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General Announcements
From Work Healthforce and Safety: Annual Health Review Form
Due to the Covid-19 Pandemic, Workforce Health and Safety temporarily suspended Annual Health Reviews from February through July. We are currently in the process of working with our employees to update all Annual Health Reviews.
Below you will find the link to the Online Annual Health Review form. Please note, at this time we will not be requiring testing for TB or respirator fit testing as part of the AHR and you will only need to complete the online form. We will work to review and complete all of these AHRs between August 1st – September 30th, 2020.
Employee Online Annual Health Review
You will need to log in with you NYP cwid and password. Upon successful completion of the form, you will receive an email confirmation of your submission. Once the form has been reviewed, you will receive confirmation of your compliance with the program.
Please complete and submit the Online AHR form by tomorrow, September 15th
If you have any questions about this process, please contact Workforce Health and Safety’s Data Management team at:
From the Chiefs: Holiday Request Form
It’s that time of year! Please submit your preferences for the upcoming holidays.
Just a reminder that if you are on vacation, elective, anesthesia, toxicology etc, this will count as your holiday off.
PLEASE SUBMIT BY SEPTEMBER 30!
From Dr. Helen Ouyang: Journal Club
Dr. Helen Ouyang is planning to start a journal club focused on lay publications. The purpose of this journal club would be:
1. To examine how health professionals and medicine at-large are portrayed by media.
2. To dissect how these portrayals might affect patients’ and policy-makers’ perceptions of us and what we do.
3. To be able to more broadly think about medicine and our jobs from the public’s perspective.
4. To see how academic research is translated and distilled to the public.
5. To learn how certain stories appeal to media and how to shape a narrative that’s understood by a general, non-medical audience — for those faculty/residents/medical students interested in writing themselves.
2. To dissect how these portrayals might affect patients’ and policy-makers’ perceptions of us and what we do.
3. To be able to more broadly think about medicine and our jobs from the public’s perspective.
4. To see how academic research is translated and distilled to the public.
5. To learn how certain stories appeal to media and how to shape a narrative that’s understood by a general, non-medical audience — for those faculty/residents/medical students interested in writing themselves.
We are looking for any interested residents in developing this further. Dr. Ouyang envisions involving a resident in a leadership type role.
Please contact Phong/Chiefs (nypemchiefs@gmail.com) if you’re interested.
From Dr. Manish Garg: National Physician Suicide Awareness Day
Next week on September 16 and 17 there are two events to honor National Physician Suicide Awareness Day.
Emergency Medicine is playing an important role with both. I’m specifically reaching out for the first event. Sept 16th will be included with conference and will be GME focused. We will have a panel of residents from different specialties from both NYP Cornell & Columbia.
Our special speaker will be Dr Christine Moutier, CMO of the American Foundation for Suicide Prevention. Our event will be similar to what we did with Dr Atul Gwande. We are looking for a resident who would like to be on the resident panel and willing to ask Dr Moutier a pre-created question (unless you would like to ask your own). Please let me know if you are interested. I will join you on the panel as a moderator.
I believe these sessions will be a wonderful opportunity to educate our community and make structural changes in navigating Suicide.
We are continuing to make cultural changes to look out for our community wellbeing. I look forward to seeing you there.
Manish (mag9475@med.cornell.edu)
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
In the next couple of weeks, we will release a (short) survey to you regarding your post-residency career plans (fellowship, academic, community, etc.).
We are participating in a large study led by a researcher at UCLA, and we will survey you annually through your training. We’re one of several highly regarded residencies participating, and all sites are striving for 100% participation (though, of course, it is fully voluntary).
More to come (we’re pending IRB approval at our site).
From the Chiefs: Schedule Requests
Please request at least 10 weeks ahead (as noted in our handbook) using the form on our website if you need a guaranteed day off (subject to review and approval). All other requests cannot be promised.
From Dr. Annie Katz: **Updated Sick Call Policy**
Please see and review the new sick call policy by clicking here.
As part of the sick call policy, PGY4s – please let the chiefs and Annie know which of your electives will be designated as your “home” elective.
We also plan to review the policy as a group during town hall on 9/30 and will gather feedback after several weeks of its implementation.
If you have any questions or concerns, please contact Annie Katz (ark9038@med.cornell.edu) or Manish (mag9475@med.cornell.edu)
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 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.
Campus Announcements
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)
- IRB Approval?
- If so, all participants need to complete IRB Training
- Funding availability
- And how to apply for funding
- How do we develop a validated questionnaire?
- Through the grad school?
- If so, what’s the process
- How do we get data analyzed?
- 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)
- 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 Dr. Eliza Miller (CUIMC Neurology): OB/Gyn Stroke Survey
The Department of Obstetrics & Gynecology, Maternal Fetal Medicine Division, with the guidance of Dr. Eliza Miller, Stroke and Cerebrovascular Neurologist, is beginning to research medical professionals’ experience in assessing and managing various critical clinical scenarios regarding maternal stroke and neurological complications of pregnancy. We are contacting you because we believe you may be a clinical provider involved in the care of patients throughout their pregnancy or post-partum period, who may be interested in participating in a voluntary and anonymous survey regarding this topic.
Through this survey, we will consider the development of a maternal stroke bundle for the inpatient and/or emergency/triage setting with the purpose of ensuring that pregnant and post-partum women with neurological symptoms receive appropriate evaluation and care. If you fill out this anonymous & voluntary survey, you are consenting or agreeing to take part in this research. We will take all steps legally possible to keep this information confidential. Upon completion, you will have access to the correct responses for all surveyquestions. We expect participation to take 10-15 minutes of your time.
Completion of this survey is your agreement to participate in the study. You may decide to stop taking part at any time. Again, if you decide not to take part, it will not affect your rights or benefits. You will not incur in any cost(s) to take part in this survey and you will not receive any pay/compensation for doing so.
If you have any questions about this survey or the study, please contact Dr. Eliza Miller at 347- 714-4703 or the study team at 917-938-5817. If you have additional questions about your rights as a research subject, contact the Institutional Review Board for Human Subject Research for Columbia University Medical Center at (212) 305-5883. Thank you.
You may open the survey in your web browser by clicking the link below:
https://redcap.link/maternalstroke
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. Michael Chary: COVID-19 Tox Review Article Opportunity
Dr. Chary is starting to write two COVID-19 tox reviews. One is a follow-up to his previous review on therapies for COVID-19. Another is a discussion of the alternative remedies proposed for COVID (bleach, colloidal silver, oleander).
He is looking for an interested resident to help write a review. Here is the style he is going for.
Please email Michael Chary (mic9189@med.cornell.edu) if interested.
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
Conference This Week
September 16, 2020 - GI
Time
Topic
Speaker
- 08:00 - 09:00
- Expert Rounds: Decompensated Cirrhosis
Dr. Russell Rosenblatt
WCMC Attending in Gastroenterology and Hepatology
- 09:00 - 09:30
- Mini Ground Rounds: SBP
Dr. Jessica Alvelo
NYPEM Resident
- 09:30 - 10:00
- Procedural Rounds: Pro vs Con Large Volume Paracentesis
Dr. Leah Bralow and Dr. Justin Allen
Columbia Attending, WCMC Attending
- 10:00 - 10:40
- Mythbusters
Dr. Allen Giles and Dr. Daniel Bernard
NYPEM Residents
- 10:40 - 11:15
- Radiology Rounds: Pearls and Pitfalls - Ultrasound-guided Volume Assessment
Dr. Phillips Perera
WCMC Emergency Attending
- 11:15 - 11:45
- Mini Grand Rounds: Hepato [organ] Dysfunction
Dr. Chris Reisig
NYPEM Resident
- 11:45 - 12:00
- Closing and Remarks
Conference Team
- 12:00 - 13:00
- Grand Rounds: National Physician Suicide Awareness Day
Dr. Christine Moutier
Chief Medical Officer for the American Foundation for Suicide Prevention
CONFERENCE SCHEDULE
8:00 AM Expert Rounds: Decompensated Cirrhosis [Russel Rosenblatt, MD]
9:00 AM Mini Ground Rounds: SBP [Jessica Alvelo, MD]
9:30 AM Procedural Rounds: Pro vs Con Large Volume Paracentesis [Leah Bralow, MD & Justin Allen, MD]
10:00 AM Mythbusters [Allen Giles, MD & Daniel Bernard, MD]
10:40 AM Radiology Rounds: Pearls and Pitfalls – Ultrasound-guided Volume Assessment [Phillips Perera, MD]
11:15 AM Mini Grand Rounds: Hepato<organ> Dysfunction [Chris Reisig, MD]
11:45 AM Closing and Questions
ASYNCHRONOUS LEARNING
ALiEM Air Pro Series: Gastroenterology (September assignment – required)
Tintinalli’s Emergency Medicine 9th Ed – Chapters 77-80 (WCM Library for residents)
CONFERENCE ATTENDANCE AND EVALUATION LINK
Please note the new attendance system for faculty to self-report hours attended at conference. We will no longer be manually collecting attendance and will rely on self-reporting. Thank you for your compliance with this new system.
ZOOM
Meeting ID: 910 8100 6471
Password: 244529
Grand Rounds
Grand Rounds presentation Wednesday 9/16 from 12:00pm – 1:00pm, immediately following EM Conference.
Dr. Christine Moutier, chief medical officer for the American Foundation for Suicide Prevention will be speaking. Her bio is below for your reference.
Zoom Information:
Join Zoom Meeting
Meeting ID: 910 8100 6471
Passcode: 244529
Dr. Denise Marte
From PEM Leadership: Dr. Denise Marte performed wonderfully on her PEM rotation.
"When I first worked with her, I was surprised that she is a PGY-1. She is mature and thoughtful with good clinical judgement and takes patient care seriously."
"I did work a lot with Denise and I have to say she is one of the best residents I have ever worked with. She functions at a senior resident level, with regard to her fund of knowledge, the initiative she takes with caring for patients, and her follow through. In addition, she is a lovely young lady. I can’t say enough positive things about her."
Shout out also to the PGY-3's for working so hard thus far. Here is a photo of them from their retreat last week!
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
- 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.
- 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
Chris Reisig, 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.