COVID-19 Curriculum
  • Medical Student COVID-19 Curriculum
  • Curriculum Overview
    • Cases
    • One-Page Summaries
  • About Us
  • Translations
    • Currently Available Languages
      • Amharic
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  • Module 1: From Bench to Bedside
    • Basic Virology and Immunology
    • Diagnosis of COVID-19
    • Management of COVID-19
    • Investigational Therapeutics & Vaccine Development
    • Graphic Summary & Concept Videos
  • Module 2: Epidemiology Principles
    • Introduction to Epidemiological Terms
    • Where Are We Now?
    • Where Will We Be Next?
    • Approaches to Long-Term Planning
    • Case Study: 1918 Influenza Pandemic
    • Case Study: 2009 H1N1 Pandemic
    • Case Study: South Korea 2020
    • Graphic Summary
  • Module 3: Health Disparities, Policy Changes, and Socioeconomic Effects in the U.S.
    • Social-Ecological Model for Understanding Differential Impact of COVID-19
    • Health Disparities in COVID Outcomes
    • COVID-19 among Populations in Correctional Facilities
    • Overview of U.S. Health Policy Responses to COVID-19
    • United States Federal Health Policy Response Details
    • State Responses to COVID-19: Selected Case Studies
    • Implications for the Healthcare System Beyond COVID-19 Patients
    • Socioeconomic Ramifications in the United States
    • Summary
  • Module 4: Mental Health in the Time of COVID-19
    • The Biopsychosocial Framework
    • Special Considerations for At-Risk Populations
    • Evolving Clinical Practices in Mental Healthcare
    • Summary
  • Module 5: Communicating Information about COVID-19
    • Skillset Review
    • Science Communication and Misinformation
    • Advance Care Planning
    • Cultural Humility & Meeting People Where They Are
    • Sustaining Constructive Behaviors Over Time
    • Activity: Putting it to Practice
    • Summary
  • Module 6: Training for Potential Clinical Roles
    • Current Medical Student Involvement
    • Personal Protective Equipment
    • Telehealth
    • Being Mindfully Hygienic
    • Triage
    • Mechanical Ventilation: The Basics
    • Care for Self and Others During Crisis
    • Summary
  • Module 7: Global Innovation and Collaboration
    • Staff
    • Stuff
    • Space
    • Systems
      • Risk Communication Strategies
      • Effective Vaccination Protocols
    • Refugee and Migrant Health Case Study
  • Module 8: Medical Ethics in Relation to COVID-19
    • Overview of U.S. Medical Ethics
    • Principles of Allocation
    • Resource Distribution
    • Vulnerable Populations
    • Commitment of Healthcare Professionals and Trainees During Crisis
    • Clinical Trials, Research, and Treatments
    • Public Health
    • Summary
  • COVID-19 Student Response Website
  • Podcast: Antiviral
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  • Remote Screening
  • Triage Guidelines by Hospital

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  1. Module 6: Training for Potential Clinical Roles

Triage

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Last updated 5 years ago

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Criteria for Testing

Testing capacity has been in flux (see for updates), with resultant changes in testing eligibility protocols. The Massachusetts Department of Public Health (MA DPH) publishes updated guidelines with criteria for COVID-19 testing (see below for version as of 4/2/2020). It differentiates between populations recommended to be tested at state versus commercial laboratories.

Remote Screening

Triage Guidelines by Hospital

Thought question:

For a low-risk patient who may not fall under the recommendations to get tested for COVID-19, but who does want to get tested, how might a healthcare worker navigate the conversation about the utility of testing amongst those at highest risk?

Screening can occur remotely through a telephone/virtual visit by guidelines similar to above. Drive-through testing sites are expanding across the country, , and often require that patients fill out to determine eligibility. With in-house testing increasing at hospitals, institutions are developing their own testing eligibility protocols (see below). The Cleveland Clinic has produced allowing patients to self-assess for infection risk, with care recommendations based on risk level.

Testing: Hospitals have generally been outlining testing criteria for ambulatory vs emergency department or inpatient settings. Partners-specific guidelines are available (note: requires Partners credentials). BILH Cambridge Health Alliance guidelines are available (note: requires CHA credentials). Of note, most protocols are initially symptom-based (except for select populations such as transplant patients or requiring urgent airway surgery), followed by a prioritization list for symptomatic patients or staff. These reflect a balance of clinical/operational needs for testing and resource availability.

Clinical Triage: For a discussion of clinical triage guidelines, see

including Massachusetts
an online screening assessment
an online tool
here
provides guidelines on their website.
here
Module 1: Triage Guidelines.
Module 3: Testing Capacity