As the COVID-19 pandemic spreads around the world, so too does the need for medical care providers. As the number of patients rises, many physicians who are over the age of 65 will be providing care to patients. In some areas, physicians are even coming out of retirement to do what they can to help stop the spread of the pandemic.
AMA’s COVID-19 Guidance for Retired Physicians
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Based on the information that is currently available, the Centers for Diseases Control and Prevention (CDC) has stated that people who are aged 65 and older are at high-risk for severe illness from COVID-19. If physicians 65 or older are considered high-risk, is it prudent for them to be on the front lines of patient care? The American Medical Association (AMA) has guidance to offer senior physicians as they make that decision.
Patrice A. Harris, M.D., M.A., president, American Medical Association, issued a statement on behalf of the AMA saying, “As with all people in high-risk age groups, careful consideration must be given to the health and safety of retired physicians and their immediate family members, especially those with chronic medical conditions. The availability of personal protective equipment (PPE), and the opportunity to provide non-direct patient care are also special considerations.”
Dr. Harris offered suggestions for roles that physicians who fall into high-risk categories can play: “These physicians can play a critical role at this time. For example, many health centers are training their senior physicians to provide remote care through telemedicine programs, to take a greater role in teaching online, and to provide administrative leadership to allow physicians at lower risk to provide direct patient care.”
Dr. Harris also cautioned that physicians who have already retired and are considering returning to help should ensure that they meet any applicable state licensing requirements and find out if any additional training is required for them to return.
The AMA has published a resource guide to assist senior physicians as they consider these important issues.
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This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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