intensive care unit; ICU‐L, ICU team for central lines; and IM‐AB, internal medicine teams A and B.
Shifts on CC‐AB and IM‐AB were staggered between the attending physician and the FIT, to ensure continuity of care and to avoid situations where the attending and FIT were changing service on the same day.
Pools of physicians were selected to ensure continuity of service, rather than include all attendings and FIT for all services.