Weekly Update

January 11, 2021

From Dr. David Kessler: Crisis Resource Management MOOC

Just wanted to share this link to a MOOC we made here on crisis resource management (collaboration with anesthesia through provost grant)

it is free (or paid for credits) – and can be done entirely self-directed, or with groups going through together

He would like to pilot with interested residents. Please contact him (dk2592@cumc.columbia.edu) if interested.

https://www.edx.org/course/crisis-resource-management?source=aw&awc=6798_1606924001_24033eee796dcfb82e3ca60cff011b7f&utm_source=aw&utm_medium=affiliate_partner&utm_content=text-link&utm_term=425997_CoToNet%2C+Unip.+Lda

From Leadership: Anesthesia Selective for PGY2

Dear Colleagues,

We are writing to introduce to all of you the new resident-inspired Allen Anesthesia Selective.

We are pleased to offer to our PGY2 residents the opportunity to choose a two-week Anesthesia Rotation located at the Allen Hospital. We believe that this will be an excellent Anesthesia experience as the Allen has 4 OR rooms and 2 Procedural Sedation rooms run by Columbia Anesthesiologist and Allen based CRNAs. There are no residents at Allen Anesthesia giving you the exclusive opportunity to intubate and sedate patients.

According to Dr. J. Steven Mercer, Director of Milstein Anesthesia, and Dr. Mark Weller, Director of Allen Anesthesia, you will only be required to deal with securing the airway and then you are expected to move on to the next case. They estimate at least 5 intubations per day!! The selective will be M, T, Th, F from 7AM to 4PM.

If you might be interested, please contact Dr. Mark Curato.

From Dr. Cameron Callipari: Residency Recruitment

EM Fam,

ERAS is OPEN and interview season is upon us! The schedule will be Sundays to Tuesday every week until January 19th, and we all need to step up to help make things run smoothly this year.

1.) On Sundays from 6p-8p, we need (at least 5) residents who would like to join a residency-covered dinner/social event where we will zoom in the prospective applicants for the Monday/Tuesday interviews. It’s a chance for us to spend time together and share insights with the applicants in a less formal way. It’s not perfect, but this will be our best chance to show the culture of the program and our interpersonal relationships. We are also looking for people to volunteer to host these little weekly social gatherings or suggest a unique place to do them.

2.) Monday and Tuesday will be interview days in the morning, hosting 8 applicants per day. We need at least 2 residents for 9am-11am to give the “virtual tour” and “Question and Answers”. These will be over zoom so no need to get together in person, unless of course you want to because brunching is the best.

Interview season can be incredibly fun if we all step up and help make it that way! No amount of zooms or flyers can show how awesome our program is like we personally can. The applicants want to share time with us and get a vibe of what our tribe is like, and this is a great opportunity to create a lasting legacy by bringing another outstanding group into our EM community.

The interview sign-up schedule is attached below, and the expectation is for everyone to sign up for at least one slot, but please sign up for as many as you can possibly make!

Here’s a sign-up sheet with all the dates and social events laid out. Let me know what you think!

https://docs.google.com/spreadsheets/d/189btiJiGA1WH30KsWxpLOUrMOgeT4PeInY7MO1-QHPE/edit?usp=sharing

Thank you and let’s add some awesome new members to our EM family!

-Cam

From Dr. Adria Simon: DEI Committee Residency Interviews

Hi everyone

As we approach interview season, I wanted to share our plan for outreach. We’ve created a centralized email account for the committee (nypemdei@gmail.com) and plan to have a resident “on call” for that week to handle outreach. Interview invitations and subsequent communication will include this contact info and an open invitation to meet with a committee member. Ideally, we could offer an opportunity to chat with both residents and faculty. The residents will be handling the inbox and will reach out to faculty to coordinate.

We will be interviewing Monday and Tuesday mornings starting 11/9 through 1/17. Each interview day has a built in “break” with some loose structure for reviewing videos and informal Q&A with the residents from 9-10 AM. This is a great opportunity for faculty drop in and interface with the applicants. Once we have the schedule, I can also identify the days or weeks when we have URiM applicants interviewing so we can focus our efforts more on those days.

We created a sign-up sheet linked below to have a point person week by week and will be extending this invite to faculty from Cornell as well. I think the involvement can range from a quick email, a zoom hangout and interview day drop ins.

https://docs.google.com/spreadsheets/d/189btiJiGA1WH30KsWxpLOUrMOgeT4PeInY7MO1-QHPE/edit?usp=sharing

If interested, please indicate your availability on the sign-up sheet so the residents can coordinate with you during that time.

Thanks to everyone for your time and we are so excited to collaborate this interview season!

Adria

From Dr. Oz Sayan: ITE Review

Dear Colleagues,

For all residents (PGY2-4) who scored under 30^th percentile on the 2020 ITE, we will ask that you attend a mandatory 50% (or 12) ITE Wednesday Evening Sessions and view the remaining 12 ITE session asynchronously via ZOOM recordings. All other residents can use the ITE Review Session as another tool to study – no mandatory attendance. I will send individual emails to those of you under 30^th percentile.

We will continue at 8:30PM-10:30PM via ZOOM. They will be every Wednesday Evening until February 17, 2021. I have attached the schedule.

Zoom Info:

https://nyph.zoom.us/j/96952981627?pwd=UDNGdWpNVlFlZHRGYk5ZUHUzTG55QT09

Meeting ID: 969 5298 1627

Passcode: 384908

Sincerely,

Campus Announcements

From Dr. Marie-Laure Romney:

Hi All,

Effective immediately, please provide a pulse oximeter to any patient being discharged from the emergency department with COVID or CLI. Attached is the workflow for distribution. It is similar to the process we followed in the Spring.

Patients with poor prognostic factors, as outlined in the most recent version of the NYP ED COVID Evaluation Guideline, should be enrolled in the COVID Remote Care program. This is a program being run by Columbia Doctors PAs. Patients will be contacted via telephone the day after ED discharge. Please limit this referral to patients who meet this criteria, as capacity is limited.

Contact Ed Suh (ehs2109@columbia.edu) or Lily Abrukin (la2645@cumc.columbia.edu) if you have any additional questions related to this.

From Drs. Devjani Das, Lauren Curato, and Lauren Titone: EM Clerkship Commencing

Happy New Year! We wanted to send out a reminder to everyone that we will be welcoming brand new medical students to our ED starting next Monday, 1/11/21!

These are “third year” Columbia Medical students that rotate with us for two weeks. Many of these students have never rotated or shadowed in the ED (or ANY clinical area) before.

They are expected to work directly with the attending (or PGY4 if working in Area Blue) and see patients independently (about 2-3 per shift). This is not a shadowing experience. Please encourage them to observe and get involved in resuscitations, codes, intubations etc but otherwise they should be seeing their own patients and presenting directly to the attending or PGY4 if in Area Blue. If any issues arise regarding staffing of the MCY students please reach out to us directly.
Medical students SHOULD NOT see patients with confirmed COVID-19 or symptoms concerning for active infection (as much as is reasonably possible). This is a firm request from the medical school.

Please encourage students to be in proper PPE (N95 + Eye Protection) at all times. If you notice a student does not have the appropriate PPE or theirs is broken/soiled please reach out to the nurse managers to get them a new properly fitting mask, eye shield etc.
You will encounter students on shift on most Tuesdays and Thursdays-Sundays. They should not be told to go to a different area in the ER during their shift. We are limiting the schedule to one student per clinical area. If you have a basic procedure (I&D, lac repair, etc), please encourage the students to participate in that procedure.
PGY4s: These students will be presenting to you, as any junior resident would, in Area Blue. You will follow these patients and write a note. At the end of every shift, the student will hand you a feedback card with a QR code. Scan the QR code with your smartphone and it will take you to a 4 question Qualtrics survey. Please, please, please fill these out in real time. Then sign the card and hand back to the student. Please also provide as much verbal and direct feedback as possible throughout their shift.

PGY3s: The students will be shadowing you during your critical care shifts from 3p-8p. They will not be seeing these patients primarily so should not be writing notes on them, they are only shadowing you. Please encourage and involve them in the resuscitation process for patients that you see. This will be the most exciting part for them! At the end of their shift, the student will hand you a feedback card with a QR code. Scan the QR code with your smartphone and it will take you to a 2 question Qualtrics survey. Please, please, please fill these out in real time. Then sign the card and hand back to the student. Please also provide as much verbal and direct feedback as possible throughout their shift.

PGY1s/PGY2s: The students should not be presenting to you directly on any patients. However, please feel free to involve them in any case, imaging study, procedure, etc. that you think may be interesting to them. Remember, a lot of these students have never been in the clinical area so everything is new and exciting for them!

We thank you in advance for the time and effort you put into Medical Student Education. This clerkship has been approved and supported by the medical school due to your dedication, hard work and to the valuable learning experience they see in our department! Here is a link to a great resource that your colleagues have put together on tips for teaching medical students (thanks Vineet, Jess and Taylor!). These students will see and listen to everything you do and say, so please show them how great it is to be an EM physician!

From Dr. Jenny Castillo: Workplace Violence

Please contact Dr. Castillo (jlc2298@cumc.columbia.edu) if you’re interested in participating in a project on workplace violence. A copy of her proposal can be found here.

From Dr. Joan Bregstein: Volunteering with Nido de Esperanza

As you know, we delivered hundreds of food and needed infant supplies in 2020. Thank you to all volunteers!

We want to continue to support families and Nido de Esperanza in 2021.

We now have new opportunities to volunteer at Nido de Esperanza and in the Washington Heights community. We are looking for drivers for food and diaper deliveries.

Please let Dr. Joan Bregstein (jsb61@cumc.columbia.edu)and me know if you can volunteer on:

January 12, 2021 at 11a, 1p, 2p
January 26,2021 at 11a, 1p, 2p

All you need is a car and the ability to drive on city streets. There are often addresses in the Bronx as well as upper Manhattan. The time commitment is 2 hours.

From Dr. Helen Ouyang: Upcoming Journal Club on Health Reporting

Our next Journal Club on Health Reporting will be the evening of Tuesday, January 26th, likely at 8pm again.

We had a great turn-out for our first meeting, and I’m hoping many of you can attend this one. It’ll be on the very relevant topic of… Covid-19 vaccines! I would especially love to have the expertise of some of our pediatric colleagues, who can share their experiences with patient- and family-centered conversations about vaccinations.

Articles and Zoom link to follow. If you come across something (news stories, podcasts, etc) in the lay press that you would like to be included, please send along.

Thank you,

Helen, Manish, Phong, Emerson

From Dr. Stefan Flores: CUIMC Diversity Day

Just a heads up to block the date for our first CUIMC diversity day on Feb 3rd, @ 4-6 pm.

The purpose of the event is to serve as an inaugural day to recruit prospective residents from all departments, including Emergency medicine, surgery, medicine, pediatrics that are BIPOC, LGBTQ ,and those from historically under-represented backgrounds. Considering interview season is currently underway, this will allow for them to revisit the institution virtually.

The event will be warm and informal and intend to highlight that our institution values diversity and anti-racism. It will allow students to connect with all faculty and residents including those who identify as BIPOC /LGBTQ throughout the institution , and a small talk from our keynote speaker!

PLEASE Save the date- We need diverse representation from ALL backgrounds, especially those within the DEI committee!

Considering the day is only 2 months away, we want to advertise and let students know ASAP.

More to come, but we would love help/input from anyone including the residents, considering we need to showcase why this program is worth coming to!

Thanks,

Stefan/Almaz/Chloe and the DEI committee

From Dr. Dave Bodnar: ED Pass Note

We have slimmed it down so it now is much easier to read and complete (Examples below). Please remind the residents that this note must be completed prior to bed request for Internal Medicine admissions. Please let me know (djb9004@med.cornell.edu) if there are any questions.

ED-PASS Sign-Out

@DATE@ (this stamps both the date and time into the note)

@ME@

Author Contact Number: ***

ED Course (Including Pertinent Labs, Radiology and Consult Discussions): ***

Working ED Diagnosis / Reason for Admission: ***

Any Non-Clinical Psycho/Social Issues: ***

From Dr. Daniel Golden: QIPS

Join our Council!! Opportunities now exist to learn how to perform Quality Improvement projects, obtain leadership positions, take part in scholarly projects, network, and make a difference!

The amount you participate is up to you. Contact Dan Golden at dag9164@nyp.org or call/text 347-573-1681 if interested!

MCB Message of the Month

January 13, 2020 - Orthopedics

Time

Topic

Speaker

Conference Details

JOURNAL CLUB

Friedman BW, Dym AA, Davitt M, et al. Naproxen with cyclobenzaprine, oxycodone/acetaminophen, or placebo for treating acute low back pain: a randomized clinical trial. JAMA. 2015;314(15):1572-1580.