Klinischer Einsatz von Medizinstudierenden als personelle Überlaufkapazität in einer Notlage am Beispiel der Covid-19-Pandemie: Qualitative Auswertung der ESCAPE-Studie
摘要
Hospitals should plan a staffing surge capacity to prepare for a new pandemic or disaster. As medical students are a possible surge capacity resource, this study investigated whether including students in surge capacity plans is desirable and under which conditions it is feasible.
MethodsWe performed two retrospective multicentre observational trials in 2023 by enrolling medical students from 20 German faculties and leadership from critical areas of inpatient care at two university hospitals. We investigated the integration of medical students in the COVID-19 effort, assessed the willingness to include students in future preparedness plans, and explored possible requirements for such a deployment.
ResultsBoth leadership staff (n = 72) and students (n = 1249) displayed a clear willingness for cooperation in the context of preparedness plans (81.9% and 90.8% approval respectively). Most agreed on delegating diagnostic, medical assistance, nursing and logistical tasks to the surge capacity help force. Students addressed financial compensation, clearance of academic obligations and sufficient training as prerequisites for their deployment. Leadership staff also emphasized the need for adequate training. Both parties cited students’ academic obligations amongst the main limiting factors.
ConclusionBoth surveys display a high acceptance for including students into the surge capacity workforce. These results support the need for predefined roles for surge capacity helpers and emphasize the necessity of pre-emptive preparedness training and the clarification of academic obligations ahead of time.