Menu
April 5, 2020
General Announcements
From Dr. Stephanie Carreiro: National PPE Survey
Hello fellow EM docs,
We would appreciate it if you could complete this brief (5-7 minute) survey, which aims to understand the perceptions of and practices surrounding the Covid-19 pandemic response among emergency physicians (including resident and attending level physicians). Please share with your residency programs and colleagues as well.
This is a collaboration between the Harvard Humanitarian Initiative, University of Washington, and University of Massachusetts, and is IRB approved though Harvard Medical School. The survey will only be live for a week, and we are aiming to capture as many EM physicians’ voices across the country as possible!
Thank you for all that you do, and please stay safe-
Stephanie Carreiro, MD, FACEP, FACMT
Assistant Professor
Division of Medical Toxicology
Department of Emergency Medicine
University of Massachusetts Medical School
cell (401)-837-4115
From Dr. Sara Zaidi: Virtual Coffeehouse
Hi guys,
The past few weeks have been difficult. Pride, frustration, grief, camaraderie, fear, and sadness are just a few of the emotions many of us are experiencing.
Let’s gather together and reflect – put your emotions into words, poetry, music, art, or any creative expression! We’ll also be joined by some of our recent grads (Kai, Andre), who will be sharing performances. The date is this Friday, 4/10 at 7 pm. Let me know if you would like to perform 🙂 See the Zoom details below.
Best,
Sara
From Drs. Dana Sacco and Nick Avitabile: LGTBQ+ Mixer
Drs. Nick Avitabile and Dana Sacco would like to invite you to the LGBTQ+ Mixer on April 6th @ 5pm via zoom. This mixer will be hosted via Zoom; details are below. This mixer is open to all GEM, PEM, residents, and PAs.
Zoom Details:
Time: Apr 6, 2020 05:00 PM Eastern Time (US and Canada)
Join Zoom Meeting
https://columbiauniversity.zoom.us/j/729647856?pwd=Vjh2VEF2ZUduQ0pTRkFLcTlELzNOdz09
Meeting ID: 729 647 856
Password: 305026
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.
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)
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 be aware that as of 8am tomorrow morning, the Department of Emergency Medicine will add an Emergency Medicine Incident Commander to our staffing model. The incident commander (IC) will be on-site 24hrs/day, 7d/week beginning tomorrow morning and 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.
Drs. Leah Bralow and Jimmy Truong: Medical Education Opportunity
Hi Residents,
We are writing to offer an exciting educational and career advancement opportunity. Drs. Truong and Bralow, in conjunction with the NYPEM Residency and Columbia Department of Emergency Medicine, are offering a $2000 Teaching Fellowship Grant Award to the one resident who embodies the character, scholarship, and motivation to help advance education in our department. The Grant Award shall assist with covering expenses to send the recipient to the ACEP/CORD Teaching Fellowship for Residents.
The ACEP/CORD Teaching Fellowship course is a great learning and networking experience. Anyone interested in Medical Education is encouraged to take the course. You will be immersed in curriculum development, instructional system design, teaching theory, asynchronous learning, social networking and best of all, get to network with a great group of likeminded residents and faculty from around the world who are just as enthusiastic as you are about medical education.
Course Information:
ACEP/CORD Teaching Fellowship for Residents
August 6-8, 2020
Hotel and Registration to be covered by the Grant.
To apply for the $2000 Teaching Fellowship Grant Award, you must:
Be a PGY-2 or PGY-3 resident in good standing with an ITE score in the top 33% of your residency class.
Provide a statement of interest which includes qualifications and future career aspirations.
Submit a proposal for a scholarly project geared towards advancement of education in the department (250-word limit)
Attest that you will complete your scholarly project by the end of your final year of residency (with Drs. Truong and Bralow as your mentors).
Important Deadlines:
Please send applications to Leah Bralow (lmh2166@cumc.columbia.edu), Manish Garg (mg4179@cumc.columbia.edu) and Jimmy Truong (jt2979@cumc.columbia.edu).
Application deadline April 4
Selection of winner will be announced April 21
Thank you for all you do,
Jimmy and Leah
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 WILL BE INCREDIBLY IMPORTANT DURING THIS PANDEMIC, AS WE WANT TO KEEP EVERYONE SAFE WHILE IN THE ED.
From Dr. Joel Park: Informatics and COVID
The Health Informatics Research Seminar will take place on Thursday, April 16th at 12:00 PM via Zoom. Leo Celi, MD, MPH, will be giving a talk on “Data Sharing in the Era of COVID-19.”
Abstract: The novel coronavirus SARS-CoV-2 continues to test the capacity of world health systems. We have since learned about COVID-19, the infection from SARS-CoV-2, the way medicine always has: clinical presentations, course, and management strategies have been shared by anecdote or small case series. While we use modern technology to communicate, never before has our failure to build robust data-sharing systems in healthcare been more obvious. In the era of the electronic health record, physiologic, laboratory, imaging, decision making, and treatment data are continuously recorded. Inferences drawn from these data can inform epidemiological inquiries and guide treatment protocols where clinical trial data does not exist, or might be too slow to inform a rapidly evolving situation. While trials accrue, live treatment data accumulates, siloed within hospital systems. When considering COVID-19, the insight we could glean from a pooled, publicly available dataset analyzed by researchers in academics, startups, and industry alike, is both invaluable and necessary. Though our world has embraced data monetization, regulatory hurdles, funding apparatuses, and a publish-or-perish academia at the expense of open data sharing, our shortsightedness need not be our undoing. An unprecedented worldwide black-swan event deserves an appropriate response, and this begins with an unprecedented joining of forces – and data – to best understand our foe, and the successes and failures we have found in treatment thus far.
As clinical research director and principal research scientist at the MIT Laboratory for Computational Physiology (LCP), and as a practicing intensive care unit (ICU) physician at the Beth Israel Deaconess Medical Center (BIDMC), Leo brings together clinicians and data scientists to support research using data routinely collected in the process of care. His group built and maintains the publicly-available Medical Information Mart for Intensive Care (MIMIC) database and the Philips-MIT eICU Collaborative Research Database, with more than 12,000 users from around the world. MIMIC-III has been cited more than 500 times since 2016. In addition, Leo is one of the course directors for HST.936 – global health informatics to improve quality of care, and HST.953 – collaborative data science in medicine, both at MIT. He is an editor of the textbook for each course, both released under an open access license. “Secondary Analysis of Electronic Health Records” has been downloaded more than 500,000 times, and has been translated to Mandarin. Finally, Leo has spoken in more than 35 countries across 6 continents about the value of data and learning in health systems.
All are welcome to attend.
Join Zoom Meeting
https://weillcornell.zoom.us/
Meeting ID: 140 502 099
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
Shout outs once again to everyone in our EM family. Thank you all for coming to work each day and doing what you do.
Keep going.
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
- Take a look at Dr. Mulcare’s timeline for the job hunt.
- Checkout SAEM’s 2019 academic career guide and their fellowship/ career roadmaps.
- Here’s an article on EMS fellowship opportunities.
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.
- Do you take public transportation sometimes to work? Do you want to save 30% of that amount in tax savings over the next three years? Take 15min to enroll in NYP’s Commuter Transit program.
Chief on Call
Chris Reisig, 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.