Reminder to complete the monthly ChIP forms by the end of the month – see e-mail from Dr. Mark Curato
From Dr. Trudi Cloyd: Critical Care Cuts
Our critical care team at Columbia (led by a former EM attending) is leading an exciting new project designed to push you bite-sized tidbits of critical care knowledge on weekdays this academic year. The plan is to push these messages to your phone, likely in WhatsApp messages, to review at your leisure (read: shuttle/Lyft ride home after shift). Who doesn’t need a little more knowledge on vent management, blood gas analysis and CVL tips & tricks? Best of all this is being led by some great educational faculty who already have an EM background!
If you are interested, please fill out this short survey on your comfort level with critical care skills.
From Dr. Betty Chang: Columbia Ops updates
On site: a morning navigator (7a-3pm or 8am-4pm) and an evening navigator (11am-7pm or 12pm to 8pm) will be available
Off site: we have the rest of the navigators working from home working morning and evening shifts so all orders placed will be taken care of
For in-person navigators: just place an AMB referral to Patient Navigation as usual. The team knows that when they are on site they will be assisting a minimal of 5 patients each who are only at bedside. In-person navigators will not select discharged patients as those patients will be assisted by the navigators that are working from home.
If a provider needs an in-person navigator immediately they can send a secure chat to our group: CUIMC ED Patient Navigator Team.
**Please use the Patient Navigator services for patients who you think will have difficulties making appointments on their own.
Please remember, for any patient who presents with an overdose where opioids played a role and especially whenever Narcan was given appropriately,
CALL 1 833 ED RELAY.
RELAY workers are able to come in and help patients overcome the many obstacles to REHAB as well as train patients (and family or friends) in the use of Narcan Kits
Even if patients are unresponsive in ED,the RELAY team wants to be called as soon as possible and they will wait near ED until patient is awake to make a connection.
If on rare occasions the patient is COVID positive there is still an option for a telephone connection.If there are any problems or concerns, please do not hesitate to call me.
From Dr. Angela Mills: New clinical leadership fellowship launched by NYC H+H
LEADERSHIP FELLOWSHIP: New York City Health + Hospitals has opened applications for a one-year clinical leadership fellowship geared toward post- residency graduates interested in administrative roles, the system announced Monday. Fellows will be assigned to the offices of quality, population health, ambulatory care, managed care and patient growth or medical and professional affairs. The application deadline is Oct. 29.
From Dr. Sara Zaidi:
To whom it may concern,
Researchers from the Departments of Psychiatry and Emergency Medicine are carrying out a study that will explore oral history accounts of experiences sustained during the COVID-19 pandemic by front-line medical providers (March 2020- January 2021). This is being done with the larger goal of identifying professional and emotional needs, and therefore informing ways to reduce burnout in this population.
Moral injury arises from an act of transgression that creates dissonance and conflict by its violation of assumptions and beliefs about right and wrong and personal goodness. Within the healthcare field, it refers to “the challenge of simultaneously knowing what care patients need but being unable to provide it due to constraints that are beyond a provider’s control”. When left unaddressed, these experiences can lead to burnout in the professional setting, therefore supporting the rationale to explore it in our providers.
Title: Exploring the effects of morally injurious experiences on medical provider identity during COVID-19.
Sara Zaidi MD (Assistant Attending of Emergency Medicine, New York Presbyterian-Weill Cornell)
If you are interested in learning more about the study and participating in an anonymous, single 45-minute interview and brief questionnaire, please contact Giselle Appel MS (firstname.lastname@example.org).
**NOTE: Conference this week is in-person. Report to the Columbia Res Room for your room assignment.
"We wanted to give a shout out to Michael Stone, the ED resident. He has been awesome, Team player, works hard, and even was help training our new PA." Great work Mike!