Exploring the Role of Health Professional Students and Trainees as Members of the Health Workforce During Crises Proceedings of a Workshop (2022) / Chapter Skim
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2 The Decision-Making Process of Leaders
2 The Decision-Making Process of Leaders
Pages 5-12
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From page 5... ...
(Kornfeld) • There were some core competencies that new residents had missed out on developing, which meant residents had a "very steep" learning curve.
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Finally, Kecia Kelly from Legacy Health explained how the decision was made in Portland, Oregon, to pull nursing students from clinical rotations. ASSOCIATION OF AMERICAN MEDICAL COLLEGES Alison Whelan, Chief Medical Education Officer The Physician Charter on Professionalism of 2002 emphasized the primacy of patient welfare, patient autonomy, and social justice, said Alison Whelan.
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From page 7... ...
Such roles were critically important during COVID-19 as well, Whelan commented. For example, AAMC collected data on what schools were doing if students were not working in clinical settings, and disseminated resources on alternative educational approaches.
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Whelan emphasized this was guidance rather than a recommendation, and that every school needed to do what worked best with its mission, the local pandemic situation, and the needs of local stakeholders. Furthermore, she said, the driving motivation behind the guidance was an urgency to "bend the curve" for public health, conserve PPE, and maintain public and health care worker safety, given limited testing capacity.
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From page 9... ...
Public health students are critical members of interprofessional health teams, and public health schools often share a campus, and even classrooms, with other health professions schools, said Kornfeld. Public health students are engaged in both didactic and experiential learning, and although they do not participate in clinical care, part of their training is being in the field embedded in community-based organizations.
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NURSING: LEGACY HEALTH Kecia Kelly, Senior Vice President and Chief Nursing Officer Legacy Health is a small, not-for-profit health care organization in the Pacific Northwest with about 14,000 employees, including 5,000 nurses. In July 2020, Legacy was still recovering from a staffing crisis, with over 1,500 open positions.
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Legacy made the "difficult decision" to pull nursing students out of clinical rotations so the organization could focus on making sure the new residents and current employees could be successful. Kelly described the higher than usual patient loads for understaffed nurses, the need to protect and educate nurse residents, and the risk of burnout, before reflecting on how this experience led Legacy to develop a new approach for bringing nursing students back into the clinical setting.
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From page 12... ...
The quick answer is "We've learned a lot, and we need to just take those lessons forward and use technology when appropriate and in person as indicated." Regarding the student voice, Whelan commented on the numerous exchanges she had with students and leaders across professions and from different institutions, not only about their experiences during the pandemic but also with regards to the recent civil unrest related to racism. Schools that truly included students in decision making and included students at the table, said Whelan, "were most successful in meeting the students where they were." Whelan closed by introducing a parallel concept to the social determinants of health, which is the social determinants of education (SDE)
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