From Dr. David Kessler: Crisis Resource Management MOOC
He would like to pilot with interested residents. Please contact him (firstname.lastname@example.org) if interested.
From Leadership: Anesthesia Selective for PGY2
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. Adria Simon: DEI Committee Residency Interviews
From Dr. Oz Sayan: ITE Review
For all residents (PGY2-4) who scored under 30th 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 30th 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.
Meeting ID: 969 5298 1627
From Dr. Marie-Laure Romney:
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 (email@example.com) or Lily Abrukin (firstname.lastname@example.org) 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 (email@example.com) 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 (firstname.lastname@example.org)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
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 (email@example.com) if there are any questions.
@DATE@ (this stamps both the date and time into the note)
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 firstname.lastname@example.org or call/text 347-573-1681 if interested!
MCB Message of the Month
Program Evaluation Committee