OU Medicine COVID-19 Provider Capacity Surge Planning Survey

We are asking for your help! The University of Oklahoma College of Medicine and OU Medicine, Inc., are establishing an academic center of excellence intended to provide leading edge care for patients impacted by the Coronavirus. We are collectively engaged in the war on this virus with academic institutions across the country. Our faculty, nurses and staff are going above and beyond, and our leaders are setting forth a surge strategy that will ensure availability of necessary resources and care for patients impacted by COVID-19. As with Europe, NY and across our country, success in addressing an Oklahoma surge scenario will lie in our ability to come together as a body of providers to meet the need head-on.

As physicians and advanced providers, you are one of our state's most valuable resources and an absolutely critical component in efforts to defeat COVID-19. We understand and celebrate the many engaged in their home community’s response and thus unable to offer their services here. We also appreciate the outpouring of support from our retired faculty and retired providers statewide. In keeping with current guidelines, we are working on telemedicine service opportunities for those providers unable to be onsite or for those seeking to volunteer who are 65 years or older with associated medical comorbidities.

Your input will provide vital information critical to establishing a care strategy capable of delivering the best quality of care for patients, families and unfortunately even our colleagues who have been stricken with COVID-19. Emergency privileging processes and opportunities to volunteer or be remunerated for your participation in 12-hour shift coverage and telemedicine initiatives have been implemented. We do hope you join us in this fight and know how grateful we are for your time and support.

Please select "DONE" at the end of the survey to ensure that your responses are registered.

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* 1. Name as it appears on Oklahoma state medical license?

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* 2. Please provide your current age?

Less than 65

65+

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* 3. If you selected 65+ in the previous question, are you willing and qualified to participate in potential COVID-19 telemedicine patient monitoring initiatives being developed?

Yes

N/A

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* 4. Best contact phone number?

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* 5. Best email address?

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* 6. City in Oklahoma in which you currently practice?

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* 7. Please check the box for each specialty for which you hold board certification and/or expertise? Please check all that apply.

Internal Medicine

Critical Care Medicine or Pulmonary/Critical Care Medicine

Pulmonary Medicine

Hospitalist Medicine

General Surgery

Anesthesiology

Family Medicine

Emergency Medicine

Obstetrics/Gynecology

Anesthesiology

Pediatrics

Physician Assistant

APRN

Other (please specify)

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* 8. Which of the following best represents your ability to serve in our COVID-19 surge response?

I would be able and comfortable providing inpatient care for critically ill COVID-19 patients with comorbidities as part of care teams led by board certified critical care specialists and including APRNs, residents, nurses and other providers?

I would be able and comfortable providing inpatient care for critically ill and/or post operative patients in a Med-Surg unit as part of a care team utilizing physician specialists, APRNs, residents, nurses and other providers?

While I am not able to provide care on-site, I would be able and comfortable providing telemedicine based service as requested.

I am not able to participate due to other responsibilities.

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* 9. Would it be appropriate for a member of our COVID-19 Surge Planning Team to contact you regarding your willingness and ability to serve in this critical endeavor, to provide you with remuneration, credentialing and malpractice process details and to answer your questions?

Yes