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PGY2 Selectives
(PGY2 residents will not be responsible for sick call during selective blocks)
PGY 2 Selective - Ophthalmology
NewYork-Presbyterian, Columbia Campus
SITE
COLUMBIA CAMPUS
DURATION
2 weeks
MEETING PLACE
Columbia Ophthalmology Clinic Conference Room, Edward Harkness Eye Institute, 635 W. 165th St.
CALL SCHEDULE
No ophthalmology call schedule for EM residents
ED SICK CALL RESPONSIBILITY
No sick call
DAILY SCHEDULE
Monday, Tuesday, Thursday and Friday - 7:45AM-6PM (Ok to catch 7:15am shuttle)
Wednesday PM: 1P-6P
Wednesday AM: Emergency Medicine Conference (8AM –Noon)
EM WEDNESDAY
CONFERENCE
Required
EM ROTATOR PAGER
Personal Mobile Heartbeat
CONTACT PERSON
Gaby Novak
Program Coordinator
Email: gn2211@cumc.columbia.edu
Phone: 212-305-2725
Royce Chen, MD
Residency Program Director
Email: rc2631@cumc.columbia.edu
Work Phone: 212-342-4570
Cell Phone: 347-878-5801
Description of Clinical Experience:
Residents during this course will learn how to do a full eye examination including fundoscopic and slit lamp examinations. The focus of the course will be on diagnosing and caring for ophthalmologic cases commonly found in the Emergency Department, including corneal ulcers, abrasions, uveitis, retinal pathology, CRAO/CRVO and glaucoma. During the rotation, the residents will be assigned to, and directly supervised by, faculty advisors and residents in the Department of Ophthalmology.
Educational Objectives:
- Perform a complete and reliable eye examination (PC).
- Understand ophthalmologic terminology and anatomy, and be able to use it in an educated and relevant manner (MK, ICS).
- Perform a fundoscopic and slit lamp examination correctly (PC, MK, PBL).
- Identify ophthalmologic emergencies and appropriate measures for stabilization and management (PC, MK, PBL).
- Understand the pharmacological agents, including their mechanism of action, used for eye examinations and treatments (MK).
- Demonstrate correct use of a tonometer to check ocular pressure (PC, MK, PBL).
- Perform ocular ultrasound to identify globe and retinal pathology (PC, MK, PBL).
- Verbalize step-by-step how to perform a lateral canthotomy (MK, PBL).
- Demonstrate or verbalize appropriate management of patients with chemical exposures to the eyes or foreign body (PC, MK, PBL).
- Be able to discuss the relevant information with consultants when needed (ICS, P).
- Demonstrate compassion, integrity and respect for others (P).
KEY: PC – Patient Care; MK – Medical Knowledge; PBL – Practice-Based Learning; ICS – Interpersonal & Communication Skills; P – Professionalism; SBP – System-Based Practice. Please refer to Section VI of this manual for a full description of ACGME’s Core and General Competencies.
Schedule:
The EM resident will accompany the ophthalmology junior consult resident for four days per week in attending clinic and on inpatient and Emergency Department consults. Residents are not expected to take evening call. Residents will be expected to attend lectures and workshops related to ophthalmology, especially pertaining to the emergent patient. Residents will attend Wednesday emergency medicine conferences, and prepare a lecture or activity on a relevant topic that is to be presented at CUMC ED Noon Report on the final Friday of the selective.
Evaluation:
The EM resident will be assigned to a supervising faculty member who will provide an electronic evaluation on Medhub as well as direct verbal feedback. The resident will also perform a self-evaluation and provide MRN numbers of 40 patients for whom they provided (consults or clinic visits). Immediate problems or areas of concern will be discussed as necessary on a case-by-case basis. The resident will evaluate the rotation via the web-based system. This evaluation will become part of the annual review of the program which will be reviewed by the Program Director.
Recommended Readings and Online Resources:
Rosen’s Emergency Medicine, Concepts and Clinical Practice, 8th Edition:
Chapter 21 (pages 176-183): Diplopia
Chapter 22 (pages 184-197): Red and Painful Eye
Chapter 71 (pages 909-930): Ophthalmology (authored by Rahul Sharma)
Clinical Ophthalmology Made Ridiculously Simple
Kanski’s Clinical Ophthalmology (available at the Health Sciences Library)
OphthoBook by Tim Root. Free and online. http://www.opthobook.com.
EB Medicine. Ocular Injuries: New Strategies in Emergency Department Management. Nov 2015. http://www.edmedicine.net. (EB medicine subscriptions free for residents)
EB Medicine. An Evidence Based Approach to Abnormal Vision. Sep. 2007. http://www.edmedicine.net. (EB medicine subscriptions free for residents)
Emergency Medicine Cases- Podcast (and written summary), Episode 9: Nontraumatic Eye Emergencies. https://emergencymedicinecases.com.
Life in the Fast Lane, Ophthalmology Archives. https://lifeinthefastlane.com/
Podcast and Video: Eye Trauma according to Dr. Root. July 31, 2011.
PGY 2 Selective - Orthopedics and Sports Medicine
NewYork-Presbyterian, Cornell Campus
SITE
CORNELL CAMPUS
DURATION
2 weeks
MEETING PLACE
(Monday)
Emergency Medicine Sports Clinic
2nd Floor, Room 208
520 E70th St, K Pavilion
(Tu, W, Th, F)
Hospital for Special Surgery
Ortho Clubhouse (Starr Building, K2)
CALL SCHEDULE
No orthopedic call schedule for EM residents
ED SICK CALL RESPONSIBILITY
No sick call
DAILY SCHEDULE
Sports Clinic Monday - 8:50AM-5PM
Tuesday, Thursday and Friday - 7AM-5PM
Wednesday PM: 1PM-5PM
Wednesday AM: Emergency Medicine Conference (8AM –Noon)
EM WEDNESDAY
CONFERENCE
Required
EM ROTATOR PAGER
Personal Mobile Heartbeat
CONTACT PERSON
Debora Springer
Administrative Assistant
Email: springerd@hss.edu
Phone: 212-606-1026
Mike Fu, MD
Chief Resident
(646) 764-1987
Joe Ruzbarsky, MD
Chief Resident
William M. Ricci, MD
Chief, Combined HHS/NYP Orthopedic Trauma
Email: ricciw@hss.edu
Phone: 212-606-1026
Abdul-Aziz Ahmed, MD
Emergency Department Attending, WCMC
Email: aba9034@med.cornell.edu
Description of Clinical Experience:
This two week rotation is designed for PGY-2 residents to improve their evaluation, diagnosis, and treatment of acute orthopedic injuries including fractures and dislocations. Residents will work with the orthopedics consults team from 7am to 5pm Tuesday, Wednesday (post conference), Thursday and Friday and assist with closed fracture reductions, splinting, casting, joint aspirations, and other acute interventions. One day of each week (Monday from 9am to 5pm) will consist of working in a sports medicine clinic to become more familiar with management of largely non-interventional diagnoses. Resources will be provided to augment learning regarding ED-based orthopedic interventions and diseases. Residents will not participate in orthopedics call or inpatient responsibilities.
Educational Objectives:
- Demonstrate a knowledge of detailed orthopedic anatomy (MK)
- Expand a differential diagnosis for orthopedic emergencies and ED presentations (PC, MK)
- Learn and practice an orthopedic-focused physical examination, including showing proper documentation (PC, MK)
- Understand the correct imaging modality and appropriate diagnostic testing for each case, including specific views (PC, MK)
- Be able to read and interpret your own films including X-rays, CT scans, and MRIs without depending on the radiology read (PC, MK)
- Know the acute management of different injuries including ED disposition (PC)
- Learn and practice different types of closed fracture reductions, followed by splinting and casting, as indicated clinically (PC, MK)
- Learn and practice different techniques for joint aspirations and know how to interpret results of testing (PC, MK)
- Learn and practice complex laceration repair including involvement of deep structures such as tendon repair (PC, MK)
- Participate in an orthopedics role during trauma activations (PC, ICS, P, SBP))
- Demonstrate the ability to understand further care following discharge from the ED, including patient precautions and long-term prognosis (PC, MK)
- Read provided resources especially in areas that may be more difficult to arrange for dedicated experiences, such as pediatrics and hand (MK)
- Be able to discuss the relevant information with consultants when needed (ICS, P).
- Demonstrate compassion, integrity and respect for others (ICS, P).
KEY: PC – Patient Care; MK – Medical Knowledge; PBL – Practice-Based Learning; ICS – Interpersonal & Communication Skills; P – Professionalism; SBP – System-Based Practice. Please refer to Section VI of this manual for a full description of ACGME’s Core and General Competencies.
Evaluation:
The EM resident will be assigned to a supervising faculty member who will provide an electronic evaluation on Medhub as well as direct verbal feedback. The resident will be required to log the MRNs of 40 patients for whom they provided care (consults or clinic visits). The resident will provide their own evaluation of the rotation through Medhub in order to continue to adjust the rotation and ensure it is useful and appropriate for EM-based training.
Schedule:
The EM resident will accompany the orthopedic consult resident for 4.5 days per week in attending clinic and on inpatient and Emergency Department consults. The resident is not expected to take call but will be expected to attend lectures and workshops related to orthopedics. The EM resident will attend Wednesday emergency medicine conferences, and prepare a lecture or activity on a relevant topic that is to be presented at WCMC ED Morning Report on the final Friday morning of the selective.
Recommended Readings:
Rosen’s Emergency Medicine, Concepts and Clinical Practice, 8th Edition:
Chapter 46: General Principles of Orthopedic Injuries
Chapter 47: Hand
Chapter 48: Wrist and Forearm
Chapter 49: Humerus and Elbow
Chapter 50: Shoulder
Chapter 51: Musculoskeletal Back Pain
Chapter 52: Pelvis
Chapter 53: Femur and Hip
Chapter 54: Knee and Lower Leg
Chapter 55: Ankle and Foot
Chapter 56: Wound Management Principles
Chapter 57: Foreign Bodies
Handbook of Fractures
Netter’s Concise Orthopedic Anatomy
Orthopedics Made Ridiculously Simple
Emergency Orthopedics by Springer Science
Trauma and Orthopedic Classifications by Springer Science
Life in the Fast Lane, Orthopedics Archives. https://lifeinthefastlane.com/
PGY 2 Selective - Radiology
NewYork-Presbyterian, Cornell Campus
SITE
CORNELL CAMPUS
DURATION
2 weeks
MEETING PLACE
● Cornell ER Radiology Reading Room
CALL SCHEDULE
No radiology call schedule
ED SICK CALL RESPONSIBILITY
No sick call
DAILY SCHEDULE
Monday, Tuesday, Thursday and Friday - 8AM-6PM
Wednesday PM: 1P-6P
Wednesday AM: Emergency Medicine Conference (8AM –Noon)
EM WEDNESDAY
CONFERENCE
Required
EM ROTATOR PAGER
Personal Pager
CONTACT PERSON
J. Jacob Kazam, MD
Division Chief
Assistant Professor of Radiology
Phone: 212 746 2524
Email: jjk9004@med.cornell.edu
Description of Clinical Experience:
The second-year emergency medicine (EM) resident will learn how to interpret basic emergency radiology modalities such as x-ray, ultrasound, CT and MR imaging under the instruction of board-certified radiologists at NYP. Emphasis will be placed on key emergency medicine diagnoses, such as neurologic emergencies (including ischemic and hemorrhagic stroke), pulmonary embolism, aortic dissection, acute abdominal diseases, bowel obstruction, pneumonia, cholecystitis, ovarian pathology, cord compression and unstable cervical fractures.
Educational Objectives:
- Review basic anatomy involved in imaging modalities (MK, PBL).
- Review some basic physics principles involved in imaging modalities (i.e. hounsfield units for bone vs air vs blood, ultrasound rays, etc.) (MK).
- Understand the strength and limitation of specific imaging modalities (SBP).
- Develop an understanding of which imaging modality is best for a given clinical presentation (PC, MK, PBL).
- Establish an organized, systematic approach for interpreting radiographic imaging (MK, PBL).
- Create and expand your differential diagnosis for common radiological findings (MK, PBL).
- Apply your clinical knowledge to establish clinically relevant diagnoses (PC, MK, PBL).
- Learn to recognize the characteristic appearance of classic emergency diagnoses (MK, PBL).
- Become familiar with musculoskeletal anatomy, common fractures and “easy-to-miss” fractures (MK, PBL).
- Be able to discuss cases with radiology consultants using appropriate terminology (ICS, P).
- Demonstrate compassion, integrity and respect for others (ICS, P).
KEY: PC – Patient Care; MK – Medical Knowledge; PBL – Practice-Based Learning; ICS – Interpersonal & Communication Skills; P – Professionalism; SBP – System-Based Practice. Please refer to Section VI of this manual for a full description of ACGME’s Core and General Competencies.
Schedule:
EM residents will spend all day each Monday, Tuesday, Thursday and Friday and Wednesday afternoon in the radiology suite focusing on the various imaging modalities. They will be expected to attend Wednesday emergency medicine conferences. They will be expected to attend radiology department resident lectures and workshops related to radiology during the week. The EM resident will be expected to prepare a radiology related lecture or activity at WCMC ED Morning Report on the final Friday morning of the selective.
Evaluation:
The EM resident will be assigned to a supervising faculty member who will provide an electronic evaluation on Medhub as well as direct verbal feedback. The resident will also perform a self-evaluation and provide MRN numbers of 50 patients whose imaging was reviewed. Immediate problems or areas of concern will be discussed as necessary on a case-by-case basis. The resident will evaluate the rotation via the Medhub. This evaluation will become part of the annual review of the program which will be reviewed by the Program Director.
Recommended Reading:
http://radiology.cornfeld.org/ED/Intro%20Screen.htm
http://www.radiologyassistant.nl/
http://headneckbrainspine.com/
Chest Roentgenology: A programmed text. by Lawrence R. Goodman.
Emergency Radiology, James T. Schwartz. Excellent guide to c-spine, head CT and CXR
Learning Radiology: A completely free site with rads lectures http://www.learningradiology.com/
Introduction to Radiology – An interactive tutorial: From University of Virginia, an interactive set of lectures on learning basic film interpretation http://www.med-ed.virginia.edu/courses/rad/
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