Explore Graduate Medical Education (GME)
Last Updated: 03-20-2020 11:31 a.m.
The following procedures were developed to help ensure program directors and residents/fellows are aware of the interim policies and procedures in place during the COVID-19 pandemic in Hampton Roads. Please check this webpage frequently for updates. Questions should be sent to Dr. Linda Archer.
Residents/Fellows and Patient Care Experiences
Residents and Fellows may provide care under faculty supervision to suspected or confirmed COVID-19 patients. Supervision should be in compliance with Accreditation Council for Graduate Medical Education (ACGME). The ACGME may revise supervision policies as needed to address the rapidly changing clinical scenarios related to COVID-19. The most recent communication may be found at ACGME.org in a Letter to the Community from Dr. Thomas Nasca, President and CEO of ACGME. Program directors should monitor all communications from ACGME for revisions to supervision and other ACGME requirements.
Program directors have the authority to reassign residents/fellows on research and elective rotations to the primary teams to ensure adequate care of suspected or confirmed COVID19 patients.
Resident/Fellow Exposure to Suspected or Confirmed COVID-19 Patients
EVMS Human Resources (HR) is the central reporting mechanism for access to Occupational Health for resident/fellow screening for COVID-19. After discussion with the program director, the resident/fellow should contact EVMS HR (446-6043) for reporting and referral to Occupational Health for screening. EVMS HR will provide the program director with status updates on the resident/fellow throughout the process and until the resident is deemed cleared to return to work.
Process for Educational Assignments during Quarantine or Illness
Program directors have the authority to provide alternative educational assignments for residents on quarantine or illness due to COVID-19. If the resident/fellow is assigned home duty due to quarantine or illness, the program director should report such to EVMS HR and complete the EVMS HR forms for home duty (remote work).
Residents/Fellow with Serious Chronic Health Conditions
Residents with serious chronic health conditions should report such to their program directors. Program directors should contact HR to determine what accommodations may be necessary.
Last Updated: 03-19-2020 3:59 p.m.
Please monitor this site for updates on COVID-19 testing options for residents and fellows experiencing related symptoms and/or exposures.
Below is guidance for residents and fellows from GME leadership, along with Hospital Epidemiology/Infection Prevention updates based on the current situation with COVID-19 regarding residents and fellows. Please review the Faculty/Staff web-page as well.
Please note that many things are changing rapidly. Pay close attention to individual hospital policies, which will be more specific to your current patient-care areas. When you have questions, please contact your Program Director, who may redirect you to infection prevention/control or occupational health at your site.
Senior residents and fellows will continue will continue to be involved in evaluation and treatment of patients with suspected respiratory illness, including those suspected of [patient under investigation (PUI)] or confirmed as having COVID-19. Programs are in the process of determining the engagement of PGY1 residents. If you have an underlying medical condition that would put you at risk for caring for COVID-19 patients, please discuss with your Program Director.
For now, all sites are following CDC guidance for N95 respirators, plus facemask or goggles, and contact (gown, gloves) when treating these patients. Online updates on how to don and doff the N95 respirators will be made available on the EVMS website. Due to a shortage of N95 masks, on-site fit testing will not be conducted. Residents/fellows with beards/mustaches are encouraged to remove the facial hair to help ensure an appropriate mask fitting.
If residents or fellows experience an exposure from a patient with suspected or confirmed COVID-19, the resident must don a mask and contact the hospital’s Infection Control Officer immediately for exposure recommendations. The resident/fellow must also notify the Program Director of the exposure.
Residents and fellows with symptoms of COVID-19 (i.e., cough, fever, shortness of breath or difficulty breathing) should stay home and follow the notification policies of their department, including contacting the Chief Resident, Program Director/Program Coordinator and the supervising physician at the assigned clinical training site.