id author title date pages extension mime words sentences flesch summary cache txt cord-286418-9ho5fg3h Jenkins, Ian Lessons from Walking the Medical Distancing Tightrope 2020-05-28 .txt text/plain 2625 144 45 Like many academic programs before the pandemic, UCSD's Division of Hospital Medicine emphasized interdisciplinary bedside rounding, focusing on clinical care, quality, patient experience, and teaching. SARS-CoV2, capable of spreading from presymptomatic and asymptomatic persons, 3 threatened to injure or kill high-risk hospitalized patients (i.e. elderly, or with comorbid illnesses) as well as healthcare workers (HCW), making them patients instead of caregivers during our projected surge. 8 For example, on April 9, UCSD Health had a total census of 471 patients (56% occupancy) of which only 4.2% had COVID, with 10 patients on the hospital medicine service, 8 on ventilators (5.2% of capacity), and only 3 total deaths to date. AAMC guidelines advise that medical students not be involved in patient care unless COVID risks are low and protective equipment and testing are available. 12 As we contemplate the future of hospital care and training, we continue to monitor our distancing efforts for signs of adverse effects on safety, efficiency, and experience. ./cache/cord-286418-9ho5fg3h.txt ./txt/cord-286418-9ho5fg3h.txt