Weekly Update

October 12, 2020

From Dr. Penny Lema: NY ACEP Advocacy and Leadership Awards

The NY ACEP Advocacy and Leadership Awards due date is coming up Nov 15.

Our very own Diksha Mishra was a recipient last year (although it was a virtual event).

https://www.nyacep.org/leadership-and-advocacy

Any questions can be directed to Dr. Penny Lema (pcl2124@cumc.columbia.edu) or Dr. Kaushal Shah (kas3002@med.cornell.edu()

From Dr. Duncan Grossman: “The COVID Project”

A group of fellow NYC residents and I are putting together a city-wide project that I hope you’ll be interested in.

It’s called, “The COVID Project.” It is going to be a compilation of creative pieces from emergency medicine residents all around the city that reflect on our time as EM residents during the COVID surge.

These may take the form of journal entries, short stories, poems, essays, photos, drawings, or any other creative pieces that you would be comfortable creating for this project. Whatever your artistic medium may be, feel free to submit it. (Probably can’t take interpretive dance at this time… Apologies.)

You may focus on a particular patient, a moment on the subway, home life, family life. Your stories may be insightful, or funny, or benign, or (of course) tragic. Whatever moves you.

We’re not sure what final form this will take – Maimo did a similar project before that became a small book for our its residents but who knows, we can dream a bit bigger, perhaps.

Please email your piece (along with your name, PGY, and program) to covidprojectnyc@gmail.com. We’d be happy to share your piece anonymously, just leave some contact info so we can reach out to you if needed.

We’ll be accepting submissions until December 1st.

Thank you. Please keep up the amazing work. Be happy, be safe.

From the Chiefs: PGY3 and PGY4 Morning Reports

Please check the morning report schedule and reach out to your faculty mentor before giving morning report.

From Dr. Mark Curato: Post-Residency Career Plans

Resident Career Survey is Now OPEN:

We are part of a group studying factors influencing EM resident career choices. We’re working with some other big programs (UCLA, Davis, UW, Iowa, Rush, Michigan, and Pitt).

We’re joining after the project has already begun (and the other programs are getting to 100% participation from their residents), so I ask that you please take the survey at your earliest convenience. Your answers are confidential. Participation is voluntary, but I do hope that we can have 100% participation.

It should only take a few minutes. The survey link has been emailed to you.

We do really appreciate your participation, THANKS!

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 SAEM: Leadership and Committee Positions

We are now accepting nominations for leadership positions for SAEM (Society for Academic Emergency Medicine), RAMS (Residents and Medical Students), AACEM (Association of Academic Chairs of Emergency Medicine), SAEM Academies, and the SAEM Foundation. Leadership positions should be filled by committed individuals who have a wide range of perspectives and possess the relevant skills and experience to effectively lead. If you, or someone you know, fit that description, we invite you to submit a nomination in one or more of the categories listed below. Deadline is November 16, 2020.

How to Nominate Someone (or Yourself!) Start the nomination process by clicking one of the links below.

Nominations for any listed position may be submitted by the candidate or by any SAEM member.
Please review our nominations webpage for the “Responsibilities and Requirements” of serving.

Join a Committee
Membership on an SAEM or RAMS Committee furthers your professional development by providing leadership experience, expanding your professional network, and strengthening your ties within the specialty. Review the SAEM committee descriptions and RAMS committee descriptions, and sign up for the SAEM Committee or RAMS Committee that best matches your interests and expertise.

Deadline is October 5, 2020.

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.

AHA COVID Interim Guidance

BLS/ACLS NYP Sign-Up Information

Campus Announcements

From Dr. Joan Bregstein and Ana Figueroa Garcia:

Dear team,

We continue to have opportunities to volunteer at Nido de Esperanza and in the Washington Heights community, and are looking for drivers for food and diaper deliveries. We received a special request from Nido de Esperanza for next Tuesday, October 13th, 2020. The volunteer opportunities are open for 11:00 am and 1:00 pm. Please also let us know if you can volunteer on:

10/20 at 11am & 2pm
11/3 All times are available (11 am, 1 pm and 2 pm)
11/17 All times are available (11 am, 1 pm and 2 pm)
12/1 All times are available (11 am, 1 pm and 2 pm)
12/15 All times are available (11 am, 1 pm and 2 pm)

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, and all you need is a car and we will send you the details. Best, Joan & Ana

Please contact Ana Figueroa Garcia (af3092@cumc.columbia.edu) if interested.

From Dr. Bernard Chang: the IMPROVE Study

Dear Team

We are excited to finally launch our study on long-term clinician physical and psychological health (called IMPROVE) led by our team here in Columbia Emergency Medicine. This study, funded by the National Institutes of Health, will be one of the largest longitudinal studies on emergency provider mental and physical health and could lead to significant changes in how EDs operate, while providing evidence for staffing/scheduling and patient-flow innovations to improve both clinician well-being and patient outcomes.

We designed our study to be respectful of your time, minimally disruptive given your busy schedules, while also recognizing you with a bunch of goodies Please read below for details and how to sign up if interested. (Of note, this is a different study from Dr. Laurel Mayer’s study on mental health. There is no problem in participating in both studies.)

We are looking for full time emergency department nurses, physicians, nurse practitioners, and physician assistants to participate in this study. The study baseline visit will involve:

answering questions (electronically) about your demographics, health history, thoughts, behaviors, and sleep (about 15 minutes)
wearing an activity monitor on your wrist to assess physical activity and sleep during a 2-week period (Fitbit watch)
taking Home Blood Pressure (HBP) readings daily (in the morning and at night) during a 2-week period
sharing your work schedule during the 2-week assessment period (while at Columbia)

Study participation and annual follow-up will continue over 3 years and the two-week burst assessments described above will be repeated at years 1, 2 and 3. Compensation for participation is available:

1) up to $600 ($150 at baseline and annually for 3 years)

2) A Fitbit Inspire HR to keep

3) A bluetooth enabled blood pressure device (the Omron 5 Series BP7250) to keep.

Please note that participation or decision not to participate in this study has no bearing or influence on your evaluation or status as an employee at New York Presbyterian or CUIMC. The data will be collected in a confidential manner and no identifiable information will be shared with non-study personnel.

If you wish to view the electronic consent and information sheet to learn more about the study, please click on the following link:

https://tinyurl.com/ImproveStudyEligibility

Thank you so much for considering and look forward to sharing the results of this study with you all. Sending you all my best and thank you again for all your hard work at our ED!

From Columbia Housestaff Quality Council

Interested in improving healthcare quality, safety, and equity at Columbia?

The Columbia Houstaff Quality Council, made up of residents from each department, is looking for EM residents representatives. The council serves as a liaison between Columbia-NYP housestaff, the GME leadership, the hospital administration, and the hospital quality and patient infrastructure.

The council meets the first Thursday of each month at 6:30PM. Level of involvement depends on interest level.

Contact Averill Guo (adg7008@nyp.org) or Sanskriti Varma (sav9046@nyp.org) if you are interested or would like more information.

From Dr. Mahesh Polavarapu: EM/Radiology QI Project

Hi All!

There is a collaborative QI Project with Radiology that is about to kick-off looking at CT Utilization in the ED. It’s been identified by both departments as a great opportunity for resident involvement and should easily meet requirements for scholarly activity. The scope is rather large with potential for multiple publications so I wanted to see if (and how many ) residents could use the project as their scholarly activity. To help, I created a rough estimate of scope (below). Let me know when you have the chance.

Best,
Mahesh

SCOPE OF PROJECT

Talk to departmental research team about project (10hrs)

1. IRB Approval?

If so, all participants need to complete IRB Training

1. Funding availability

And how to apply for funding

1. How do we develop a validated questionnaire?

Through the grad school?

1. 1. 1. If so, what’s the process

1. How do we get data analyzed?
2. Potential forums for presenting results

Determine applicable timelines

Develop Validated Questionnaire (15-20hrs)
Develop Appropriateness Criteria from ED Perspective (10-15hrs)
On-board study participants to project (5-10hrs)
Chart mining and collection of study data (50hrs)
Study analysis (10-15hrs)

1. More if there is no external help for this
Prepare and present data within the department (10hrs)
Abstract writing (5-10hrs)
Manuscript Writing and Submission (15-20hrs)

Total Projected EM Hours for Scholarly Activity Completion 130-160hrs

From Dr. James Kenny: McGraths

We are now down to only 4 McGraths in the ED from baseline of about 15 a couple of months ago.

The usual process soon after an intubation is that the nurse will call the inventory analyst to exchange the airway box, but lately when the IA arrives the McGrath is missing.

In order to limit losing more, we decided that the person intubating should hand the McGrath off to one of the nurses in the room (ideally either the patient’s nurse or resource nurse for the area) and they will hand off to the IA afterwards.

From Dr. Erica Olsen and Mariah Salerno: ED OnDemand Follow-Up Program

We want to inform you of an ED OnDemand Follow-Up w/ Coupon Code program that we are currently running in our CUMC emergency departments.

Program Description:

The program is intended for patients who are seen in the ED and discharged home, yet are identified as patients who would benefit from a free virtual follow-up appointment so that they do not need to physically come back into the ED. At the time of DC, the provider gives the Pt. a brochure and informs the Pt. that they are able to come back to the ED OR use the coupon code provided in the brochure to be seen Virtually for free.

Other Quick Tips:

The coupon code is good for ONE free virtual follow-up appointment.
The brochures are currently placed in the provider working rooms of Areas A, B, C, D and RME as well as in Allen.
The brochures are available in both English and Spanish.
The coupon codes in the Allen brochures are distinguished between the Peds and Adult patients.

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 Dr. Lynn Jiang: Weill Cornell-Bugando Medical Center Morning Report

Hello everyone,

In order to strengthen our global health curriculum while travel is suspended, we are implementing a recurring monthly collaborative morning report with our Tanzanian colleagues at Bugando Medical Center.

This will occur at the morning report on the Cornell campus the FIRST THURSDAY of every month (ie next date October 1st). If you are assigned to this date, someone will reach out to you a few weeks before to help connect you with the Bugando team. They will be responsible for choosing a case and sending you the case information. Your responsibility will be guiding the presentation and discussion of this case, including possible differences in management depending on differing ER resources and setting. When available, the Bugando team will join the morning report real-time as well.

If you have any questions, please feel free to contact Lynn Jiang at lgj7001@med.cornell.edu

MCB Message of the Month

October 12, 2020 - ID

Time

Topic

Speaker

Conference Details

CONFERENCE SCHEDULE

8:00 AM Core Content: STIs [Dr. Mohammed Alkfahaji]

8:30 AM PGY3 Case Follow-Up [Dr. Blake Lopez]

9:00 AM Foundations [Dr. Sara Zaidi, Dr. Annie Katz, Dr. Diksha Mishra, Dr. Adria Simon]

10:00 AM Case Follow-Up [Dr. Richard Lappin]

10:30 AM Pneumonia and Antibiotics: Nothing to sneeze at [Dr. Kaushal Shah]

11:00 AM Grand Rounds: Covid-19: Public Health and Scientific Challenges [Dr. Anthony Fauci]

ASYNCHRONOUS LEARNING

ALiEM Air Pro Series: ID

Tintinalli’s Emergency Medicine 9th Ed – Chapters 151-152 (WCM Library for residents)

CONFERENCE ATTENDANCE AND EVALUATION LINK

*Conference Evaluation and Resident Attendance

*Cornell Faculty Attendance

ZOOM

https://nyph.zoom.us/j/95577812250?pwd=OE5FdStqMEl4a3UzRCtrb1Q2cVl0QT09

Meeting ID: 955 7781 2250

Passcode: 764932

Important: Please do not disseminate our conference link as we have limited space available!

Dr. Michael DeFilippo

Congratulations to our PGY1 Dr. Michael DeFilippo for putting in TWO chest tubes within a week. Way to go!

Upcoming Residency Events

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

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

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.