Weekly Update

August 17, 2020

General Announcements

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)

From Dr. Adria Simon:  Asynchronous Learning

Hey everyone!
 
In somewhat unfortunate timing, ALiEM updated their platform on 8/1 to include new content.  Pros: updated content, cons: this means everyone must re-register even if you previously had an account.
There is also a new system to track your progress.  Under this version, we can no longer add anyone as a coach.  To track your progress, we can include unique identifiers at registration to help me find all of you and track your hours for the year.  
 
Everyone needs to:
1.) Go to https://aliemu.com/ to register
2.) When you register, please enter your first and last name as First Last NYPEM
     ex. I would enter myself as Adria Simon NYPEM
 
Completing this step allows me to pull up everyone in the program’s data at once to appropriately assign credit.  For those of you go-getters who registered the first time around and completed the assignment, fear not- I downloaded your data prior to this upgrade and you will receive appropriate credit for completion.  
 
Thanks for your patience with these admin tasks as we get this set up but taking a few minutes now will ensure appropriate credit in the future!
 

From Dr. Amy Zeidan (Emory): the BRIGHT Study

Dear Emergency Medicine Residents & Faculty, We are recruiting participants for a study, Barriers to Reporting Incidents of Gender and Sexual Harassment in Training and Practice (BRIGHT), and hope you will consider participating. 
 
Purpose of the study: This research seeks to understand perceived barriers to reporting sexual or gender harassment. We are seeking individuals to participate in a confidential phone or zoom interview lasting 20-30 minutes. Individuals who are eligible are those who are enrolled in an emergency medicine training program or a graduate of an emergency medicine residency.  You do not need to have experienced sexual or gender harassment to participate in this study. 
 
Why this research matters: Reports of gender and sexual harassment continue to exist at an unacceptable rate. Few studies to date have evaluated why individuals don’t report and barriers to reporting. We hope to identify barriers to reporting and potential improvements to the reporting process. This study has received funding support from the SAEMF/AWAEM Research Grant. 
 
Contact: If interested in participating, please contact Amy Zeidan at ajzeida@emory.edu. All participants will receive a gift card of $25.

From Drs. Stefan Flores and Edward Amores: Navigating Professional and Financial Lives

Good afternoon, 

We are Tiffany Chioma Anaebere and Brian Wood, core faculty of the EM Residency Program at St. Joseph’s Medical Center in Stockton, CA 
 
St. Joseph’s EM cordially invites you to: The Senior Seminar, our 2-part series for senior EM residents at invited institutions- Highland, NYP Columbia/Cornell and Yale- to learn about how to navigate your professional and financial lives post residency. 
 
Part 1 of Senior Seminar will be on Saturday, September 12th from 9-4pm. We will focus on career development which will include sessions on Finding a Job, reviewing contracts, CV workshop, malpractice and risk management and more! Part 2 will focus on personal finance and will be scheduled for sometime in May 2021.
 

Please forward to your institution’s senior residents. RSVP by emailing Christina Tornero, christina.tornero@dignityhealth.org no later than Friday, August 28th at 4pm.

We look forward to working with you on September 12th.

From Dr. Mark Curato: ABO Confirmation Ordering
 
Great news, less work!
You no longer need to order ABO confirmation!
 
Unless…
You have already ordered a Type and Screen (more than 5 minutes prior) and are ready to actually initiate a blood transfusion.
 
This is a tricky way of telling you that you must NEVER order a Type and Screen” and “ABO confirmation” within 5 minutes of each other.
 
Reasoning:
The sample will be rejected.
It could (via the “Swiss cheese” analogy) be one in a chain of events leading to a devastating transfusion error.
It automatically triggers a multilevel, multi-departmental red flag and you will need to be “remediated”.  
 
Take home: Never ABO Confirmation within 5 minutes of T&S order.
 
Thanks!

Nominate a Healthcare Hero!

Is there a nurse or doctor that has made a major impact in  your life or community during the COVID-19 crisis? Show them your appreciation by nominating them for a chance to win up to $100,000 towards paying off their student loans!

https://kellyandryan.com/sponsored-two-col/healthcare-heroes-100k-giveaway/

Choose your Academic Practice Track!

The ACADEMIC PRACTICE TRACKS represent various areas of sub-specialization under the umbrella of Emergency Medicine. 

The 17 APTs that we have thus far identified are as follows: 

  • Academic/International Medicine/Global Health
  • Critical Care 
  • Disaster/Wilderness/Space/Austere Medicine 
  • Geriatrics 
  • Humanities 
  • Innovation/Telemedicine 
  • Medical Education 
  • Operations 
  • Pediatrics 
  • Prehospital/EMS/Transport/Tactical 
  • Quality & Patient Safety 
  • Research 
  • Simulation 
  • Sports Medicine 
  • Toxicology 
  • Ultrasound/PEM Ultrasound
  • Social EM 

We would ask that you CHOOSE AN APT to join. We are limiting the residents to one APT (two with Dr. Garg’s permission).  You can explore at the beginning but hope that residents will focus on one APT by PGY3 year.

Email Oz Sayan (ors1@cumc.columbia.edu) with your APT choice.

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 Dr. Oz Sayan: Professional Developement

Dear Colleagues,

As part of our Professional Development program, I will be meeting with each one of you twice a year.  It will allow me the opportunity to interact with you all one-on-one and to help you grow throughout residency.    In preparation for our meeting, I would ask that you complete the questions asked in my email from Sunday, July 29.  These are some of the topics we will touch on.  Having you spend some time before our conversation will allow you provide the best answers.  I will be spreading these out over the semester.  

Some questions are for specific classes only.

The question above Scholarly Work can be skipped for now as I just collected this info about one month ago.  It will be asked next semester as a way to update info.

I will likely meet with interns later in the semester when they have had more time as interns.

I really look forward to spending some time with all of you.

Oz

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

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 
October 1, 2020 for the November/December Issue
December 1, 2020 for the January/February 2021 issue

Campus Announcements

From Dr. Dessie Almaz and Dr. Stefan Flores

There is a new Columbia Diversity, Equity, and Inclusion Committee led by attendings Dr. Dessie Almaz and Dr. Stefan Flores. The inaugural meeting is August 26th at 1PM. This is important work. They are inviting residents to be equal participants of the committee. Additionally, they are looking for 2 resident co-chairs.

If anyone is interested in a leadership role or participating, please contact Dr. Almaz (ad3463@cumc.columbia.edu) and Dr. Flores (sk3283@cumc.columbia.edu). 

 

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 Jimmy Truong: EMRA PEM FUNDAMENTALS
 

For residents interested in PEM:

Many of you are aware of the current EMRA EM Fundamentals, which is an adult EM based on shift resource for emergency providers. The goal of PEM fundamentals is to create a pediatric emergency medicine on shift resource for EM providers. This publication is being headed up by the faculty and fellows at Harbor-UCLA and EMRA.
 
There are currently several chapters remaining that need primary authors. The chapters are relatively short (1-3 pages, 300 words per page), and like EM fundamentals or WikEM should be brief, succinct, and info-packed. 
  
All chapters will have a section editor at Harbor-UCLA who will oversee the chapter authors’ work. Cindy Chang, Patricia Padlipsky, and Kelly Young at Harbor-UCLA are the overall editors. They will provide you with chapter outlines and have allotted page counts to each chapter. They will have clear author guidelines and will be available for guidance along the way, as will your section editor. 
 
Current Timeline:
August 15, 2020 – Draft #1 due for chapter authors to section editors (This is a tight turn around, it may be pushed back to Aug 21st)
October 15, 2020 – Revision feedback from section editors to chapter authors due
November 16, 2020 – Revision #2 from chapter authors to section editors due
December 15, 2020 – Section editors give to Cindy, Kelly, Patricia for final review
March, 2021 – the book will go to press!
 
Signing up:
 
Residents/Fellows
 
Please send me the following information if you are interested in authoring a chapter:
-Your name
-email address 
-your position (PGY_ in EM/Peds residency/fellowship at _ institution)
-several topics from the below list you would be interested in writing (including if you are open to writing anything available or not).
-How many chapters you would be interested in writing (one is fine)
-If you would be interested in being paired with an EMRA medical student as a co-author (and their name if you have a person in mind)
 
Depending on interests and the number of potential authors, I will divide the available chapters. Given the limited list of chapters, it will be on a first come, first served basis.
 
Section | Chapter Title | Pages Allotted
Neurology | Ataxia & Paralysis | 2
Orthopedics | Back Pain & Discitis | 1
Psychiatry | Autistic Child in the ED | 1
Psychiatry | Behavior | 1
Trauma | Extremity Trauma | 3
Trauma | Thoracic Trauma | 2
Trauma | Spinal Trauma | 1.5
 
Email Jimmy Truong (jt2979@cumc.columbia.edu) if interested.
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 Cornell Leadership

Please fill out the Emergency Department COVID-19 Survey. Please remember that this survey is anonymous, and results will be used for internal use only.
 
WCM Racial Diversity Survey: Racial Diversity at WCM Survey
 

From Dr. Julie Zhao: First Responder Course for Med Students

Hi all,

We are about 3 weeks 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!

MCB Message of the Month

Conference This Week

August 19, 2020 - Cardiology

Time

Topic

Speaker

  • 08:00 - 09:30
  • Journal Club
NYPEM EBM Team
  • 09:30 - 10:00
  • The Pediatric EKG
Dr. Maytal Firnberg

CHONY PEM Fellow

  • 10:00 - 10:30
  • Pacemakers
Dr. Colin Pesnya

CUIMC Emergency Medicine Attending

  • 10:30 - 11:00
  • Post-Arrest Targeted Temperature Management
Dr. Edward Suh

CUIMC Emergency Medicine Attending

  • 11:00 - 12:00
  • Cardiac Ultrasound
Dr. Nick Avitabile

CUIMC Emergency Attending

JOURNAL CLUB: The CURASMER Trial (2019)

Lemkes JS, van der Hoeven NW, Jewbali LSD, et al. Coronary angiography after cardiac arrest without ST-segment elevation. NEJM 2019;380(15):1397-407.

Chapter 7 – Randomized Control Trial

JC Summary Template

  • 30min reading time, 15min statistics lecture [Ellen Sano MD], 45min small group discussions
  • Article and journal club summary template attached.
  • Please complete the required reading (Chapter 7 on Randomized Controlled Trials) prior to conference.

ASYNCHRONOUS LEARNING

AICDs and Pacemakers (pre-op focus but excellent breakdown, indications for placement and helpful factoids!)

Ultrasound 5-min Videos

Back to the Basics: Cardiac windows, Ejection fraction, Pericardial effusion

Advanced Review: Right heart strain, Regional wall motion abnormalities

Classic article: The “5Es” of Emergency Physician-performed Focused Cardiac Ultrasound (attached)

Tintinalli’s Emergency Medicine 9th Ed – Chapters 48, 49, 51 (WCM Library for residents)

CONFERENCE ATTENDANCE AND EVALUATION LINK

Conference Evaluation & Feedback Form

ZOOM

Join EM Conference Zoom Meeting

https://columbiacuimc.zoom.us/j/137767746?pwd=bTE4eFkwT3dvNHFEd0xlMS8zeFBXUT09

Meeting ID: 137 767 746

Password: 068082

Hope to see you all there!

Dr. Oz Sayan

Congrats to our Dr. Oz Sayan, who as recently chose as a Senior Oral Boards Examiner
by the American Board of Emergency Medicine!
Thank you for your dedication to our profession and our residency family, Oz!

Upcoming Residency Events

  • August 19 – PGY2 Retreat!!
  • Weekly “Meet the Residents” Zoom Webinars Wednesdays at 8pm EDT (for next two months; next one up is 8/19/20 8PM EDT) – please join!
  • September 9 – PGY3 Retreat!!

To Dos

ALL

PGY4s

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

Liza Hartofilis, 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.