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Table 1 Division of infectious diseases roles and key responsibilities in the COVID-19 response

From: Responding to COVID-19: how an academic infectious diseases division mobilized in Singapore

Role

Key responsibilities

Division chief

Provide leadership for the division pandemic response and overall strategy

Reorganize existing roles, manpower, and other division resources to ensure leadership and business continuity

Ensure hospital- and national-level advocacy, feedback, and coordination

Clinical director

Oversee divisional rosters and manages clinical team to ensure sustainability

Develop clinical workflows and protocols in partnership with key stakeholders

Coordinate with major stakeholders within the department of medicine and hospital (i.e., emergency department, ambulatory services)

Deputy clinical director

Job-share with clinical director to ensure continuity and adequate downtime

Coordinate with select stakeholders that care for patient populations requiring distinct workflows/protocols (i.e., transplant, hematology-oncology)

IPC director

Lead multidisciplinary IPC efforts at hospital level with national-level advocacy and coordination

Oversee IPC protocols including personal protective equipment guidance to protect against nosocomial transmission

Advocate and plan for enhanced screening, isolation, and cohort capacity

ID-IPC liaison

Liaise with key stakeholders requiring enhanced IPC input (i.e., anesthesiology department, intensive care units)

Coordinate with infection control nurses to audit IPC practices on pandemic wards, operating room workflows

Partner with occupational health clinic to develop protocols for screening of exposed or unwell staff

Hospital epidemiology director

Oversee hospital contact tracing for confirmed cases, to ensure no IPC breaches and no staff, patients, or visitors exposed

Synthesize and report data nationally and to hospital leadership

Manage epidemiology unit and plan for surge manpower

Pandemic team clinicians

Oversee patient care and manage medical teams on wards caring for COVID-19 patients

Embed in pandemic teams as a COVID-19 resource and review all screened suspect cases

Non-pandemic team clinicians

Ensure continuity of division non-COVID-19 clinical inpatient and outpatient services

Cross-cover some of the duties of pandemic team clinicians

Research director

Coordinate and prioritize research with clinicians and university basic science departments

Update literature reviews and summaries of emerging treatment and other COVID-19-related evidence

Fellowship program director

Ensure safety, well-being ,and optimal education-service balance for ID trainees

Adjust teaching activities to adapt to pandemic response phase and maximize learning opportunities

Media liaison

Coordinate responses to media and public education requests

  1. Suggested roles reflect our experience and may be shared, combined, or contextualized to ensure optimal coverage of key responsibilities
  2. Abbreviations: ID infectious diseases, IPC infection prevention and control