1/ Thoughts/reflections on the events of the last 24 hours with the vaccine rollout at Stanford... One of the most upsetting 24 hours I have ever experienced.
2/ The rollout was an absolute mess. Pledges that were made were not followed through on. Housestaff were rightly upset to (for all practical purposes) be completely left out of the first wave. They are our very definition of frontline physicians.
3/ There will need to be a deep dive into how exactly this happened. I am at least happy to say that I have learned enough over the course of the day to know that this was not malice or a specific intent to exclude the housestaff. (cont.)
4/ In an attempt to ensure equity, distribution was via an algorithm. This algorithm was well-intentioned but clearly hopelessly flawed. The lack of a sanity check being done on its output before it was put into action was a shocking and inexcusable error.
5/ The effect on housestaff was just one of the absurdities that occurred. Faculty members who are attending on COVID-only units were not included in Wave A, while others with little exposure were. There are more absurd examples than you can imagine.
6/ I know there were many efforts across the institution today; I can tell you what we did in the DOM. We came together this morning and decided to ask all faculty except those at highest risk to give up their spots in line until all of our trainees could get vaccinated first.
7/ I was proud to be one of those to take the pledge & cancelled my #vaccine spot today, as did so many of my colleagues throughout the @StanfordDeptMed, include every member of leadership. Our residents and fellows have started getting vaccinated instead, as it should be.
8/ I have so much sadness over today. Sadness for the message that it seemed to send to our trainees, even if not deliberate. Sadness to miss out on the joy of celebrating the monumental achievement of the vaccine with the #IGotTheShot picture I've been excited about all week.
9/ I couldn't be prouder of our @StanfordMedRes and @StanfordDeptMed fellows, who have stepped up all year in the face of this existential health crisis of our time. I more than understand their frustration/anger. I share it.
10/ We had a town hall today for our residents/fellows. @AJRogers_ICU gave a particularly passionate/inspiring message about what our trainees have meant for our community. @HeartBobH spoke of our Department principles. And so proud of the thoughtful engagement of our housestaff.
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