Weekly Update

August 24, 2020

General Announcements

 

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)

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 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!

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.

AHA COVID Interim Guidance

BLS/ACLS NYP Sign-Up Information

Campus Announcements

From Dr. James Kenny

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. 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 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!
 
 

MCB Message of the Month

Conference This Week

August 26, 2020 - Thoracic Emergencies

Time

Topic

Speaker

  • 08:00 - 09:00
  • STEMI Complications
Theme Day Team
  • 09:00 - 10:00
  • VIsual Diagnosis of Thoracic Emergencies
Theme Day Team
  • 10:00 - 10:30
  • Stump the Expert: US Diagnosis
Dr. Di Coneybeare and US Division

CUIMC Emergency Medicine Attending

  • 10:30 - 11:00
  • Pigtail Catheters and ED Pericardiocentesis
Drs. Bill Zhang and Jonathan St. George

NYPEM Theme Day Team

  • 11:00 - 12:00
  • Cardiogenic Shock Q&A
Dr. Scott Weingart

Division Chief, Emergency Critical Care, Stony Brook Hospital

CONFERENCE SCHEDULE
 
8:00 AM Welcome and Introduction to Theme Day
8:05 AM Management of MI Complications (breakout rooms)
9:00 AM Visual Diagnoses [Alex Wang MD]
10:00 AM Thoracic Procedures [Bill Zhang MD and Jonathan St George MD]
10:30 AM Stump the Ultrasound Expert
11:00 AM Cardiology Q&A with Scott Weingart
11:45 AM Wrap Up
 
ASYNCHRONOUS LEARNING
Tintinalli’s Emergency Medicine 9th Ed – Chapters 55-58 (WCM Library for residents)
 
 
CONFERENCE ATTENDANCE AND EVALUATION LINK
 
 
 
*Please note the new attendance system for faculty. The attached linked form allows you to mark your hours present for attendance purposes. We will no longer be manually collecting attendance and will rely on self-reporting for faculty only. Thank you for your compliance with this new system.

ZOOM

Dr. Daniel Bernard and Dr. Mike DeFilippo

Dr. Daniel Bernard made some great adjustments during an LP and got a champagne tap! Cheers! 🍾

Dr. Mike DeFilippo for his enthusiasm, positive attitude, and constant hard work. Keep it up!

Upcoming Residency Events

  • Weekly “Meet the Residents” Zoom Webinars Wednesdays at 8pm EDT (for next two months; next one up is 8/26/20 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

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.