Update

April 19, 2020

General Announcements

From Dr. Manish Garg: Primary Survey this Sunday

Dear Residents,
 
We are having our primary survey meeting again at 5pm on Sunday.   Zoom link below:
 
Zoom Meeting #: 902-383-0868
 

https://weillcornell.zoom.us/j/9023830868

From the Chiefs: Residents in the Spotlights

NYP would like to highlight your hard work in the ED and as part of that effort are asking us to submit photos of us in the ED for the NYP twitter feed.  If you’re interested in participating, please text any photos to D. Anne Stewart, the CFO of the Columbia Emergency Department at 347 387 2397.
 

Coronavirus Updates

Given the rapidly evolving response to COVID19, it can be challenging to stay current.  Below are the most critical updates from NYP and GME. 

Please see the COVID19 Updates page for additional information and resources. 

NYP Medication Guidelines (4/15/2020)

UPDATED NYP ED COVID MANAGEMENT ALGORITHM (4/1/2020)

Updated WHS Sick/Exposed/ Quarantined Guidance (4/3/2020)

Interim Testing Guidelines for Admitted Patients (4/4/20)

NYP CPR Guidelines (3/27/20)

Updated Guidelines for Airway Management (3/23/2020)

PPE Guide Visual Aide  (4/4/2020)

NYP COVID19 TRAVEL GUIDANCE AND FAQs

 

Campus Announcements

Dr. Chris Tedeschi: ED Incident Commander

Dear Colleagues:

 
Please utilize the Emergency Medicine Incident Commander  for real-time issues at Columbia. The incident commander (IC) will be on-site 24hrs/day, 7d/week throughout the month of April.
 
The IC will be based at Allen Hospital from midnight to noon, and Milstein/CUIMC from noon to midnight each day. That said, we will work to address issues at both campuses in real time throughout each shift. Responsibilities will include ensuring patient and provider safety, expediting ED logistics and operations, and serving as a primary contact for each command center.
 
The Emergency Medicine Incident Commander can be reached 24/7 at 347-271-0699.
 
We will continue to partner with our charge nurses and nurse managers to establish a unified command in the ED. Please do not hesitate to reach out to the IC as a primary point of contact, or for escalation of any issue related to emergency care.

From Dr. Ken Wong:  Orienting off-service rotators

Senior residents: please ask the rotator if it’s his or her first or second shift, and (if so) give a brief orientation at perhaps 7:45.  This is a shared responsibility with the attending. 
 

Rotators have gotten a welcome email and a handbook; chiefs also gave June in-person orientations.  However, a rotator’s first shift can be any one of about 12 times during a month, and nothing’s as good as on-shift instruction.  Focus your brief pointers on where to find things, the dispo note template, how to bed request after the dispo, and how to PFD and discharge a patient.  Please also go over PPE, early isolation guidance, and guidelines about high risk COVID19 situations.

THIS CONTINUES TO BE INCREDIBLY IMPORTANT DURING THIS PANDEMIC, AS WE WANT TO KEEP EVERYONE SAFE WHILE IN THE ED.
 

From Dr. Lynn Jiang: Wellness

I hope this finds you doing well and staying safe!
 
I had an idea for a wellness related project and wanted to see if you’d be interested in helping me do this or participate.
Many healthcare providers are using the arts (drawing, photography, writing) to help process and meditate during this time. A lot of our colleagues are also sharing these works with others, which creates a stronger community with our colleagues and allows those outside the healthcare field a unique “insider’s perspective.” 
 
My idea is to essentially compile together everyone’s individual work. It can be any type of media as long as it is original work — think the photos we’re already posting or the work Cleavon’s shared. People can continue to share them on their own accounts, but the ultimate goal is to share it to a larger group too — at least via a joint email group, but also (if people are ok with it) by social media so that anyone can participate. Will definitely share a full compiled product at the end of all of this but if we have enough submissions, possibly a weekly update. Hopefully both the creation of pieces (and their viewing) will be helpful for those involved.
 
If you’re interested, please contact Lynn at lgj7001@med.cornell.edu.
 

MCB Message of the Month

Conference This Week


Shouts out to the PM&R residents who have been working with us for the past few weeks. They have been awesome!

Upcoming Residency Events

 
  • May 27th – 8 hr Theme and PGY4 Research Day
  • May 28th – Residency Retreat 
  • June 3rd – Graduation at the Central Park Boathouse 

To Dos

ALL

  • WEAR YOUR PPE ON SHIFT! Keep yourself safe always!
  • MedHub hours must be logged! 
  • 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/
  • Remember– Away Electives require an application submitted 112 days in advance, while NYP electives are a minimum of 56 days. Instructions located here. 
  • 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.  
  • Give time and action-specific instructions in the discharge papers.  “See your primary doctor soon” is much less informative than “See your primary doctor in the next four days, but return to the E.R. if your abdominal pain worsens or persists.”  

PGY4s

  • Get disability insurance before graduating residency.  Here’s one resource to start.
  • Educate yourself on potential job contract issues.  Here’s one article and another EM specific book.   
  • If a job requires your residency malpractice insurance history, email nog9010@nyp.org & mam9160@nyp.org to obtain the relevant documents.  
  • Remember to complete your EMS ride-alongs! You need 10 4-hour sessions to graduate!

PGY3s

PGY2s

  • Time to start leading notifications!  Rely on your fellow residents, constantly communicate with your team, and learn as much as you can! You can do this.
  • 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

  • Scroll down to 3. Publications and Educational Initiatives for some good EM resources!  Or check out this centralization of other EM resources including podcasts, books, apps and Qbanks.
  • We’re at that point in the year when it’s time to start becoming the PGY2 you always knew you could be. Stretch yourself on shift both in terms of volume and patient complexity.   

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.