{"id":37018,"date":"2020-12-20T11:58:48","date_gmt":"2020-12-20T18:58:48","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=37018"},"modified":"2021-01-21T09:07:14","modified_gmt":"2021-01-21T16:07:14","slug":"cu-medical-students-step-into-help-covid-19-patients","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/cu-medical-students-step-into-help-covid-19-patients\/","title":{"rendered":"CU medical students step into help COVID-19 patients"},"content":{"rendered":"
<\/div>
\"Katie
Katie Havranek, shown here practicing intubation, is one of many CU med students who has volunteered to help support hospital providers caring for COVID-19 patients. Photo courtesy of Katie Havranek.<\/figcaption><\/figure>\n

A tick before 7 p.m. on November 25 \u2013 the day before Thanksgiving \u2013 Dr. Shanta Zimmer<\/a> pushed the \u201csend\u201d button on an email that sounded a call to arms against an enemy that was gathering strength.<\/p>\n

The foe was the novel coronavirus, which was rapidly spreading throughout Colorado and sending fresh waves of patients sickened with COVID-19 to hospital beds. Zimmer, an infectious disease specialist at UCHealth Colorado Hospital<\/a> on the Anschutz Medical Campus<\/a>, saw the strain on staff with her own eyes. The number of patients hospitalized with COVID-19 had climbed rapidly at UCH and other UCHealth hospitals since September<\/a>. She also knew that Colorado Governor Jared Polis wanted to stem the tide. Two weeks previously, he had told UCH and hospitals across the state to submit plans to increase their capacity by 50%<\/a>.<\/p>\n

Zimmer was in position to call on some fresh troops to meet that call. As senior associate dean for education<\/a> at the University of Colorado School of Medicine<\/a>, she oversees the studies and development of more than 700 medical students. Her email went out to fourth-year students preparing for and scheduling residency interviews. Zimmer requested volunteers to take on two consecutive 10- to 12-hour shifts, either on medical\/surgical floors or the surge ICUs, from Nov. 30 to Dec. 5.<\/p>\n

Urgent COVID-19 need answered by medical students<\/strong><\/h3>\n

Attending physicians, residents, hospital medicine specialists and advanced practice providers (APPs) at UCH badly needed assistance with patient care, Zimmer wrote, mincing no words. \u201cWe are entering the \u2018all hands on deck\u2019 phase of the crisis here in the Denver area,\u201d Zimmer wrote.<\/p>\n

She attached two documents to the email describing the support students would be asked to provide on floors and ICUs: placing orders, contacting family members, documenting care, tracking lab results and more. In short, they would function as clinical team members under the supervision of faculty and residents. She emphasized that they were under no obligation to volunteer.<\/p>\n

\":
Dr. Shanta Zimmer\u2019s email call for fourth-year med student volunteers to help fight a COVID-19 patient spike at UCH received a powerful response from the future physicians. Photo by UCHealth.<\/figcaption><\/figure>\n

Zimmer awoke Thanksgiving morning to find that the students had filled all the available shifts for the week. The surge continued that week \u2013 without any sign of abating \u2013 so on Friday, Dec, 4, Zimmer asked again for volunteers, this time to fill shifts for the rest of December and all of January. By the following Monday, the students had filled all of those shifts, including Christmas Eve and Christmas Day.<\/p>\n

The students had taken the \u201call hands on deck\u201d call seriously.<\/p>\n

\u201cPeople say a lot of things about the next generation and are they going to be committed and are they altruistic \u2013 all those kinds of things,\u201d Zimmer said. \u201cI want people to know they are. You can count on the next generation of physicians who are coming out.\u201d<\/p>\n

A desire to pitch in<\/strong><\/h3>\n

Katie Havranek is among that generation and one of the volunteers who answered Zimmer\u2019s email request. Now preparing for her residency interviews, Havranek plans to specialize in internal medicine. She said she welcomed the chance to volunteer \u2013 particularly because the capacity pressures created by the first wave of the COVID-19 pandemic in March and April had forced the hospital to set aside teaching temporarily. That forced Havranek and her fellow students out of their clinical rotations and away from patient care \u2013 a difficult situation for people training to serve others.<\/p>\n

\u201cGoing into medicine, most of us are compelled to help people,\u201d Havranek said. \u201cIn our fourth year, we feel a sense of belonging and responsibility to our communities, our patients and other physicians.\u201d<\/p>\n

Not that she and many of her fellow students sat by idly during their direct patient care hiatus. For example, after being sidelined from her clinical training, she helped gather personal protective equipment for the hospital and worked with others to distribute cards thanking Environmental Services staff for their service. \u00a0(Watch this video<\/a> to see how a sense of teamwork among UCHealth care givers\u00a0has never been stronger.)<\/p>\n

After the first surge subsided in the summer, Havranek got back to direct patient care, completing a clinical rotation caring for COVID-19 patients in intensive care units.<\/p>\n

Medical students help COVID-19 patients<\/strong><\/h3>\n

As with all her fellow fourth-year student volunteers, she was thus prepared to add much-needed clinical support in November and December as the latest patient surge intensified at UCH<\/a>. For her initial ICU shifts, she prepared by reading the documents Zimmer sent describing the help clinical teams needed; watching videos on proper donning and doffing of PPE; and reviewing the hospital\u2019s protocols for caring for COVID-19 patients<\/a>.<\/p>\n

Havranek joined teams that included an attending physician, an intern and two residents. For each shift, she was assigned a patient, read their chart, medical history and course of care, and presented the case to the attending physician during rounds. She then wrote notes that a resident edited for review by the attending.<\/p>\n

Havranek also helps to manage volunteer shifts and field feedback from other volunteer students about their experiences on the units. The insights have helped to make assignments more flexible \u2013 volunteers might switch from one unit to another that needs more help on a particular shift \u2013 and bolstered documentation about how to call families of COVID-19 patients and respond to the questions they frequently ask.<\/p>\n

Benefits of volunteering in medical school<\/strong><\/h3>\n

The volunteer experience has been valuable on many levels, Havranek said. The most obvious is that she\u2019s gotten a rare opportunity to gain clinical experience working with faculty, residents and nurses.<\/p>\n

She acknowledged feeling that she \u201cdidn\u2019t want to encumber the team.\u201d But that hasn\u2019t been an issue, she added. \u201cThey are always very generous teachers,\u201d she said. Despite the mounting stress of the pandemic, \u201cI\u2019ve never encountered anyone not excited to teach.\u201d<\/p>\n

Among other insights, the experience has taught her the importance of being flexible in the unpredictable world of COVID-19 patient care.<\/p>\n

\u201cI try to be present and react to any tasks the team may need,\u201d Havranek said.<\/p>\n

Her bonds with her fellow students are stronger because of volunteering, she added.<\/p>\n

\u201cI feel a sense of camaraderie with other students,\u201d Havranek said. \u201cI\u2019m lucky to be part of a community that works so hard and feels such a calling to help patients.\u201d<\/p>\n

The physical and emotional toll exacted by COVID-19 is real, and Havranek said she has felt it keenly while working on the units.<\/p>\n

\u201cThe hardest part is seeing the devastation of COVID for patients and families,\u201d she acknowledged. But that has only strengthened her resolve to work on their behalf.<\/p>\n

\u201cThe pandemic really leaves me committed to start work,\u201d she said. \u201cIt\u2019s been a relief to be helpful, and I feel we can do even more as time goes on. I feel very positive about that.\u201d<\/p>\n

The students\u2019 contributions have not gone unnoticed. In his \u201cWeekly Message\u201d Dec. 7, School of Medicine Dean Dr. John Reilly<\/a> took notice of their spirit of selflessness in combatting the surge.<\/p>\n

\u201cWe and our hospital partners are striving to avoid the extremes that we faced in the spring,\u201d Reilly wrote. \u201cI want to commend our fourth-year medical students for responding to a call to serve in team-support roles in critical care and floor units at UCHealth University of Colorado Hospital.\u201d<\/p>\n

\"Dr.
Dr. Jean Kutner.<\/figcaption><\/figure>\n

Dr. Jean Kutner<\/a>, chief medical officer for UCH, added a note of praise and gratitude for the students\u2019 commitment to relieving stress on hard-pressed providers, patients and families.<\/p>\n

\u201cWe got a great response from the fourth-year medical students, who have become members of teams and provided support,\u201d Kutner said. \u201cIt shows the strength of an academic medical center.\u201d<\/p>\n

These days, Zimmer said she occasionally encounters one of the student volunteers when she sees a patient in her role as an infectious disease specialist. She\u2019s gratified to see them working as an integral member of a clinical team.<\/p>\n

\u201cI see these students of mine as colleagues, and I let them know that I see them that way,\u201d Zimmer said. \u201cThere is an understanding that they are now part of the profession of medicine. That gives me an immense sense of pride.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

A tick before 7 p.m. on November 25 \u2013 the day before Thanksgiving \u2013 Dr. Shanta Zimmer pushed the \u201csend\u201d button on an email that sounded a call to arms against an enemy that was gathering strength. The foe was the novel coronavirus, which was rapidly spreading throughout Colorado and sending fresh waves of patients […]<\/p>\n","protected":false},"author":2143,"featured_media":36989,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[4859,4860,455],"class_list":["post-37018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-coronavirus","tag-covid-19","tag-university-of-colorado-school-of-medicine"],"acf":[],"yoast_head":"\nCU medical students step into help COVID-19 patients - 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