COVID 19

Surgical Resources

General Surgery Position Statement on
Cancellation of Elective Surgery during the Covid-19 Pandemic
download

July 15, 2020 - ONTARIO STATE OF EMERGENCY EXTENDED (originally declared on March 17) - download
June 8, 2020 - Ontario Health Infection Prevention and Control (IPAC) for Scheduled Surgeries and Procedures During the COVID-19 Pandemic Recommendations from Ontario Health - download
May 29, 2020 - All Ontario Emergency Orders (extended) - download
May 19, 2020 - Stage 1 of Ontario Financial Recovery Commences - includes gradual reopening of healthcare services such as scheduled surgeries and procedures. - details
May 7, 2020 - A Measured Approach to Planning for Surgeries and Procedures During the COVID-19 Pandemic - download
April 27, 2020 - A Framework for Reopening our Province - download
March 24, 2020 - The Ontario government went further to announce a mandatory shutdown of all non-essential services.
March 15, 2020 - The Ontario Medical Association has announced that all "non-essential care and elective surgery must be temporarily put on hold to protect all health-care providers, patients and the public, and most importantly, to manage what we expect may be tremendous demand on the system from spread of the virus." Ongoing updates pending Ministry guidelines. Section on General Surgery and OAGS Executives STRONGLY SUPPORT this decision and urge our members to work with their hospitals to cancel all non urgent care interactions in a coordinated fashion with other surgical services.

COVID19 Symptoms

Fever, new cough, pneumonia, or difficulty breathing (or a combination of these symptoms)
Muscle aches, fatigue, headache, sore throat, hoarse voice, runny nose or diarrhea
Symptoms in young children may also be non-specific (i.e. lethargy, poor feeding, Kawasaki Disease)
Latest: impairment of senses (i.e. loss of taste/smell, stumbling, falling, dizziness, slurred speech, Covid Toe)

NOTE: Whether you are a surgeon or a member of the public... If you're sick, no signs of illness but recently returned from a trip outside Canada or in close contact with someone who has been travelling or sick, you should self isolate for 14 days. If you are having difficulty breathing or experiencing other severe symptoms, call 911 immediately. Advise them of your symptoms and travel history. - Ontario Health COVID 19 Symptoms; Johns Hopkins COVID19 Symptoms
Ontario Health Self Assessment - TAKE ONLINE ASSESSMENT NOW
Telehealth Ontario: 1-866-797-0000

Ontario MOH COVID19 Advance Payment Program

Ontario MOH COVID19 Advance Payment Program: download
These loan payments are automatic in May, June, July, 2020 for ALL Ontario physicians who qualify
Payment will appear as "EMERGE ADVANCE PAYMENT (COVID19)" under Accounting Transactions
Interest free loan
Monthly average derived based on previous 12mth payments (April2019-Mar2020) and this will be used to top up physician payments to 70% of this average.
Recipients must agree to terms (i.e. 5 equal payback installments against OHIP earnings commencing Nov.2020-Mar.2021)

Advance Payment Program: How to Opt Out

For months that have already been paid out (i.e. May), you can pay it back via cheque
Made payable to "Minister of Finance". Note: "Re-payment of the advance payment for month of ...". Mail chq to: Financial Management Branch, 49 Place d'Armes, 3rd Floor, Kingston, ON K7L 5J3 .
To opt out in advance: Contact Service Support Contact Centre
Phone: 1.800.262.6524
Email: SSContactCentre.MOH@ontario.ca - Subject Line: "Opting Out"; In your email content, include your name, your billing number and the months for opting out. (Note: This option is preferable for your paper trail.)

Other Financial/Billing Resources

Federal Assistance Summary - download
Canada Emergency Response Benefit (CERB)
Canada Emergency Wage Subsidy (CEWS) - extended until the end of August,2020
Canada Emergency Business Account (CEBA)
Canada Emergency Commercial Rent Assistance (CECRA)
Canada's COVID19 Economic Response Plan
Temporary OHIP Billing Codes & More Details (MOH Bulletin): download ; download
MDFM Navigating COVID19: Considerations, Assistance and Resources - download webinar

COVID19 Data/Clinical Resources

ONT Health/CCO: COVID-19 TIP SHEET FOR FACILITIES PERFORMING GASTROINTESTINAL(GI) ENDOSCOPY –Guidance for Increasing GI Endoscopy Services - download
Centres for Disease Control and Prevention (CDC): website
WHO Update - download
OMA - Temporary Fee Codes for Virtual Care - download / MOH OHIP Virtual Billing Manual - download
OMA Physician Health Program (Getting Help Managing Stress during COVID 19)- details
OMA COVID19 Informational Chart & MD Processes - download
MOH/Ontario Health: COVID19 - Guidance for Acute Care - download
MOH/Ontario Health: Guidance for Health Sector - download
MOH/Ontario Health COVID19 Data Update - download
MOH/Ontario Health: Status of Cases within Ontario & Info - here
MOH/Ontario Health: COVID19 Updates here and Guidelines here
Ontario Health Force: Resources Matching Portal - download
Ontario Public Health: Updates
Ontario Public Health: COVID19 Testing - Updates
Canada Health: Updates
OCC & OMA Joint Press Release Re. Sick Notes: download
Johns Hopkins Coronavirus Resource Centre: download
Johns Hopkins COVID19 Global Cases Dashboard: download
COVID-19 Canada Open Data Working Group: download

CLINICAL Resources
Title:Back in Action - Emerging from the COVID19 Pandemic: A Webinar for General Surgeons Source: Uof T - 2020 Update in General Surgery Program Committee Format: webinar URL: https://www.cpd.utoronto.ca/covid19-resource/getting-back-to-business-emerging-from-the-covid-19-pandemic/
Title: Quick ICU Training for COVID-19 Training Resources - Critical Care Education Pandemic Preparedness Source: (ONTARIO) UofT, UofOttawa, McMasterU... Critical Care Education Pandemic Preparedness (CCEPP) project Format: web URL: https://www.quickicutraining.com/
Title: Canadian Association of General Surgeons COVID19 Webinar Series Source: CAGS Format: webinar (live and recorded) URL: download
Title: OntarioMD’s virtual care webinars for physicians Source: Ontario MD Format:web / stream URL: download
Title: What doctors and parents should watch for when COVID-19 affects children, including 'COVID toes' Source: CBC News Format:article URL: download Other Sources: Pediatrics - Journal of AAP; AAAS - Science Journal
Title: Adopting and Integrating Virtual Visits into Care: Draft Clinical Guidance Source: Ontario Health Quality Format:PDF URL: download
Title: Virtual Care and the 2019 Novel Coronavirus (listing of virtual tools/platforms available to MDs for communications with their patients) Source: Ontario MD Format: web URL: https://ontariomd.news/
Title: Recommendations for Surgical Procedures on Potential COVID-19 Patients Source: Michigan Surgery Format: Photo URL: https://twitter.com/DrJohnScott/status/1240328260493307904/photo/1
Title: Sequence for Personal Protective Equipment (PPE) Source:CDC (Centres for Disease Control and Prevention) Format:PDF (poster) URL: https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf
Title: (Mask - ear elastics) Donning/Doffing PPE Technique by General Surgeon Source: Dr. Michael Lisi, Collingwood, ON - demo Format:Twitter / video URL: https://twitter.com/dr_michael_lisi/status/1248703645560057856
Title: (Mask - head elastics) Donning/Doffing PPE Technique by Anaesthesiologist Source: Dr. Tim Jen, Vancouver, BC - demo Format:Twitter / video URL: https://twitter.com/DrTimJen/status/1238950595437850625
Title: (DONNING) How to Safely Put on PPE, Selected Equipment: N95 and Gown Source:CDC & Johns Hopkins Format:Youtube Video URL: https://www.youtube.com/watch?v=Ca66dpjPWZc
Title: (DOFFING) How to Safely Take off PPE, Selected Equipment: N95 and Gown Source:CDC & Johns Hopkins Format:Youtube Video URL: https://www.youtube.com/watch?v=bZA424c5sWQ
Title: COVID-19 Ventilator Management Refresher for Surgeons Source:Behind the Knife: The Surgery Podcast Format: audio Podcast URL: https://open.spotify.com/episode/0qdLULXnM30Yk3ZcAHOMIR?si=ELlQ4sCFQ4yjOPkA0ZJLrQ
Title: COVID19 Information for Health Professionals Source: Canadian Thoracic Society Format: web URL:https://cts-sct.ca/wp-content/uploads/2020/03/Coronavirus-Ver6.pdf https://cts-sct.ca/
Title: COVID19 Recommendations During Airway Manipulation Source: Canadian Anesthesiologists Society Format: web URL: https://www.cas.ca/en/practice-resources/news/cas-articles/2020/covid-19-recommendations-during-airway-manipulation
Title: COVID19 Essentials for Surgeons Source: Behind the Knife: The Surgery Podcast Format: audio Podcast URL: https://behindtheknife.libsyn.com/covid-19-essentials-for-surgeons
Title: COVID19 Clinical Cheat Sheets Source: University of Illinois at Chicago Format: PDF / posters URL: download
Title: (CLINICAL CASES) See what COVID19 looks like: Share your clinical experience on Figure 1 and tag it with #COVID-19 to help your colleagues around the globe. Source: Figure 1 platform - various world medical institutions/organizations Format: web URL: https://www.figure1.com/covid-19-clinical-cases
Title: COVID-19 Statement: Advice from the Canadian Association of Gastroenterology for Endoscopy Facilities, as of March 16, 2020 Source: Canadian Association of Gastroenterology Format: web/PDF URL: https://www.cag-acg.org/images/publications/CAG-Statement-COVID-&-Endoscopy.pdf
Title: Coronavirus and IBD Reporting Registry Source: Secure IBD Registry: Surveillance Epidemiology of Coronavirus Under Research Exclusion Format: web URL: https://covidibd.org/?idU=2
Title: Guide to Local Production: WHO-recommended Handrub Formulations Source: World Health Organization Format: PDF URL: https://www.who.int/gpsc/5may/Guide_to_Local_Production.pdf
Title: COVID19 - What we do when a COVID19 patient needs an operation: OR prep and guidance Source: Canadian Journal of Anesthesia Format: Journal URL: https://twitter.com/ThielsCA/status/1239328372439875592/photo/3 ; https://link.springer.com/article/10.1007%2Fs12630-020-01617-4
Title: Everything you should know about COVID-19 (Precautions for Surgeons) Source: AIS Channel - COVID19 Resources Center (Surgical Infection Division) Format: video/podcast URL: http://covid19.aischannel.com/
Title: ACS COVID19 Frequently Asked Questions Source: American College of Surgery Format: web URL: https://www.facs.org/about-acs/covid-19/faq
Title: Covid19 - How to Protect Yourself / If you are sick... Source: Centers for Disease Control and Prevention Format: web URL:https://www.cdc.gov/coronavirus/2019-nCoV/index.html
Title: Healthcare Professionals: Frequently Asked Questions and Answers Source: Centers for Disease Control and Prevention Format: web URL:https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html
Title: Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) Source: Centers for Disease Control and Prevention Format: web URL:https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html
Title: CovidSurg Source: NIHR Global Health Research on Global Surgery Format: web URL:https://globalsurg.org/covidsurg/
Title: Emergency Resources: COVID19 / COVID19 ICU Preparedness Checklist Source: Society of Critical Care Medicine Format: web URL:https://www.sccm.org/disaster / https://www.sccm.org/Disaster/COVID-19-ICU-Preparedness-Checklist
Title: Behind the Knife: Ventilators Simplified? Source: Behind the Knife Podcast, Dr. Georgoff is a Trauma and Critical Care Fellow at UT Houston Format: YouTube URL: https://www.youtube.com/watch?v=RHx-p5RFoaA&feature=youtu.be
Title: Resus COVID Crit Care and Ventilator Learning Resources Source: Resus Med Northwest Health Services LLC Format: web URL:http://www.resusmed.com/2020/03/21/covid-critical-care-and-ventilator-learning-resources/
Title: Digestive Symptoms Tied to Worse COVID19 Outcomes Source: Medscape / American Journal of Gastroenterologists Format: web URL:https://www.medscape.com/viewarticle/927112?src=soc_tw_share