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Over the past few months, as the coronavirus disease 2019 (COVID-19) pandemic has spread across the world, academic medical centers have provided indispensable service in caring for patients and advancing science, including launching hundreds of clinical trials and other studies focused on treatments and vaccines.
To fully focus on COVID-19, many academic health systems (AHSs), as well as clinicians in other health care settings, have radically transformed their operations. AHSs have created additional critical care and acute care capacity, and redeployed physicians, nurses, and trainees to support the needs of patients. The changes have not been limited to the hospitals. Both clinical and nonclinical staff are working from home; AHSs and other groups have deferred a significant amount of nonurgent care; many, if not most, clinicians have begun using telemedicine widely for nonurgent care; and education has become largely virtual. Under normal circumstances these changes might occur over months, years, or even decades. Instead, they have happened in weeks.
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Corresponding Author: Steven D. Shapiro, MD, University of Pittsburgh Medical Center, 600 Grant St, Pittsburgh, PA 15219 (email@example.com).
Published Online: May 20, 2020. doi:10.1001/jama.2020.8002
Conflict of Interest Disclosures: Dr Rothman reported serving on the boards of Merck and the King Faisal Specialty Hospital, for which he receives compensation. No other disclosures were reported.
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