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Choices for the “New Normal”

Educational Objective
To understand how to cope with the “New Normal” that is emerging following the COVID-19 pandemic
1 Credit CME

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has only 15 genes, compared with 30 000 in the human genome. But it is a stern teacher, indeed. Answers to the questions it has raised may reshape both health care and society as a whole.

No one can say with certainty what the consequences of this pandemic will be in 6 months, let alone 6 years or 60. Some “new normal” may emerge, in which novel systems and assumptions will replace many others long taken for granted. But at this early stage, it is more honest to frame the new, post–COVID-19 normal not as predictions, but as a series of choices. Specifically, the pandemic nominates at least 6 properties of care for durable change: tempo, standards, working conditions, proximity, preparedness, and equity.

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Article Information

Corresponding Author: Donald M. Berwick, MD, MPP, Institute for Healthcare Improvement (IHI), 53 State St, 19th Floor, Boston, MA 02109 (donberwick@gmail.com).

Published Online: May 4, 2020. doi:10.1001/jama.2020.6949

Conflict of Interest Disclosures: None reported.

References
1.
Balas  E , Boren  S . Managing clinical knowledge for health care improvement. In: van Bemmel  JH , McCray  AT , eds.  Yearbook of Medical Informatics. Schattauer Verlagsgesellschaft mbH; 2000:65-70. doi:10.1055/s-0038-1637943
2.
COVID-19 Clinical guidelines. Brigham and Women’s Hospital. Accessed April 29, 2020. https://covidprotocols.org/quick-guides
3.
Wu  Z , McGoogan  JM .  Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention.   JAMA. 2020;323(13):1239-1242. doi:10.1001/jama.2020.2648PubMedGoogle ScholarCrossref
4.
White  DB , Lo  B .  A framework for rationing ventilators and critical care beds during the COVID-19 pandemic.   JAMA. Published online March 27, 2020. doi:10.1001/jama.2020.5046PubMedGoogle Scholar
5.
Berwick  DM , Shine  K .  Enhancing private sector preparedness for 21st century health threats: foundational principles from a National Academies initiative.   JAMA. 2020;323(12):1133-1134. doi:10.1001/jama.2020.1310PubMedGoogle ScholarCrossref
6.
Yancy  CW .  COVID-19 and African Americans.   JAMA. Published online April 15, 2020. doi:10.1001/jama.2020.6548PubMedGoogle Scholar
7.
Owen  WF  Jr , Carmona  R , Pomeroy  C .  Failing another national stress test on health disparities.   JAMA. Published online April 15, 2020. doi:10.1001/jama.2020.6547PubMedGoogle Scholar
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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