Wellness & Policies
WELLNESS COMMITTEE
Faculty Representatives:
MSW Radiology Wellness Champion: Rajesh Patel
Amita Kamath
Chuck Pfaff
Nolan Kagetsu
Scott Nowakowski
Also, one-on-one faculty wellness mentors are assigned initially at R1 Orientation. (These assigned mentors may be updated at any time.)
And, the Resident-led Wellness Committee (link here to current members)
Please feel free to reach out to any of these faculty members with wellness-related questions or concerns.
This includes, but is not limited to topics such as the faculty mentorship program, protected trainee educational time, minimizing non-physician obligations, access to mental health resources, leave and coverage time, wellness curriculum, and other resident benefits.
How To Submit an Event Proposal
Individuals/committees will need to provide a written proposal to both Divya Gupta (Divya.Gupta@mountsinai.org) and Christopher Ibabao (Christopher.Ibabao@mountsinai.org) at least 3 weeks prior to the proposed event via email if they are requesting to utilize the Resident Wellness Fund. Written proposal for events will include:
Description of event/location and how it relates to resident wellness
Expected list of participating residents
Vendor(s) used with estimated cost
Proposals will be emailed to and approved by both Christopher Ibabao and Divya Gupta
Reimbursements to be submitted will include the following:
Detailed itemized receipt of expenses.
List of participating residents and life numbers of those who are involved in said events/activities
Holiday party, graduation, and orientation events are not included in this Resident Wellness Fund
Funds cannot be used for alcoholic beverages
SNACK FUND
Link here to submit requests for snacks/food to be stocked monthly in the Morningside pantry
DUTY HOURS
New York State Laws may be MORE strict than ACGME.
Check this PDF comparison table (link) to double check!
Clinical and educational work periods for residents must not exceed 24 hours of continuous scheduled clinical assignments.
Up to 4 hours of additional time may be used for activities related to patient safety, such as providing effective transitions of care.
Hours worked ≤ 80 hours/week averaged over 4 weeks.
Cannot work >27 hours, after 24 hours of patient care.
Must have 1 day off every 7 days (NOT averaged over the month)
EMPLOYEE BENEFITS
ID#:852722734
Mount Sinai Recreation Discounts
TDF discounts. discount movie tickets, and more
TRIP benefits for all transportation
Uber Rides DETAILS
COMPLAINTS
Report to GME (Anonymous complaint form):
https://mountsinai.formstack.com/forms/gme_concerns_reportingTitle IX coordinator:
Email: TitleIX@mssm.edu
Phone: 212-241-0089
Cell: 646-245-593
https://icahn.mssm.edu/education/students/compliance/online
Call: 800-853-9212
Other avenues to report:
Resident evaluations
Report to chief resident
Report to Program director
Report to Radiology chair
GME Ombuds Services are available through the New Innovations homepage.
CIR SEIU CONTRACT BENEFITS
Union contract can be found on Radrez homepage (also this link)
Vacation
20 vacation days credited at the start of the academic year.
Weekends before/after vacation week not guaranteed but often provided.
Taken in one week blocks but can be taken in 2 week blocks. Can't split into 2-3 days.
Salary increase
Planned for 9/1/2020; 1.5% increases on 7/2021 & 7/2022
Sick days
12 paid sick days per year (carry over annually)
Personal days
4 personal days per year
See "Time off policies" below for more details
Maternity leave
5 days paid Maternity leave per CIR contract
See Procedure to Report LOA attachment for instructions
Contact Nefertidi Linton, Leave Coordinator if you have questions
Future Mom's Program via health insurance
Paternity leave
5 days paid Paternity leave per CIR contract
Sick days cannot exceed 5 days for paternity leave or must apply for disability or FMLA (receive only 60% of pay)
Can use a combination of sick days & personal days to ensure full pay (eg. 4 sick days...1 PD...4 sick days...1 PD...)
Let Dr. K, Chiefs, Jose C. & Paula know when taking Paternity leave
Benefits
Health coverage (Empire Blue Cross Blue Shield)
Dental coverage (Guardian Dental)
Optical coverage (Davis Vision)
Disability and life insurance benefits
Legal services for a wide range of issues
Medical licensure consultation
Education fund
$700 per yr (rad dept reimburses entire annual $650 ABR fees, using this amt)
Otherwise: May be used towards books, journals and electronic equivalents, board review courses, educational conferences, medical equipment, exam fees, electronic medical devices and tablets
Submit your receipt and credit card statement (black out sensitive info) to Jose or Paula within one month of purchase
Step 3 Reimbursement
$800 for residents who successfully pass Step 3 while employed at MSW and under CIR. (Cannot reimburse if taken during intern year, sorry!)
Submit your receipt and credit card statement (black out sensitive info) to Jose Cabral or Paula Green.
Meals
$1250 per year for Radiology given bi-annually with paycheck
Chief Resident differential
$3000 per year for full-time Chiefs
SUICIDE PREVENTION
24/7 mental health hotline for students and trainees (starting 3/1/2020)
212-241-2400 or 1-866-339-7725
Callers will be connected to a licensed counselor who can provide:
Crisis intervention and counseling
Urgent mental health support
Referral to mental health resources, locally or regionally based on the needs and requests of the caller (including to Student and Trainee Mental Health - STMH)
Assistance in accessing emergency services (911 or Mobile Crisis Teams) when appropriate
Emergency Services
Go to your nearest ER, or call one of the following:
Crisis Referral Line: 888-NYC-WELL
National Suicide Hotline: 800-273-8255
Mount Sinai’s Psychiatric Emergency Services
For emergency mental health services, contact Psychiatric Emergency Services, call 911, or go to the nearest emergency room
Mount Sinai Beth Israel: 212-420-4614
Mount Sinai West: 212-523-4000
Mount Sinai St. Luke’s: 212-523-3347
Your Program Directors are available to talk with you about any concerns.
GME Ombuds Services are available through the New Innovations homepage.
Mental Health Resources: https://www.mountsinai.org/about/covid19/staff-resources/well-being/mental-health-psychosocial-support
Free, CONFIDENTIAL help line with trained mental health professionals help NYC residents find mental health and substance abuse services
You can call Lifenet for yourself or for a friend
1-800-LIFENET
24 hours per day, 7 days a week
The following signs may mean someone is at risk for suicide:
Talking about wanting to die or to kill themselves
Looking for a way to kill themselves, such as searching online or buying a gun
Talking about feeling hopeless or having no reason to live
Talking about feeling trapped or in unbearable pain
Increasing the use of alcohol or drugs
Acting anxious or agitated; behaving recklessly
Sleeping too little or too much
Withdrawing or isolating themselves
Showing rage or talking about seeking revenge
Displaying extreme mood swings
TIME OFF POLICIES
If you have any questions, please reach out to the chief residents or Program Director.
Sick days
Each resident is provided 12 sick days per year that carry over
If a resident falls sick during a call shift and can no longer work, immediately notify:
(1) chief resident via phone call or text message
(2) your attending
(3) email MSW_Radiology_Residency_Admin_Team@mountsinai.org (includes program director, program coordinator, chief residents)
If a resident falls sick unexpectedly <24 hours of a regular/daytime working shift:
(1) email the attending you are working with and
(2) email MSW_Radiology_Residency_Admin_Team@mountsinai.org (includes the program director, program coordinator, chief residents)
Please state (1) if you are on a mandatory rotation, and (2) if mandatory, whether or not you have found coverage.
If a resident plans to use a sick day for appropriate reasons (medical procedure, etc) IN ADVANCE, within the bounds of NYC regulations:
Email Dr. K and team: MSW_Radiology_Residency_Admin_Team@mountsinai.org
Please state (1) if you are on a mandatory rotation, and (2) if mandatory, whether or not you have found coverage (coverage should be found by the resident for that shift)
Remind the covering attending and co-residents the same week of the advance Sick Day, even if previously informed months in advance.
(Regulation link found here (click link), or also for PDF see Page 10, III. RIGHT TO AND NOTICE OF SAFE AND SICK LEAVE)
Residents need to be medically cleared if requesting 3 or more consecutive sick days
Please visit a clinician and have them sign the employee health medical clearance form. See below, also available from employee health services (EHS)
Bring the SIGNED med clearance form to EHS
EHS is staffed by NPs and requests you to be cleared by your doctor. They will mediate the clearance process between the department and your doctor.
EHS should be used for illnesses during work hours, but they may still refer you to a doctor or urgent care for conditions they cannot handle.
A supervisor or administrator will also need to submit a medical referral form to EHS via email prior to your visit.
EHS contact = Beatriz Kevelier
Departmental Assistant
Mount Sinai West, Employee Health Services
1000 10TH
Ave, Rm GA-30
New York NY, 10019
O:212-523-8530|F:212-523-8531
Email: Beatriz.Kevelier@mountsinai.org
Federal Family Medical Leave Act (FMLA)
Provides eligible employees with up to 12 workweeks of unpaid leave in the event that he or she needs to interrupt training due to:
Birth, adoption, care for a newborn, or placement of a child
To care for a child, parent, or spouse with a serious health condition
Because of the House Staff Officer’s own serious health condition
For qualifying exigent circumstances due to a spouse, son, daughter, or parent being either on active duty or on call for such duty in the Armed Forces or Reserves in support of a contingency operation
To care for a spouse, son, daughter, parent, or next of kin who is also a “covered service member” of the United States Armed Forces or Reserves with a serious injury of illness incurred in the line of duty.
NY State Paid Family Leave Law (NYPFLL)
Provides eligible employees in New York with paid, job protected leave for certain family and medical reasons including:
To bond with a newborn child within the first 52 weeks after the child’s birth
Placement of a child with the employee for adoption or foster care, and to bond with that child within the first 52 weeks after the placement
To care for a covered family member with a serious health condition as defined by law
Qualifying exigencies arising out of an employee’s spouse, domestic partner, child or parent being on or called to active duty status as a member of the Armed Forces, National Guard, or Reserves
During 2020, you can take up to 10 weeks of Paid Family Leave in a 52 week period and receive 50% of your average weekly wage (AWW), capped at 50% of the New York State Average Weekly Wage (SAWW), which is $652.96/week in 2018.
Personal Days
Each resident receives 4 personal days a year
DO NOT carry over annually, unless earned between May 1 to June 30 - i.e., Memorial Day, and any emergency/coverage PD earned
If earned in that time period, then may be used up to 30 days into the next academic year (until July 30th)
Extra personal days accrue after the holiday when you worked/were on vacation in accordance with article 8 of CIR contract
Extra personal days:
Holidays - Residents receive an extra personal day for working on holidays, as well as any weekday (NOT weekend) holidays during your scheduled vacation
Notification deadlines/timeline:
Notify Chiefs (MSWChiefs@mountsinai.org):
If non-MSH rotation: via email at least 3 days in advance
If MSH rotation: via email at least 1 week/7 days in advance
NOT guaranteed - MSW Chiefs must confirm with MSH Chiefs!
Covering attending(s) - Notify at least 3 days in advance.
Out of courtesy, it is the resident's responsibility to remind the covering attending (+any co-residents on the rotation) closer to the date/the same week of the PD, even if previously informed months in advance.
MUST STATE (1) if you are on a mandatory rotation, and (2) if mandatory, whether or not you have found coverage.
Last minute requests will be considered on a case by case basis, and are NOT guaranteed!!!
Especially true during popular holiday times (i.e. day after Thanksgiving). It's first come first serve, so it's in your best interest to request these as EARLY as possible.
Coverage
Residents are responsible for finding coverage for personal days taken during mandatory rotations*
Personal day requests MAY be declined if there is inadequate coverage
Personal days taken during Peds Rotation need additional clearance from MSH Chiefs
New 2021: Personal days taken during VIR Rotation need additional clearance from VIR Chiefs, and are NOT guaranteed especially due to coverage concerns.
Other tips:
If possible, avoid MEGA didactics day - if this is requested, you should provide reason for having day off
You can not split a personal day into half days
Conferences/Fellowship/Job Interview Days
Conferences/Fellowship/Job Interview Days
Notification: All requests (interviews, conferences, etc) must be emailed to Chiefs MSWChiefs@mountsinai.org and also cc'ed to Dr. Kamath
Fellowship/job interview: The invitation/confirmation email from the fellowship coordinator for the program you are interviewing at should be forwarded/sent to the Chiefs and Dr. Kamath (to keep track of locations & confirmation)
(External) Conferences: The conference acceptance email should be forwarded/sent to the Chiefs and Dr. Kamath, and a Travel request form is required separately (get Request form approval ASAP to get days off!).
MUST STATE (1) if you are on a mandatory rotation, and (2) if mandatory, whether or not you have found coverage.
Coverage: Residents are responsible for finding coverage or switching shifts if conferences or interview days fall on a mandatory rotation*
Once coverage is found, the resident can submit the proposed switch to the Chief Residents for approval. Make sure approval is obtained/updated on Amion before assuming you have that date off!
Amount of time:
In-person conferences/interview days: 3 days off per invitation (includes travel to/from the site; additional days will require Personal Days)
Exceptions apply, i.e. Senior (R4) Conf, ITAR; must ask Dr. K first!
Virtual conferences/interviews: 1 day off per invitation
Jury Duty:
Notification: Please email MSW_Radiology_Residency_Admin_Team@mountsinai.org (includes the program director, program coordinator, chief residents).
Coverage: Resident's responsibility. Coverage should be found by the resident, especially if on a mandatory/Call rotation. Please discuss with Chiefs early, especially if selected for full Jury Duty, which may last more than a few days.
You will be provided a form at the end of jury duty. Please submit this form to Jose/Paula
Bereavement days:
Notification: Please email MSW_Radiology_Residency_Admin_Team@mountsinai.org (includes the program director, program coordinator, chief residents).
Up to 3 days off
Mandatory rotations
Mandatory rotations
Any solo-covered rotation generally is required.
Absolute mandatory rotations are listed below, if you are solo-covering (again, if you are double-covered, this becomes more flexible - however, be careful so that an R1 is preferably not solo-covering - especially if it is the R1's 1st time on that particular rotation):
Any call shift (BI/M NF, M Eve, W Eve, BI Eve, BI Jr, Weekend call)
Chest XR-XR (R1-only duty; phone/pager coverage)
Fluoro (R1-only rotation) AND
-FL (Fluoro coverage rotations, R2-R4s)
VIR all sites (W, BI, M -- ESIR rotations are under IR Chiefs)
US M (as R2-R4, or if solo R1)
PET
Neuro S (especially Mon/Tues Fluoro cases for Khorsandi)
Body CT any site (W, S)
Body MR
MSH rotations, if scheduled (Peds, Body MR); if requesting to use a PD or Sick Days on these rotations, requires MSMW Chiefs to touch base with MSH Chiefs
Yes, there are exceptions (listed below) that may not require getting resident coverage (and need to just notify the attending on-duty & Chiefs, that you will be unable to attend for PD or Sick Day):
Mammo all sites (DUS, MSC, W, M)
Nucs all sites (variably mandatory, depending on site AND availability of attendings to be present for scheduled procedures, such as Lymphoscintigraphy injections, Morphine injections, and Thyroid administration). Requires schedule-checking and discussion with Chiefs, to maintain coverage.
US when R1s scanning-only in 1st half of year (R1s only)
MSK DUS or W
Neuro W or Neuro M
Cardiac
Chest CT
If any questions regarding mandatory/coverage, please discuss with Chiefs (MSWChiefs@mountsinai.org), especially when scheduling days off (sick days, PD, conference, etc.).
REMINDER: Out of courtesy, it is the resident's responsibility to remind the covering attending (+any co-residents on the rotation) closer to the date/the same week of the advance Sick Day/PD, even if previously informed months in advance.
MOONLIGHTING
Only for R3 and R4s in good standing (NO professionalism issues!!!)
For any questions, concerns, etc. contact the Moonlighting Chief directly.
Towards the later half of R2 year, the Moonlighting Chief will contact interested residents with instructions.
A New York physician license is required.
If you are not licensed, licenses can take a few months to get and cost $735 plus $70 for your USMLE transcript (will not be reimbursed!)
A log of requirements will be sent to you, including: IV insertion, i-stat device use, crash cart, Epi use training
Salary is $100/hour at two available sites: DUS (weekdays + Saturdays), and Brodsky (some Saturdays)
Shifts are 5-8p (up to 9pm) on weekdays; generally 8am to 1-4pm on weekends.
R4s always get priority on shifts.
If there are extra shifts after R4 selection, R3s may get up to 1 weekday shift per month, and up to 1 weekend shift per year - NO guarantee of any shifts!
You may lose moonlighting privileges for any professionalism concerns (starting R1 year)
OTHER RESOURCES
FITNESS
Gertrude Ederle NYC Recreational Center
$75 for 6 months
Central Rock Gym (60th and West End)
Spin class
FlyWheel (150 Amsterdam Ave)
SoulCycle (60th and West End)
NY Sports Clubs
Monthly Fee: $49.95
Annual Fee: $49.95
Initiation Fee: $0
Month-month membership, access to all locations and classes
Membership can be cancelled with 30 days notice (no fee)
Contact Corporate Representative
1-646-553-3351
MSBI fitness center. Fill out waiver (attached document below), turn into security at Bernstein Pavilion and get ID access.
MINDFULNESS / YOGA / SELF-CARE RESOURCES
Sitewide yoga/ meditation workshops at SL, MSH, BI, West
To join the weekly Yoga update, email mountsinaiyogaprogram@gmail.com or 4CALM@mountsinai.org.
For more info (yoga classes, meditation, and self-care), email 4calm@mountsinai.org.
For info regarding personal nutrition, diabetes self-management education, or exercise, email wellness@mountsinai.org.
4-CALM (telephone)
Take a mindful pause during the day with a 2 minute guided meditation by Take Time to Meditate facilitators on a telephone recording.
Please dial 4-CALM (4-2256) or 212-241-CALM (2256) to access the recording.
Free 30 minute self-care consultation.
Private, confidential, in-person or over the phone.
Includes information on setting up a health care proxy.
Email 4calm@mountsinai.org for appointments.
Child Care, Housing, Financial Resources, Parents' Groups.