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From the Frontlines: Leading During a Pandemic

At the beginning of the COVID-19 crisis, we started From the Frontlines, a nationwide gathering of clinicians to discuss topics at the forefront of medicine, to facilitate connections between clinicians across the country. Every day, we learn more about the Novel-Coronavirus (COVID-19) and confront new challenges associated with the virus. The voices of our clinicians and clinical support teams have never been more valuable. Clinicians are on the frontlines of our national response to this virus — they are called upon to develop immediate strategies and solutions to keep our communities and colleagues healthy and safe.

Marc Demyun, MD 
Regional Medical Director — Denison, Texas

Marc Demyun, MD

On Preparing for the Uncertainties of the Virus: At the time, I was reading about what was happening in other parts of the country, and we were not seeing many COVID-19 patients in my region, so we prepared. I actually called Dr. Abraham to discuss what I should prepare for based on her experience.

We set up virtual health solutions and cordoned off an area in the intensive care unit for COVID-19 patients. We established a multidisciplinary team of clinicians to care for COVID-19 patients and emergency scheduling protocols.

Lastly, we set up daily communications on how many patients we tested and how many were positive. I was transparent with my team so we could support each other when we needed to.

“Being open and transparent with our people has helped with the fear and uncertainty. People do better when they understand not just the decisions that are made but also why they are made.” – Marc Demyun, MD

Alain Folefack, MD 
Regional Medical Director — Arlington, Texas

Alain Folefack, MD

On Teamwork and Training for COVID-19: I'm a firm believer in teamwork. As long as we are there for each other, we will be successful. Envision leaders have been there for us, hospitals have been there for us and nurses have been there for us, which has made us successful.

Envision provided the training and resources needed to handle the emotional aspects of the crisis. As physicians, we all lead teams of practitioners. Whether its nurses, nurse’s aides or techs — all those people look to the physician as the leader of the team. On every level of that clinical team, there were challenges. Still, everyone appreciated that we could provide them with some tools to manage the stress and anxiety and potential conflict surrounding the crisis.

“We stayed informed thanks to the Envision COVID-19 website. Thankfully we had those resources to help limit the amount of time we spent on research.” 
– Alain Folefack, MD

From the Frontlines is a bi-weekly teleconference panel of multispecialty clinicians nationwide who speak from the frontlines and discuss the evolving best practices as they address the COVID-19 pandemic. Visit www.evhc.net/coronavirus to watch past webinars and learn more about our work on the frontlines of the COVID-19 pandemic.

As a leading national medical group, Envision brings clinicians together to offer transformative patient care and hospital practices. Our strength is in the shared expertise of thousands of clinicians across the country, each with a unique story and thoughtful understanding of medical practices.