Weekly Update

May 10, 2020

General Announcements

Happy Mother’s Day to our EM Family Moms! 

From Dr. Manish Garg: Weekly Primary Survey

Dear residents,

We are having our primary survey meeting again at 5pm on Sunday.

Zoom Meeting #: 902-383-0868

https://weillcornell.zoom.us/j/9023830868

From the Chiefs: Graduation

Hi Seniors,

Leadership has asked that you all fill out this quick Google form. 
 
 
If you haven’t already filled it out, please do so by Sunday, May 10. Should take 2 minutes max. 
 
Thanks!

From Dr. Steven McDonald: Help Supply

One of our volunteers (as well as a friend of mine)–Eric Alper–has started a service to help medical professionals meet the needs of daily life during this hectic time.

In his words: “Help Supply is an online platform that quickly connects healthcare workers to the services and support they need to keep up the fight against COVID-19. Healthcare workers have daily needs that are squeezed by the COVID-19 fight; services like grocery shopping, childcare and mental health support have become a challenge to meet. We’ve built relationships with trusted partners with armies of volunteers ready to help and equipped with risk-reduction training & supplies. Launched in NYC, Help Supply is expanding to other markets hard-hit by the COVID-19 pandemic.”

You can access the service here:

http://www.help.supply

Please feel free to share with any individuals in your network, not just our CUIMC family.

Coronavirus Updates

Given the rapidly evolving response to COVID19, it can be challenging to stay current.  Below are the most critical updates from NYP and GME. 

Please see the COVID19 Updates page for additional information and resources. 

NYP Medication Guidelines (4/15/2020)

UPDATED NYP ED COVID MANAGEMENT ALGORITHM (4/1/2020)

Updated WHS Sick/Exposed/ Quarantined Guidance (4/3/2020)

Interim Testing Guidelines for Admitted Patients (4/4/20)

NYP CPR Guidelines (3/27/20)

Updated Guidelines for Airway Management (3/23/2020)

PPE Guide Visual Aide  (4/4/2020)

NYP COVID19 TRAVEL GUIDANCE AND FAQs

 

Campus Announcements

Dear Emergency Medicine Family,

Join us on Monday, May 11th at 6pm via Zoom for a live tribute performance by cellist, Yo-Yo Ma, in honor of all you that have worked so tirelessly to ensure our communities are so well taken care of.

During such uncertain times, we have seen all of you come together in an astonishing way and demonstrate true leadership and camaraderie. Please take the time to celebrate all of the work you have done and the differences you have made in our communities by enjoying this tribute performance.

We look forward to seeing all of you who can attend on Monday evening.

Yo-Yo Ma Tribute Performance Zoom Details:

Topic: Yo-Yo Ma Tribute to Columbia’s ED Healthcare Heroes

Time: May 11, 2020 06:00 PM Eastern Time (US and Canada)

Join Zoom Meeting

https://us02web.zoom.us/j/86070851097?pwd=K0E1K2QzZEVhTnIvbWxDWm5oUnRJdz09

Meeting ID: 860 7085 1097

Password: 972359

From Chloe Vidal: Antibody Testing

Good Afternoon all,

I am writing to remind those of you who have not completed the Columbia EM COVID-19 Antibody Testing survey to please do so; this is especially important to forward the name of those who would like to be tested to our ID research team. The link to the survey is below:

Columbia EM CVOID-19 Antibody Testing Survey Link

For those who have taken the survey and have not received a call with their serology results, the ID research team apologizes that they are 2 weeks behind on follow up phone calls due to illnesses on their team. If I have not contacted you separately, please notify me privately so that we may follow-up with the research team.

Those of you who have + antibodies and would like to donate plasma can enroll via this website:

https://recruit.cumc.columbia.edu/clinical_trial/1929

Please do not hesitate to get in contact with me or Penelope Lema if you have any questions.

Thank you all for your patience as we continue to roll out testing.

Dr. Jenny Castillo: COVID Wellbeing Paper 

If any residents are interested in co-authoring a paper on Wellness in the time of COVID, please reach out to Dr. Castillo.  She is looking to involve residents in the process!  
Inquiries can be sent to:
 
jlc2298@cumc.columbia.edu
 

Dr. Chris Tedeschi: ED Incident Commander

Dear Colleagues:

 
Please utilize the Emergency Medicine Incident Commander  for real-time issues at Columbia. The incident commander (IC) will be on-site 24hrs/day, 7d/week throughout the month of April.
 
The IC will be based at Allen Hospital from midnight to noon, and Milstein/CUIMC from noon to midnight each day. That said, we will work to address issues at both campuses in real time throughout each shift. Responsibilities will include ensuring patient and provider safety, expediting ED logistics and operations, and serving as a primary contact for each command center.
 
The Emergency Medicine Incident Commander can be reached 24/7 at 347-271-0699.
 
We will continue to partner with our charge nurses and nurse managers to establish a unified command in the ED. Please do not hesitate to reach out to the IC as a primary point of contact, or for escalation of any issue related to emergency care.

From Dr. Ken Wong:  Orienting off-service rotators

Senior residents: please ask the rotator if it’s his or her first or second shift, and (if so) give a brief orientation at perhaps 7:45.  This is a shared responsibility with the attending. 
 

Rotators have gotten a welcome email and a handbook; chiefs also gave June in-person orientations.  However, a rotator’s first shift can be any one of about 12 times during a month, and nothing’s as good as on-shift instruction.  Focus your brief pointers on where to find things, the dispo note template, how to bed request after the dispo, and how to PFD and discharge a patient.  Please also go over PPE, early isolation guidance, and guidelines about high risk COVID19 situations.

THIS CONTINUES TO BE INCREDIBLY IMPORTANT DURING THIS PANDEMIC, AS WE WANT TO KEEP EVERYONE SAFE WHILE IN THE ED.
 

From Dr. Lynn Jiang: Wellness

I hope this finds you doing well and staying safe!
 
I had an idea for a wellness related project and wanted to see if you’d be interested in helping me do this or participate.
Many healthcare providers are using the arts (drawing, photography, writing) to help process and meditate during this time. A lot of our colleagues are also sharing these works with others, which creates a stronger community with our colleagues and allows those outside the healthcare field a unique “insider’s perspective.” 
 
My idea is to essentially compile together everyone’s individual work. It can be any type of media as long as it is original work — think the photos we’re already posting or the work Cleavon’s shared. People can continue to share them on their own accounts, but the ultimate goal is to share it to a larger group too — at least via a joint email group, but also (if people are ok with it) by social media so that anyone can participate. Will definitely share a full compiled product at the end of all of this but if we have enough submissions, possibly a weekly update. Hopefully both the creation of pieces (and their viewing) will be helpful for those involved.
 
If you’re interested, please contact Lynn at lgj7001@med.cornell.edu.
 

MCB Message of the Month

Conference This Week

Congrats to Dr. Dana Sacco on her recent SAEM Foundation Grant!

Upcoming Residency Events

 
  • May 27th – PGY4 Research Day
  • June 3rd – Graduation at the Central Park Boathouse 

To Dos

ALL

  • WEAR YOUR PPE ON SHIFT! Keep yourself safe always!
  • MedHub hours must be logged! 
  • 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/
  • Remember– Away Electives require an application submitted 112 days in advance, while NYP electives are a minimum of 56 days. Instructions located here. 
  • 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

  • Home stretch! Make sure all your procedure logs are up to date as we approach graduation!
  • Remember to complete your EMS ride-alongs! You need 10 4-hour sessions to graduate!
  • Get disability insurance before graduating residency.  Here’s one resource to start.
  • If a job requires your residency malpractice insurance history, email nog9010@nyp.org & mam9160@nyp.org to obtain the relevant documents.  

PGY3s

PGY2s

  • Time to start leading notifications!  Rely on your fellow residents, constantly communicate with your team, and learn as much as you can! 
  • 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

  • Scroll down to 3. Publications and Educational Initiatives for some good EM resources!  Or check out this centralization of other EM resources including podcasts, books, apps and Qbanks.
  • We’re at that point in the year when it’s time to start becoming the PGY2 you always knew you could be. Stretch yourself on shift both in terms of volume and patient complexity.   

Chief on Call

Phong
Phong Huynh, 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.