From Dr. Sachit Balsari: Climate And Human Health Fellowship
From Dr. Oz Sayan: ITE Review
ITE Review continues!
For all residents (PGY2-4) who scored under 30th percentile on the 2020 ITE, we will ask that you attend a mandatory 50% (or 12) ITE Wednesday Evening Sessions and view the remaining 12 ITE session asynchronously via ZOOM recordings. All other residents can use the ITE Review Session as another tool to study – no mandatory attendance.
We will continue at 8:30PM-10:30PM via ZOOM. They will be every Wednesday Evening until February 17, 2021. I have attached the schedule.
Meeting ID: 969 5298 1627
From Dr. Kiran Pandit: Undergraduate Med Ed Analysis
From Dr. James Kenny: Palliative Care Training
From Dr. Ed Suh: Pulse Ox Information
Hi everyone, I wanted to clarify some confusion about discharging patients with COVID or CLI and make you all aware of another resource we have at our disposal.
All ED patients, age 18 and up, being discharged with COVID/CLI are eligible to receive a pulse oximeter to measure their oxygen levels at home.
Patients with risk factors for poor outcome that you are clinically more concerned about should be enrolled in the Remote Care Program. This program involves regular telephone follow-up by Columbia PAs over a several day period. You can enroll patients in this program even if their COVID PCR results are pending!
Patients without risk factors that you are less concerned about can be offered enrollment in the “MyCare” Program, which is a smartphone app (an extension to Epic’s MyChart/Connect) that contains a daily symptom / O2 saturation log. This log will be reviewed by a physician assistant daily, although not in real time. This is available in English and Spanish.
From Drs. Devjani Das, Lauren Curato, and Lauren Titone: EM Clerkship Commencing
Med students have arrived at Columbia! Here are some updates to be aware of:
These are “third year” Columbia Medical students that rotate with us for two weeks. Many of these students have never rotated or shadowed in the ED (or ANY clinical area) before.
They are expected to work directly with the attending (or PGY4 if working in Area Blue) and see patients independently (about 2-3 per shift). This is not a shadowing experience. Please encourage them to observe and get involved in resuscitations, codes, intubations etc but otherwise they should be seeing their own patients and presenting directly to the attending or PGY4 if in Area Blue. If any issues arise regarding staffing of the MCY students please reach out to us directly.
Medical students SHOULD NOT see patients with confirmed COVID-19 or symptoms concerning for active infection (as much as is reasonably possible). This is a firm request from the medical school.
Please encourage students to be in proper PPE (N95 + Eye Protection) at all times. If you notice a student does not have the appropriate PPE or theirs is broken/soiled please reach out to the nurse managers to get them a new properly fitting mask, eye shield etc.
You will encounter students on shift on most Tuesdays and Thursdays-Sundays. They should not be told to go to a different area in the ER during their shift. We are limiting the schedule to one student per clinical area. If you have a basic procedure (I&D, lac repair, etc), please encourage the students to participate in that procedure.
PGY4s: These students will be presenting to you, as any junior resident would, in Area Blue. You will follow these patients and write a note. At the end of every shift, the student will hand you a feedback card with a QR code. Scan the QR code with your smartphone and it will take you to a 4 question Qualtrics survey. Please, please, please fill these out in real time. Then sign the card and hand back to the student. Please also provide as much verbal and direct feedback as possible throughout their shift.
PGY3s: The students will be shadowing you during your critical care shifts from 3p-8p. They will not be seeing these patients primarily so should not be writing notes on them, they are only shadowing you. Please encourage and involve them in the resuscitation process for patients that you see. This will be the most exciting part for them! At the end of their shift, the student will hand you a feedback card with a QR code. Scan the QR code with your smartphone and it will take you to a 2 question Qualtrics survey. Please, please, please fill these out in real time. Then sign the card and hand back to the student. Please also provide as much verbal and direct feedback as possible throughout their shift.
PGY1s/PGY2s: The students should not be presenting to you directly on any patients. However, please feel free to involve them in any case, imaging study, procedure, etc. that you think may be interesting to them. Remember, a lot of these students have never been in the clinical area so everything is new and exciting for them!
We thank you in advance for the time and effort you put into Medical Student Education. This clerkship has been approved and supported by the medical school due to your dedication, hard work and to the valuable learning experience they see in our department! Here is a link to a great resource that your colleagues have put together on tips for teaching medical students (thanks Vineet, Jess and Taylor!). These students will see and listen to everything you do and say, so please show them how great it is to be an EM physician!
From Dr. Jenny Castillo: Workplace Violence
Please contact Dr. Castillo (email@example.com) if you’re interested in participating in a project on workplace violence. A copy of her proposal can be found here.
From Dr. Helen Ouyang: Upcoming Journal Club on Health Reporting
From Dr. Rama Rao: Non-Binary ED Patients
Please take a moment to fill out the following survey regarding the care of our transgender and gender non-binary patients in the ED. Thank you!
From Dr. Dave Bodnar: ED Pass Note
We have slimmed it down so it now is much easier to read and complete (Examples below). Please remind the residents that this note must be completed prior to bed request for Internal Medicine admissions. Please let me know (firstname.lastname@example.org) if there are any questions.
@DATE@ (this stamps both the date and time into the note)
Author Contact Number: ***
ED Course (Including Pertinent Labs, Radiology and Consult Discussions): ***
Working ED Diagnosis / Reason for Admission: ***
Any Non-Clinical Psycho/Social Issues: ***
From Dr. Daniel Golden: QIPS
Join our Council!! Opportunities now exist to learn how to perform Quality Improvement projects, obtain leadership positions, take part in scholarly projects, network, and make a difference!
The amount you participate is up to you. Contact Dan Golden at email@example.com or call/text 347-573-1681 if interested!
MCB Message of the Month
Shout out to Dr. DeFilippo for crushing some busy night shifts in the Columbia ED. He was been carrying the board (Mike doesn't skip back day) and even took a notification. Great job in picking up patients, writing notes, dispo-ing patients, and using POCUS to help steer clinical decision making. #Scanimal