July 13, 2020

General Announcements

From Leadership: Daily COVID Screening App

As part of an NYP-level initiative, please be aware that residents must log into the COVID PASS app on Mobile Heart Beat  on a daily basis before arriving at work.  

If you answer “no symptoms,” you should receive a green pass as indicated above.  While it does not appear that security is checking these for NYP employees, this is a critical compliance issue and residents should log a pass daily when working clinically.  

From the Chiefs: Morning Report

All residents (and especially seniors) – please remember that at this time faculty mentors for morning report have the option to zoom into the session.  It’s therefore extremely important you start a zoom meeting prior to 8am/9:15am.  Please factor in the extra time this requires!

Meeting details can be found on the website at: https://nypem.net/morning-noon-report/

From the Program Evaluation Committee: Evaluations

Hi all! 

We need your help to make the residency better! 

One of the most important ways we make improvements is through our ED and off-service evaluations.  Please fill these out in MedHub for each block you complete.  The more data we have, the more we know what’s working and what’s not.  Evaluations are also our evidence whenever we want to affect a change, so please let your voice be heard! If you have any questions or concerns, feel free to contact leadership, the chiefs, or any member of the PEC (Taylor, Chris, Alex, Ryan, Mary Kate, and Billy).

From the Dr. Misha Bhandari: Evaluations Sub-Committee

Join the Evaluations/Feedback Sub-Committee and help us improve the resident feedback process! Let’s make sure everybody gets the praise and constructive criticism they need to become the best doctors they can be.

Email Misha at mib9185@nyp.org if you’re interested in joining!

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 
August 1, 2020 for the September/October Issue (Extended to August 7!)
October 1, 2020 for the November/December Issue
December 1, 2020 for the January/February 2021 issue

From Dr. Trudi Cloyd: Our New Conference Format!

Dear family, 
 
A reminder that you can find conference details (as well as asynchronous content) by toggling the “Conference Details” section below each conference schedule.  This content is part of a larger revamp of our educational structure, including:
 
  • Module curriculum – expect a month long deep dive into core topics with Cardiology, Resuscitation, GI and more.
  • Foundations Curriculum – small group breakout sessions with deeper dive into diagnosis and management of assorted ED presentations.
  • Rosh Review – 30 question assigned quiz at end of module to consolidate learning of the month (residents).
  • Tintinalli chapters – assigned weekly core-content reading accessible via WCM e-Library (residents).
  • Morbidity & Mortality – Cornell and Columbia specific sessions, typically on the first and second Wednesday of the month, respectively.
  • Journal Club – quick fire statistics lecture before breaking out into small groups for further discussion of the study’s design and results.
  • CPC Competition – one day, all CPC cases. Vote for the best faculty and resident to nominate for CORD’s CPC competition!
  • Theme & Core Days – resident-driven educational days designed by PGY3s and PGY4s, respectively.
  • Attendance is via Google Feedback form (below). Don’t forget to mark yourself present!
Please continue to  use our google feedback form for conference evaluation and attendance.
 
We hope you include some valuable comments so that we can continue to improve our education efforts!

From Dr. Manish Garg: ACEP Research Fellowship

Good Afternoon CORD,

Each year, Annals of Emergency Medicine selects a Resident Fellow to serve on the Editorial Board. The current fellow, Chris Evans MD MPH, graduated from Vanderbilt University Medical Center Emergency Medicine residency and is starting an Informatics Fellowship at UNC. The Resident Fellow appointment to the Editorial Board of Annals of Emergency Medicine is designed to introduce the Fellow to the peer review, editing, and publishing of medical research manuscripts. Its purpose is not only to give the Fellow experience that will enhance his/her career in academic emergency medicine and in scientific publication, but to develop skills that are likely to lead to subsequent participation as a peer reviewer or editor at a scientific journal. It also provides a strong resident voice at Annals to reflect the concerns of the next generation of emergency physicians. 

The Resident Fellow is chosen in a competitive selection process in July. Members of the selection committee, including the Editor in Chief, the deputy editors, Annals’ Editorial Director, and the current Resident Fellow, review all curriculum vitae and select the top three candidates. These candidates are interviewed by the Editor in Chief, who then makes the final selection.

Please forward the application link, https://els-jbs-prod-cdn.jbs.elsevierhealth.com/pb/assets/raw/Health%20Advance/journals/ymem/Resfellowapp2020-21-1582205436803.pdf to any of your residents who might be interested in applying for the position.  The application deadline is July 20, 2020.

Campus Announcements

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. Bernard Chang: Ongoing Research at Columbia
 
Please join us for a Columbia Research mini-zoom retreat on Wednesday July 8 from 1p-3p. We will use the majority of the time for people to introduce their current projects and provide a forum for people to network and brainstorm ideas with folks around the department. After talking to many of you, we decided to have the format be a general zoom pow-wow instead of break out groups so everyone can hear about the individual projects. We want to give the opportunity for anyone doing research or having specific research interests the opportunity to talk.
 
In order to accommodate the large group of folks, we will plan a rapid round robin format, where each of us will have a max of 5 minutes to give a brief “elevator pitch” of what work they are doing
 
To try to be as efficient as possible for our time, we ask any folks who would like to present, to please email me (bpc2103@cumc.columbia.edu) so we have a sense of the number of folks talking by Friday July 3. We will then organize time slots for people. 
 
You don’t need to prepare any slides (can be just an informal chat of your research), although if you want, you can. I will try to allow everyone to share their screens but in case I have some tech issue, please email your slides in advance. We’ll hold questions until the very end to give everyone a chance to talk. 
 
Please let me know if you have any questions and look forward to seeing you all soon. Thank you and have a great week,
Bernard
 
Zoom link:
 

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 2 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!

From Dr. Alexis Halpern: EM Palliative Care Study

Dear colleagues,

We are launching a multi-center study entitled Emergency Medicine Palliative Care Access (EMPallA). This is a PCORI (Patient Centered Outcomes Research Institute) sponsored trial in collaboration with the NYU Emergency Department. The study will compare outpatient and telephonic delivery of palliative care for adults over 50 who are identified and enrolled through the ED. Outpatient appointments are currently being conducted via telemedicine.

Billie Johnsson will be leading subject enrollment. I am writing to request your assistance with this process, in two ways:

1) Inform Billie via MHB with the patient’s name and MRN if you are seeing a patient with end stage CHF, COPD, renal failure, or solid tumor cancer or,

2) Inform Billie via MHB with the patient’s name and MRN if you are placing orders on a patient and the pop-up informing you that the patient qualifies under the Palliative Care Act comes up on your screen.

Billie may not answer you right away, and as such you can send her messages 24/7. We have permission to conduct remote enrollment, and have 24 hours post-discharge to reach out to the patients or their caregivers.

Please reach out to me or Billie (bin9004@med.cornell.edu)  with any questions regarding the study, or these requests.
Thank you in advance for your assistance.

Best,
Alexis

MCB Message of the Month

Conference This Week

July 15, 2020 - Resuscitation

Time

Topic

Speaker

  • 08:00 - 08:30
  • (Sub)Massive PE and Lytics
Dr. Lauren Curato

CUIMC Emergency Medicine Attending

  • 08:30 - 09:00
  • Vasopressors
Dr. Colin Pesnya

CUIMC Emergency Medicine Attending

  • 09:00 - 09:30
  • Pediatric Respiratory Distress
Dr. Alice Ruscica

CHONY PEM Attending

  • 09:30 - 10:00
  • The Cynanotic Baby
Dr. Anju Wagh

CHONY PEM Attending

  • 10:00 - 10:30
  • Ob Emergencies / Post Partum Hemorrhage
Dr. Manish Garg

NYPEM Program Director

  • 10:30 - 11:00
  • DNR/DNI
Dr. Jeremy Simon

CUIMC Emergency Medicine Attending

  • 11:00 - 12:00
  • Tracks Meeting
NYPEM Leadership
ASYNCHRONOUS RESOURCES
Tintinalli’s Emergency Medicine 9th Ed – Chapters 18-20, 23 (WCM Library for residents)
The Internet Book of Critical Care – Vasopressors
EBMedicine – Respiratory Distress in Children
PEM Playbook – Cyanosis
 
Canvas Learning: OB Emergencies (required)
 
CONFERENCE ATTENDANCE
 Please use our google feedback form for conference evaluation and attendance.
We hope you include some valuable comments so that we can continue to improve our education efforts!
ZOOM
Meeting ID: 963 8012 0096
Password: 301950

Shout out Dr. Mike DeFilippo for a flawless and life-saving LP this past week!

Upcoming Residency Events

To Dos

ALL

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.

PGY3s

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
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.