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
I am writing to re-introduce you all to our Wednesday Evening In-Training Exam (ITE) Reviews.
Retired a few years ago, we are returning them as an alternate form of review for the ITE. Please try to attend. Our faculty will be presenting high yield medical knowledge and questions to help you all do well on the ITE this February.
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 begin the sessions on December 2 at 8:30PM-10:30PM via ZOOM. They will be every Wednesday Evening until February 17, 2021. I have attached the schedule. We launch with Jonathan St. George’s Visual Diagnoses.
From NYP: MANDANTORY MASK FITTINGS
November 16 – December 11
Monday – Friday, 6 a.m. – 4 p.m. (NOTE: No fit testing Thanksgiving Day, Thursday, November 26)
(formerly family waiting area)
From Dr. Marc Probst (Mt. Sinai): Clinical Scientist Fellowship
This Clinician Scientist Training Program T32 award in Emergency Medicine is the first of its kind for the Mount Sinai Health System and the first of its kind in the history of NIH/NHLBI. The National Institutes of Health funds these T32 Institutional Training Programs to ensure that a diverse and highly trained workforce is available to assume leadership roles related to biomedical, behavioral, and clinical research agendas and are issued to eligible institutions to support research training for groups of pre-and/or postdoctoral fellows.
For more information, check out: https://icahn.mssm.edu/education/residencies-fellowships/list/clinician-scientist-training
From Dr. Mark Curato: Post-Residency Career Plans
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.
From Dr. Helen Ouyang: Upcoming Journal Club on Health Reporting
From Dr. Sachin Argawal: Out of Hospital Cardiac Arrest
PGY3s and 4s – Please remember to call the Neurocritical care fellow at 8-COOL to let them know of all out-of-hospital cardiac arrests that have neurological deficits at time of ROSC. Targeted temperature management is an important part of post-arrest care and the NICU would appreciate early involvement!
From Dr. Bernard Chang: the IMPROVE Study
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:
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:
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 Dr. Ernie Esquivel: Cornell Clinical Enhancement Course
As you may be aware, the Class of 2023 (current 2nd year medical students) has been severely impacted by the COVID-19 pandemic. Their clinical experiences in their first and second years have essentially been curtailed due to concerns with exposure to the virus and issues with inadequate PPE in the spring. This class will be starting their Clinical Clerkships in February 2021 and the medical school has asked me to develop a 4-week Clinical Enhancement Course in January 2021. This course will include virtual and in-person experiences aimed at preparing our students to better engage in the clinical space.
One of the key clinical experiences the students need is conducting the history and physical examination on patients in the hospital/outpatient spaces. We need your help desperately to act as preceptors for these sessions. These students have performed histories previously and have been taught the complete physical exam. They practiced on each other. They need to be observed performing these on “real” patients in the clinical space. What are we asking of you:
(1) Four encounters with the students in the afternoon (or early evenings or weekends, for nocturnists/hospitalists).
Session 1 (in person) – Observed complete history and physical examination # 1
Student Assignment: Write-up of the history and physical examination
Student Assignment: Prepare oral presentation of Case # 1 for Session 2
Session 2 (in person) – Oral presentation of Case # 1 and observed complete history and physical examination # 2
Student Assignment: Write-up including history and physical examination AND assessment of the differential diagnosis for Case # 2
Student Assignment: Prepare oral presentation of Case # 2 for Session 3
Session 3 (in person) – Oral presentation of Case # 2 and observed complete history and physical examination # 3
Student Assignment: Write-up including history and physical examination, assessment of the differential diagnosis for Case # 3 AND proposed plan for further diagnosis and therapeutic management
Student Assignment: Prepare oral presentation of Case # 3 for Session 4
Session 4 (virtual) – Oral presentation of Case # 3
(2) Provide feedback to student on history and exam skills, feedback on write-up and oral presentations. We will be available also for additional help if there are significant issues with students’ work.
These sessions may be scheduled at your convenience between Monday, January 11, 2021 – Friday, January 29, 2021, as long as it does not coincide with a required session for the student. As mentioned, this can be between 1 PM – 9 PM and, if necessary, on weekend days. I would assume that sessions would be about 2 hours long. Sessions can be at Lower Manhattan Hospital, Memorial Sloan-Kettering or NYP/Weill Cornell.
FYI, these students will have concurrent sessions aimed at ensuring that students gain skills in oral presentation, clinical reasoning and note-writing.
We will be providing you with orientation materials to the sessions, along with grading/feedback rubrics.
Kindly send me an email if you are able to help us with these critical skills building exercises. Thank you in advance. Stay healthy!
Ernie Esquivel, MD (firstname.lastname@example.org)
From Dr. Alex Fortenko: Remote Patient Monitoring Study
I’m looking for a resident that is interested in research on new and innovative technology platforms to help with a Remote Patient Monitoring study for COVID-19 positive patients. We’ll need assistance with finalizing IRB, in-servicing staff, enrolling patients and doing data analysis. Please email Alex Fortenko at email@example.com if you are interested.
From Dr. Tony Dajer: Bounceback Review
Bouncebacks (or patients who return to the emergency department with the same complaint) are some of the best teaching resources. We are looking to use Epic to review bouncebacks who are admitted on second visit. We’re looking for resident volunteers who can vet 6-8 cases a month. Please contact Dr Dajer (firstname.lastname@example.org) if interested!
From Dr. Manish Garg: EM/IM Signout in Cornell Epic
From Dr. Phil Perera: CT-RAP
I am starting up an abdominal pain research study at Cornell in the next months named CT-RAP, or CT imaging in the regional assessment of acute abdominal pain. Doing the IRB now. This would be the second phase prospective study. A first phase retrospective study was completed at Stanford with 800 patients with data being analyzed now.
Would love to have some interested (and faculty) residents on this study.
My research question is which patients (not peds, not pregnant woman) with acute abdominal pain presenting to the ED need an imaging study (CT or ultrasound).
If interested, please email email@example.com to learn more!
MCB Message of the Month
8:00 AM EM-Palliative Care Rounds [Drs. Audrey Tan and Brad Hayward]
9:00 AM Case-Based Discussion: Small Groups [Drs. Tedeschi, Blumenthal, Latulipe, and Munoz]
9:50 AM Break
10:00 AM Kahoot!
10:45 AM MD Anderson Expert Panel: Neutropenic Fever, CAR-T Therapy and Oncologic Emergency Q&A [Drs. Alagappan, Wattana, Lipe]
Outpatient Management of Fever and Neutropenia in Malignancy (2018)
Adverse Effects of Immune Checkpoint Therapy in Cancer Patients (2019)
Being Mortal [Excerpt] by Atul Gawande
ALiEM Air Series: Environmental 2018
Tintinalli’s Emergency Medicine 9th Ed – Chapters 218-222 (WCM Library for residents)
CONFERENCE ATTENDANCE AND EVALUATION LINK
Meeting ID: 137 767 746
Shout out to Dr. Denise Marte for being such a fierce advocate for all of her patients. She goes above and beyond to make sure their medical (and social) needs are met. Continue fighting for your patients!!