Residency Families meetings in lieu of Wednesday Conference:
Please note that there will be no EM conference Wednesday, June 30.
Residents – Please plan on meeting with your residency families on Wednesday morning. Discuss with your individual families for further details. You will be expected to report to shift at normal time if you are scheduled to work.
EM Conference will resume on Wednesday, July 7.
From Dr. Mark Curato
As you know, we are part of a group studying factors influencing EM resident career choices. We’
From Dr. Tiffany Murano: EM Reports Publication Opportunities
Carbon monoxide exposure
Improving management of acute severe asthma and COPD
MRI in patients with cardiac devices
Eclampsia and postpartum eclampsia
Thrombectomy for stroke, especially the value of screening tools to identify potential candidates
ACEP new guidelines on procedural sedation and sepsis
STEMI in the era of COVID
COVID-19 and impact on trauma care
Update on burn care
Pain control in the elderly
Update on pediatric concussions
Pediatric pain control
Author guidelines are attached here.
Residnents, if you identify a topic and a faculty mentor, please have the mentor email editor Shelly Mark directly and she will walk you through the process.
From Dr. Betty Chang: Columbia Ops updates
Below are some class specific reminders that are relevant to the MCY (third year) clerkship students we have. This is particularly important for the rising PGY-3s who these students will be shadowing many times throughout the year.
These are “third year” Columbia Medical students that rotate with us for two weeks, they are not Sub-Is. Many of these students have never rotated or shadowed in the ED (or ANY clinical area) before.
PGY4s: These students may be presenting to you, as any junior resident would, in Area Green. 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 some of your shifts from 3p-8p (if you are singing out at 4p please also have them shadow your relief form 4p-8p, do not dismiss them early). They will not be seeing these patients primarily on this shift so should not be writing notes. Please encourage and involve them in the resuscitation process for patients that you see and try to share your thought process with them. 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 mostly asking if they were on time and professional. Please, please, please fill these out in real time. Then sign the card and hand back to the student.
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. Remember, a lot of these students have never been in the clinical arena, so everything is new and exciting for them!
The students are expected to work directly with the attending (or PGY4 if working in Area Green) and see patients independently (about 2-3 per shift). This is not a shadowing experience (except for the PGY-3 shift). Please do not have them move to a different clinical area. There may be two students on shift at a given time but never two students per attending. If any issues arise regarding staffing of the MCY students, please reach out to us directly.
We wanted to thank each and every one of you for the incredible work that you do for our medical students. They look to you for guidance both medically and career wise so please share your experiences and knowledge with them as much as possible. Here is a link to a great resource that your colleagues have put together with class specific tips for teaching medical students. 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. Marc Probst: New NIH-funded Syncope study – PACES.
Tell the clerk to activate ED OB Activation or dial 5-5555 from any hospital phone
If Activation Fails Call L&D Directly at 646-697-1414
It’s VERY important that you use the correct terminology. Say: “ED OB Activation“ (not “code OB” or “STAT OB” or anything like that).
As a reminder, here are the ED OB activation criteria
Discretion of the ED or OB
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 (email@example.com).
From Dr. Garg: New ED/IM/Endoscopy workflow
From Dr. Shah: EMRA Awards / Grants
Welcome our new Interns as they start their first clinical week!