Knowing Your Team: Rapid Assessment of Residents and Fellows for Effective Horizontal Care Delivery in Emergency Events

Bradley Dennis, Alexandra Highet, Daniel Kendrick, Laura Mazer, Sean Loiselle, Hoda Bandeh-Ahmadi, Tanvi Gupta, Kenneth Abbott, Jarrett Lea, Thu Dang, Mischon Ramey, Brian George, Kyla Terhune

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background: Horizontal care, in which clinicians assume roles outside of their usual responsibilities, is an important health care systems response to emergency situations. Allocating residents and fellows into skill-concordant clinical roles, however, is challenging. The most efficient method to accomplish graduate medical education (GME) assessment and deployment for horizontal care is not known. Objective: We designed a categorization schema that can efficiently facilitate clinical and educational horizontal care delivery for trainees within a given institution. Methods: In September 2019, as part of a general emergency response preparation, a 4-tiered system of trainee categorization was developed at one academic medical center. All residents and fellows were mapped to this system. This single institution model was disseminated to other institutions in 2020 as the COVID-19 pandemic began to affect hospitals nationally. In March 2020, a multi-institution collaborative launched the Trainee Pandemic Role Allocation Tool (TPRAT), which allows institutions to map institutional programs to COVID-19 roles within minutes. This was disseminated to other GME programs for use and refinement. Results: The emergency response preparation plan was disseminated and selectively implemented with a positive response from the emergency preparedness team, program directors, and trainees. The TPRAT website was visited more than 100 times in the 2 weeks after its launch. Institutions suggested rapid refinements via webinars and e-mails, and we developed an online user's manual. Conclusions: This tool to assess and deploy trainees horizontally during emergency situations appears feasible and scalable to other GME institutions.

Original languageEnglish (US)
Pages (from-to)272-279
Number of pages8
JournalJournal of graduate medical education
Issue number3
StatePublished - Jun 1 2020

Bibliographical note

Publisher Copyright:
Accreditation Council for Graduate Medical Education 2020.


Dive into the research topics of 'Knowing Your Team: Rapid Assessment of Residents and Fellows for Effective Horizontal Care Delivery in Emergency Events'. Together they form a unique fingerprint.

Cite this