ASPS Guidance Regarding Elective and Non-Essential Patient Care
March 19, 2020
In accordance with the new CMS recommendation that all elective surgeries, non-essential medical, surgical and dental procedures be delayed during the COVID-19 outbreak, the American Society of Plastic Surgeons recommends that all plastic surgeons cease providing any elective or non-essential services. We now live and practice in a critically different medical reality—a rapidly evolving viral pandemic that is projected to, if unchecked, kill many Americans and many more around the world. Public health experts agree that we must do two things on an urgent basis:
First, we must reduce the risk of the SARS-CoV-2 virus transmission from human to human as well as the rate of new case development. Only in that way can we flatten the curve and not overwhelm our very limited supply of hospital beds, ICU beds, ventilators and extracorporeal membrane oxygenation (ECMO) machines. We have already hit that stage in a few hard-hit metropolitan areas.
Second, we must as a nation conserve needed disposable medical supplies and focus them to the hospitals where they are most needed.
This disease is now in every state and the number of new cases is currently doubling every one to two days. Already, a handful of our physician colleagues in other specialties have died from COVID-19. It is essential that we as physicians and as responsible human beings do what we can and must to reduce viral transmission and enhance our nation's ability to care for those desperately ill from the disease. Public health experts unanimously agree that our window to modify the spread of disease is a narrow one that will soon close.
Accordingly, the American Society of Plastic Surgeons strongly recommends that all of our members provide only urgent or emergent care. This includes both office-based surgical procedures and care as well as those performed in an ambulatory surgery center or hospital-based setting. The Society recognizes that "urgency" is determined by physician judgment and must always take into account individual patient medical and social circumstances. Each of us has a societal responsibility to not function as a vector of a potentially fatal disease—and one for which a widely available treatment or vaccine does not currently exist.
All other factors—business, finance, inconvenience, etc.—are remotely secondary. This is an existential crisis. We as physicians must respond to it and support our colleagues and our communities. Likewise, we as physicians have a social responsibility to remain healthy in the event that our services are needed for patients.
Thank you for joining your colleagues in supporting this urgent call.
Lynn Jeffers, MD, MBA, FACS
ASPS Statement on COVID-19
March 15, 2020
In the interest of safety for our members, our staff, and our patients, the American Society of Plastic Surgeons has been following the progression of COVID-19 in the United States. It was with this in mind that ASPS canceled the Spring Meeting in New Orleans and conducted our Executive Committee, Board, and Committee meetings electronically.
It is with this same goal that we continue to monitor the updates from the CDC and WHO and other organizations. While the timing and decision to limit/cancel non-urgent elective surgery is currently a local/regional decision that will be dependent on the prevalence of COVID-19 and community transmission, ASPS recommends that our members, if they have not already, review their scheduled elective procedures and office visits to minimize non-essential exposure risk and transmission. Since asymptomatic patients may shed virus and thus expose others unknowingly, we recommend minimizing nonessential gatherings and encounters, and to follow CDC and WHO guidelines such as proper PPE and social distances when encounters do occur.
ASPS further recommends that you remain apprised of the CDC, WHO, accreditation organizations, state, county, and local hospital recommendations, which are changing rapidly. ASPS is establishing this resource for our members and will notify you when the information on this page is more robust. In addition, we have created a new COVID-19 Discussion channel on your ASPS Mobile App to encourage discussion of related issues with your colleagues across the country and world. This will also be accessible from your ASPS member portal dashboard.
Thank you for your service to your patients and for putting safety first. Feel free to reach out if you have any concerns or questions.
Lynn Jeffers, MD, MBA, FACS