COVID-19: Our Nicklaus Children’s Hospital Pediatric Residency Experience
leadership throughout the institution collaborated to secure adequate supply of PPE, procure testing kits, and develop clinical pathways and treatment guidelines. Early on, the effect of COVID-19 on our freestanding children’s hospital was starkly different from what adult institutions across the country were experiencing. Inpatient volume decreased, elective surgeries were suspended and outpatient practices transitioned to telemedicine visits. While resident rotations in the inpatient wards, PICU, NICU, ER and hospital-based ambulatory pediatric clinic continued without interruption, sub-specialty outpatient and community-based electives were temporarily replaced with remote self-directed learning electives. Didactics and educational activities were also immediately transitioned to a virtual platform. Additionally, residents and fellows were credentialed in telehealth, which has added a new and promising element to our training. After several weeks, Nicklaus Children’s Hospital began to implement its recovery plan, which consisted of slowly resuming elective surgeries, recommencing outpatient visits and returning remote staff. Our resident elective rotations also resumed in mid-May, and the program’s clinical curriculum has continued uninterrupted since.