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• W3181379479 abstract "Sir: We read with interest the November 2020 article by Hollier et al.1 addressing the implications of crisis management on plastic surgeons during the current coronavirus disease of 2019 (COVID-19) pandemic. In their article, the authors define and describe how disaster response principles can be applied to plastic surgery practice throughout the COVID-19 pandemic. We commend the authors for providing this background on crisis management and discussing how these principles can be utilized by plastic surgeons to combat the COVID-19 crisis. We would like to propose additional areas where complementary crisis management strategies may be applied. To reduce the burden on health care systems during the COVID-19 pandemic and future epidemics, many guidelines propose cancelling or delaying elective and nonemergent procedures. While this simple step is a vital part of crisis management, the cancellation of cases and in-person educational opportunities will have a significantly impact on resident education.2 Plastic surgery education therefore requires its own crisis response and postcrisis recovery planning to ensure quality resident education. During the pandemic, teleconferencing can facilitate educational engagement through simulated patient case presentations, surgery livestreams, journal clubs, and didactic conferences.2 However, digital solutions do not address the loss of operative experience. It may be prudent to expand the use of simulation technology as a means to teach and maintain operative skills, for which there are examples in ear, nose, and throat, general, vascular, and hand surgery.3,4 We also foresee the need for postcrisis planning to address resident education in the aftermath of the pandemic. The Accreditation Council for Graduate Medical Education has allowed programs to assess trainees’ competence, rather than require a minimum number of logged cases. However, particularly for shorter training programs, such as fellowships, we anticipate a potential need to extend training or supervision to ensure surgical competency. The private practice sector was tremendously impacted by COVID-19, as seen by the decrease in the number of elective aesthetic procedures performed in 2020.5 As part of crisis management, Hollier et al. suggest temporarily reducing malpractice insurance, providing resources for small business loans, and encouraging businesses to reduce operational costs by maintaining only essential staff. While these measures may allow businesses to survive temporarily, they are not viable long-term solutions. Moving forward, plastic surgeons will need to implement safety mechanisms such as regular employee COVID-19 screening, preoperative COVID-19 screening for patients, and acquisition of sufficient personal protective equipment.5 Practices would be wise to transition to preoperative and postoperative visits using telehealth technologies, such as Zoom, WebEx, FaceTime, and MD-Live. It is also important for private practices to plan for prolonged postcrisis recovery. COVID-19 resulted in high unemployment rates and an economic downturn. Since most elective procedures are not covered by insurance, there will likely be fewer patients seeking aesthetic surgery in the coming years. Thus, practices must plan to scale down in light of decreased demand nationwide. In their article, Hollier et al. effectively describe crisis management and outline a variety of ways these strategies can be applied by plastic surgeons during the COVID-19 pandemic. In this communication, we suggest the expansion of crisis management strategies to resident education and long-term financial planning for the private practice sector. DISCLOSURE The authors have no financial interest to declare in relation to the content of this communication. Jennifer Akin, B.A.Rush Medical CollegeRush UniversityChicago, Ill. Alireza Hamidian Jahromi, M.D.Plastic and Reconstructive Surgery DepartmentRush University Medical CenterChicago, Ill. Jenna Rose Stoehr, B.A.Feinberg School of MedicineNorthwestern UniversityChicago, Ill." @default.
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• W3181379479 date "2021-07-06" @default.
• W3181379479 modified "2023-10-16" @default.
• W3181379479 title "The COVID-19 Pandemic: Crisis Management for Plastic Surgeons" @default.
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• W3181379479 doi "https://doi.org/10.1097/prs.0000000000008184" @default.
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