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General Announcements
From Dr. Annie Katz: **New Official Sick Call Policy**
Please see and review the new sick call policy by clicking here.
We also plan to review the policy as a group during town hall on 9/30 and will gather feedback after several weeks of its implementation.
If you have any questions or concerns, please contact Annie Katz (ark9038@med.cornell.edu) or Manish (mag9475@med.cornell.edu)
From Dr. Adria Simon: Asynchronous Learning
Hey everyone!
In somewhat unfortunate timing, ALiEM updated their platform on 8/1 to include new content. Pros: updated content, cons: this means everyone must re-register even if you previously had an account.
There is also a new system to track your progress. Under this version, we can no longer add anyone as a coach. To track your progress, we can include unique identifiers at registration to help me find all of you and track your hours for the year.
Everyone needs to:
1.) Go to https://aliemu.com/ to register
2.) When you register, please enter your first and last name as First Last NYPEM
ex. I would enter myself as Adria Simon NYPEM
Completing this step allows me to pull up everyone in the program’s data at once to appropriately assign credit. For those of you go-getters who registered the first time around and completed the assignment, fear not- I downloaded your data prior to this upgrade and you will receive appropriate credit for completion.
Thanks for your patience with these admin tasks as we get this set up but taking a few minutes now will ensure appropriate credit in the future!
From Dr. Amy Zeidan (Emory)
Dear Emergency Medicine Residents & Faculty, We are recruiting participants for a study, Barriers to Reporting Incidents of Gender and Sexual Harassment in Training and Practice (BRIGHT), and hope you will consider participating.
Purpose of the study: This research seeks to understand perceived barriers to reporting sexual or gender harassment. We are seeking individuals to participate in a confidential phone or zoom interview lasting 20-30 minutes. Individuals who are eligible are those who are enrolled in an emergency medicine training program or a graduate of an emergency medicine residency. You do not need to have experienced sexual or gender harassment to participate in this study.
Why this research matters: Reports of gender and sexual harassment continue to exist at an unacceptable rate. Few studies to date have evaluated why individuals don’t report and barriers to reporting. We hope to identify barriers to reporting and potential improvements to the reporting process. This study has received funding support from the SAEMF/AWAEM Research Grant.
Contact: If interested in participating, please contact Amy Zeidan at ajzeida@emory.edu. All participants will receive a gift card of $25.Fr
Nominate a Healthcare Hero!
Is there a nurse or doctor that has made a major impact in your life or community during the COVID-19 crisis? Show them your appreciation by nominating them for a chance to win up to $100,000 towards paying off their student loans!
https://kellyandryan.com/sponsored-two-col/healthcare-heroes-100k-giveaway/
Choose your Academic Practice Track!
The ACADEMIC PRACTICE TRACKS represent various areas of sub-specialization under the umbrella of Emergency Medicine.
The 17 APTs that we have thus far identified are as follows:
- Academic/International Medicine/Global Health
- Critical Care
- Disaster/Wilderness/Space/Austere Medicine
- Geriatrics
- Humanities
- Innovation/Telemedicine
- Medical Education
- Operations
- Pediatrics
- Prehospital/EMS/Transport/Tactical
- Quality & Patient Safety
- Research
- Simulation
- Sports Medicine
- Toxicology
- Ultrasound/PEM Ultrasound
- Social EM
We would ask that you CHOOSE AN APT to join. We are limiting the residents to one APT (two with Dr. Garg’s permission). You can explore at the beginning but hope that residents will focus on one APT by PGY3 year.
Email Oz Sayan (ors1@cumc.columbia.edu) with your APT choice.
2020 Annual Hospital Training (AHT 2020)
Get ready to complete your mandatory annual hospital training!
Access the 2020 Annual Hospital Training (AHT20) in the NYP Learning Center. This year’s launch is earlier than in prior years to allow more time for completing the training and learning the critical competencies. Completion of AHT20 is required by all graduate staff. Compliance is mandatory for you to work and for NYP to meet regulatory requirements. Failure to complete this in a timely manner will lead to your CWID account being disabled.
The deadline for completing AHT20 is Friday, December 4, 2020.
Instructions for completion can be found here.
From Dr. Oz Sayan: Professional Developement
Dear Colleagues,
As part of our Professional Development program, I will be meeting with each one of you twice a year. It will allow me the opportunity to interact with you all one-on-one and to help you grow throughout residency. In preparation for our meeting, I would ask that you complete the questions asked in my email from Sunday, July 29. These are some of the topics we will touch on. Having you spend some time before our conversation will allow you provide the best answers. I will be spreading these out over the semester.
Some questions are for specific classes only.
The question above Scholarly Work can be skipped for now as I just collected this info about one month ago. It will be asked next semester as a way to update info.
I will likely meet with interns later in the semester when they have had more time as interns.
I really look forward to spending some time with all of you.
Oz
From the Munira Persad: BLS/ACLS Recertifications
Please see the attached documents regarding BLS/ACLS (Re)Certification.
Residency Leadership guidance will be coming shortly to answer questions residents have about certifying or recertifying.
From Dr. Kaushal Shah: SAEM Pulse Articles
SAEM Pulse is looking for writers to author non-research articles that address any and all matters related to racism as a public health crisis to be included in an upcoming issue of SAEM Pulse.
Topic suggestions/examples:
- Discrimination and health
- Institutional, cultural, and/or intersectional racism and health
- Racism across the life course
- Residential segregation and other neighborhood factors and health
- Approaches and strategies to addressing racism and achieving health equity
- Educational strategies to teach about racism and its health impact
- Diversity and racism issues with regard to residency recruitment, retention, and pipeline building; faculty development and advancement, etc.
Papers should focus on emergency medicine, academic emergency medicine and/or issues relevant to either/both. Paper formats can be essays, narratives, profiles, interviews, op-ed pieces, human interest stories, “think” pieces, or informational/how-to articles. Length: 400-700 words. Direct inquiries to Stacey Roseen, senior editor, publications and communications at sroseen@saem.org
Upcoming Deadlines
October 1, 2020 for the November/December Issue
December 1, 2020 for the January/February 2021 issue
Campus Announcements
From Dr. Dessie Almaz and Dr. Stefan Flores
There is a new Columbia Diversity, Equity, and Inclusion Committee led by attendings Dr. Dessie Almaz and Dr. Stefan Flores. The inaugural meeting is August 26th at 1PM. This is important work. They are inviting residents to be equal participants of the committee. Additionally, they are looking for 2 resident co-chairs.
If anyone is interested in a leadership role or participating, please contact Dr. Almaz (ad3463@cumc.columbia.edu) and Dr. Flores (sk3283@cumc.columbia.edu).
From Dr. Eliza Miller (CUIMC Neurology)
The Department of Obstetrics & Gynecology, Maternal Fetal Medicine Division, with the guidance of Dr. Eliza Miller, Stroke and Cerebrovascular Neurologist, is beginning to research medical professionals’ experience in assessing and managing various critical clinical scenarios regarding maternal stroke and neurological complications of pregnancy. We are contacting you because we believe you may be a clinical provider involved in the care of patients throughout their pregnancy or post-partum period, who may be interested in participating in a voluntary and anonymous survey regarding this topic.
Through this survey, we will consider the development of a maternal stroke bundle for the inpatient and/or emergency/triage setting with the purpose of ensuring that pregnant and post-partum women with neurological symptoms receive appropriate evaluation and care. If you fill out this anonymous & voluntary survey, you are consenting or agreeing to take part in this research. We will take all steps legally possible to keep this information confidential. Upon completion, you will have access to the correct responses for all surveyquestions. We expect participation to take 10-15 minutes of your time.
Completion of this survey is your agreement to participate in the study. You may decide to stop taking part at any time. Again, if you decide not to take part, it will not affect your rights or benefits. You will not incur in any cost(s) to take part in this survey and you will not receive any pay/compensation for doing so.
If you have any questions about this survey or the study, please contact Dr. Eliza Miller at 347- 714-4703 or the study team at 917-938-5817. If you have additional questions about your rights as a research subject, contact the Institutional Review Board for Human Subject Research for Columbia University Medical Center at (212) 305-5883. Thank you.
You may open the survey in your web browser by clicking the link below:
https://redcap.link/maternalstroke
From Jimmy Truong: EMRA PEM FUNDAMENTALS
For residents interested in PEM:
Many of you are aware of the current EMRA EM Fundamentals, which is an adult EM based on shift resource for emergency providers. The goal of PEM fundamentals is to create a pediatric emergency medicine on shift resource for EM providers. This publication is being headed up by the faculty and fellows at Harbor-UCLA and EMRA.
There are currently several chapters remaining that need primary authors. The chapters are relatively short (1-3 pages, 300 words per page), and like EM fundamentals or WikEM should be brief, succinct, and info-packed.
All chapters will have a section editor at Harbor-UCLA who will oversee the chapter authors’ work. Cindy Chang, Patricia Padlipsky, and Kelly Young at Harbor-UCLA are the overall editors. They will provide you with chapter outlines and have allotted page counts to each chapter. They will have clear author guidelines and will be available for guidance along the way, as will your section editor.
Current Timeline:
August 15, 2020 – Draft #1 due for chapter authors to section editors (This is a tight turn around, it may be pushed back to Aug 21st)
October 15, 2020 – Revision feedback from section editors to chapter authors due
November 16, 2020 – Revision #2 from chapter authors to section editors due
December 15, 2020 – Section editors give to Cindy, Kelly, Patricia for final review
March, 2021 – the book will go to press!
Signing up:
Residents/Fellows
Please send me the following information if you are interested in authoring a chapter:
-Your name
-email address
-your position (PGY_ in EM/Peds residency/fellowship at _ institution)
-several topics from the below list you would be interested in writing (including if you are open to writing anything available or not).
-How many chapters you would be interested in writing (one is fine)
-If you would be interested in being paired with an EMRA medical student as a co-author (and their name if you have a person in mind)
Depending on interests and the number of potential authors, I will divide the available chapters. Given the limited list of chapters, it will be on a first come, first served basis.
Section | Chapter Title | Pages Allotted
Neurology | Ataxia & Paralysis | 2
Orthopedics | Back Pain & Discitis | 1
Psychiatry | Autistic Child in the ED | 1
Psychiatry | Behavior | 1
Trauma | Extremity Trauma | 3
Trauma | Thoracic Trauma | 2
Trauma | Spinal Trauma | 1.5
Neurology | Ataxia & Paralysis | 2
Orthopedics | Back Pain & Discitis | 1
Psychiatry | Autistic Child in the ED | 1
Psychiatry | Behavior | 1
Trauma | Extremity Trauma | 3
Trauma | Thoracic Trauma | 2
Trauma | Spinal Trauma | 1.5
Email Jimmy Truong (jt2979@cumc.columbia.edu) if interested.
From the Columbia EPIC team: Documentation Workflow
A reminder to all residents that when completing your primary provider note in Epic, you must click the box requiring a co-signature.
Once the note has been assigned to the attending, sign your note (unless specifically asked not to by the attending. This workflow ensures that notes can be signed in a timely manner by attending.
If you have questions, please feel free to reach out to the chiefs!
From Cornell Leadership
Please fill out the Emergency Department COVID-19 Survey. Please remember that this survey is anonymous, and results will be used for internal use only.
WCM Racial Diversity Survey: Racial Diversity at WCM Survey
From Dr. Amos Shemesh: ED Disaster Committee
For those residents interested, the WCMC ED Disaster Committee is looking for new membership.
Dave and Dayna are our nursing leaders who run the Committee and are currently obtaining masters degrees in disaster preparedness. This would be a new opportunity for residents to join nursing, APPs, and physician leadership on the committee.
It’s typically a monthly meeting with various activities around disaster prep/protocols, operations, mass casualty prep, tabletops, drills, ideas, and most pressingly the epic cutover downtime.
Contact Dave (dvm9033@nyp.org) and Dayna (rae9017@nyp.org) if interested!
From Dr. Brenna Farmer: Cornell Bed Requests Update
Please note the following regarding
-ED Staff will NOT submit Bed Request orders until all disposition-determining ED tests* and consultations are complete. (*Staff should not rely exclusively on EPOC results)
-ED Staff will make every effort to complete the new Bed Request order with optimal fidelity
-Always choose the correct service, including surgical sub-services (Colorectal, trauma, vascular, etc.)
-Choosing the correct level of care eg: floor vs step-down vs ICU (nursing needs may dictate higher level of care eg: trach, drips, etc). Please confirm with consulting team if unclear.
-Only selecting Hallway Bed Eligible if special conditions from the drop-down list do not apply (Exceptions to hallways include: trachs, face-mask O2, PEG/J, etc)
-Work to identify the Admitting Attending, if pt is admitted to medical service, including all voluntary physicians and their level of involvement.
-Include in the Comments section information regarding special conditions: transplant, immunosuppression, renal, geriatrics, onc (solid/liquid), 1:1, isolation)
-Include in the Comments section information regarding the clinical case to augment the diagnosis (eg: chest pain – ROMI, AMS – neuro work up negative, suspect UTI)
–Include in the Comments section information on recent travel: state no travel or list the state/country where a patient has recently been
From Dr. Julie Zhao: First Responder Course for Med Students
Hi all,
We are about 1 months away from the annual First Responder Course for first year medical students, scheduled for the morning of Thursday, August 27, 2020.
It is a 3 hour Lecture, Workshop, and Sim/Standardized Patient based course aimed to teach students in their early clinical years to become confident and capable first responders in the pre-hospital setting. It has been a fun and educational hands-on experience with excellent feedback.
Unfortunately due to Covid, the course will be run in a Zoom format this year.
We are brainstorming different ideas for running virtual sims for the four case scenarios (anaphylaxis, chest pain, seizure, overdose) and two sessions (splinting and airway).
Each session will be about 20 min long. If you are interested in helping to run one or more of these sessions, please reply at juz9013@med.cornell.edu.
If so, please also remember to request Aug 27 off on the next schedule requests.
Thanks very much!
MCB Message of the Month
Conference This Week
August 12, 2020 - Cardiology
Time
Topic
Speaker
- 08:00 - 08:30
- Valvular Disease
Dr. Sam Senturia
WCMC Emergency Medicine Attending
- 08:30 - 09:00
- Case Follow-up
Dr. Christopher Hennessy
NYPEM Resident
- 09:00 - 09:30
- Geriatric Cardiovascular Emergencies
WCMC Geriatric Division
WCMC Emergency Medicine Attending
- 09:30 - 10:00
- Core Content: Atrial Fibrillation Management
Dr. Mary Kate Amato
NYPEM Resident
- 10:00 - 10:30
- CHF / Cardiogenic Shock
Dr. Brock Daniels
WCMC Emergency Medicine Attending
- 10:30 - 11:00
- Syncope
Dr. Richard Lappin
WCMC Emergency Medicine Attending
- 11:00 - 12:00
- GRAND ROUNDS:
- Post-Arrest Resuscitation: The Golden Hour(s) After Resuscitation
Dr. Michael Cocchi
Associate Director, Center for Resuscitation Science, Beth Israel Deaconess Medical Center
ASYNCHRONOUS LEARNING
Tintinalli’s Emergency Medicine 9th Ed – Chapters 77-80 (WCM Library for residents)
CONFERENCE ATTENDANCE AND EVALUATION LINKS
*Please note the new attendance system for faculty. The attached linked form allows you to mark your hours present for attendance purposes. We will no longer be manually collecting attendance and will rely on self-reporting. Thank you for your compliance with this new system.
ZOOM
Join Zoom Meeting
Meeting ID: 989 7195 2470
Passcode: 433216
PGY2 Dr. David Chu
"He had a solid day picking up patients steadily, ending up carrying Area B and intubating and dropping a fem line on a sick patient" - PGY3 Senior Resident
"He has been excellent, working with a solid attitude, and always on shift with a smile. On a busy shift, he was picking up patients constantly and putting in multiple US guided IV's for not only his own patients but for other residents! " -PGY4 Senior Resident
Way to go, Dr. Chu!
Upcoming Residency Events
- August 19 – PGY2 Retreat!!
- Weekly “Meet the Residents” Zoom Webinars Wednesdays at 8pm EDT (for next two months; next one up is 8/12/20 8PM EDT) – please join!
To Dos
ALL
- WEAR YOUR PPE ON SHIFT! Keep yourself safe always!
- MedHub hours must be logged!
- Log your procedures on MedHub!
- Please fill-in your resident profile on nypem.net. It’s a great way to highlight your interests and things you’ve done during residency. https://nypem.net/meet-our-residents/
- Check out this career guide from the Academy for Women in Academic Emergency Medicine https://issuu.com/saemonline/docs/saem_awaem_toolkit
- Please be wise on social media use and don’t risk patients’ trust in the medical profession.
PGY4s
- The first year of attending starts now! Please touch base with leadership and your CCC member as you start the process of the job search and career development.
- Time to work on the job hunt. Check out these guides: https://www.aaemrsa.org/get-involved/residents/senior-timeline, https://www.emra.org/residents-fellows/career-planning/job-search/
- Complete all of your procedures via MedHub by the end of December!
PGY3s
- Take a look at Dr. Mulcare’s timeline for the job hunt.
- Checkout SAEM’s 2019 academic career guide and their fellowship/ career roadmaps.
- Here’s an article on EMS fellowship opportunities.
PGY2s
- Time to start dominating the board.
- If you have money to save after NYC costs and student loan repayment, consider putting it into NYP’s 403(b) or an IRA. The “Roth” option is likely better when you’re a resident.
PGY1s
- Ask questions constantly! Everyone is here to help!
Chief on Call
Ahmed Shaikh, M.D.
EM Chiefs’ Cell: 917-410-1056
- Please call and do not text/ email so we can address issues promptly.
- If you do not hear back within 10 minutes, then call any of the other chiefs.