Keeping the team together: Transformation of an inpatient neurology service at an urban, multi-ethnic, safety net hospital in New York City during COVID-19

Clin Neurol Neurosurg. 2020 Oct:197:106156. doi: 10.1016/j.clineuro.2020.106156. Epub 2020 Aug 17.

Abstract

The COVID-19 pandemic dramatically affected the operations of New York City hospitals during March and April of 2020. This article describes the transformation of a neurology division at a 450-bed tertiary care hospital in a multi-ethnic community in Brooklyn during this initial wave of COVID-19. In lieu of a mass redeployment of staff to internal medicine teams, we report a novel method for a neurology division to participate in a hospital's expansion of care for patients with COVID-19 while maintaining existing team structures and their inherent supervisory and interpersonal support mechanisms.

Keywords: COVID-19; Neurohospitalist; Neurology administration; Neurology residency; Stroke.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / therapy*
  • Critical Care / organization & administration
  • Electroencephalography / methods
  • Hospital Departments / organization & administration*
  • Hospitals, Urban
  • Humans
  • Internship and Residency / organization & administration
  • Neurology / organization & administration*
  • Neuroscience Nursing / organization & administration
  • New York City
  • Pandemics
  • Personnel Staffing and Scheduling*
  • Pneumonia, Viral / therapy*
  • SARS-CoV-2
  • Safety-net Providers
  • Tertiary Care Centers