Department of Emergency Medicine
Newsletter
March 2022
Message from the Chairman
Welcome to the latest issue of the Department of Emergency Medicine’s newsletter. The arrival of spring, just a few weeks away, heralds a time of renewal, rebirth and new beginnings. It’s a time of hope and new plans and projects for the future. The symbolism of spring is not lost on us; having confronted the recent Omicron surge and staffing shortages during the busy holiday season. Increasingly, there are budding signs of a return to normalcy. COVID-19 case rates are declining; and public health restrictions are being relaxed. We could not have reached this promising moment without the unwavering commitment and dedication of each of you. Your efforts have not gone unnoticed, and we are truly grateful for all that you do. 

While the weight of the pandemic seems to be waning, these unprecedented times and uncertain world events are creating new challenges and concerns on a daily basis. Now, more than ever, it is essential that we minimize the risk of burnout and prioritize our own care, and that of our colleagues. To this end, our Faculty Wellness Committee offers some helpful tips on maintaining balance in this edition of the newsletter.

On the academic and research front, our department continues to excel with the publication of innovative and exciting research in peer-reviewed journals. We have completed several NIH grant submissions, and our faculty continue to present at national and international conferences. We are also gearing up for a busy conference season this spring. A number of our abstracts and presentations have been accepted for the upcoming Society of Academic Emergency Medicine’s (SAEM) 2022 Annual Meeting. I am also pleased to report we enjoyed a successful recruitment season and will be welcoming many new faculty who will undoubtedly enrich our department. 
 
We hope you enjoy this issue of the newsletter, and look forward to another year of growth for our department. 

Sincerely,

Rahul Sharma, MD, MBA, FACEP
Professor and Chairman
Emergency Physician-in-Chief
New York Presbyterian-Weill Cornell Medicine

Founder and Executive Director
Center for Virtual Care
Department News
Awards & Honors
Dr. Abdul-Aziz Ahmed was named to NY ACEP's Unsung Heroes list for 2021. The award is given to New York-based emergency medicine physicians who are deeply committed to the mission of their emergency department, their colleagues, co-workers and patients.
Andrew Jacobowitz, MS, PA-C was accepted to the Greater New York Hospital Association (GNYHA) Clinical Quality Fellowship Program (CQFP).CQFP is a 15-month program sponsored by GNYHA and the United Hospital Fund (UHF) to develop and nurture the next generation of clinical quality leaders in the New York metropolitan region.
Dr. Felipe Teran was named a recipient of the Faculty Diversity Incentive Program of the Mastercard Diversity-Mentorship Collaborative at Weill Cornell Medicine. 
Promotions & Appointments
Dr. Brenna Farmer was appointed Vice Chief of Clinical Services at NewYork-Presbyterian Brooklyn Methodist Hospital.
Dr. Brock Daniels was appointed as a Quality Improvement Advisor for the Weill Cornell Medicine Quality Improvement Academy (QIA).
Dr. Christie Lech was appointed Assistant Director of the NewYork-Presbyterian Emergency Medicine Residency Program.
Dr. Kaushal Shah was promoted to Professor of Clinical Emergency Medicine.
Dr. Rachel Kowalsky was appointed to the leadership team for the Weill Cornell Medicine LEAP (Longitudinal Educational Experience Advancing Patient Partnerships) Program.
Dr. Radhika Sundararajan was appointed Co-Director of the new Weill Cornell Medicine Office of International Medical Student Education.
Dr. Rama Rao was appointed IRB General Chair at Weill Cornell Medicine.
Dr. Shari Platt was promoted to Professor of Clinical Emergency Medicine.
Dr. Anthony Rosen was promoted to Associate Professor of Emergency Medicine.
Dr. Adam Vella was named the 2022 Physician of the Year at NYP Lower Manhattan Hospital.
Dr. Neel Naik was elected Vice President of Social Media & Communication for the SAEM Simulation Academy.
In the News
Dr. Rahul Sharma was interviewed by several media outlets, including The New York Times, on the Omicron surge and it's impact on NYC hospitals.


Dr. Brenna Farmer was a co-author on a paper that was included on Health Affairs Forefront: The 2021 Most-Read List.

Dr. Nicole Gerber was interviewed by KCBS Radio in on the benefits of vaccinating children against COVID-19.

Dr. Rachel Kowalsky was profiled by her alma mater, Tufts University, for winning the New England Journal of Medicine’s inaugural fiction contest.

Dr. Deborah Levine was interviewed by ABC News on the impact of the COVID-19 pandemic on adolescent mental health.

Research & Publications
Research Highlights
Dr. Junaid Razzak, Vice Chair of Research, was recently awarded $1.16 million from the Eunice Kennedy Shriver National Institute of Child Health & Human Development at the National Institutes of Health (NIH). The award will be used for a study to assess the feasibility of implementing an ambulance-based teleconsultation (ABT) process in Karachi, Pakistan.  

Learn more here.
Recent Publications
Dr. Rahul Sharma recently co-authored a paper published in New England Journal of Medicine Catalyst titled “The Future of Emergency Medicine: Emergency Care Without the Emergency Department.

Dr. Sharma collaborated with Dr. Judd Hollander, Associate Dean for Strategic Health Initiatives at Sidney Kimmel Medical College and Professor and Vice Chair of Finance and Healthcare Enterprises in the Department of Emergency Medicine at Thomas Jefferson University. The paper focuses on how the COVID-19 pandemic led healthcare systems and professionals to rethink the role of emergency departments and emergency physicians, and to create new care options that remove traditional barriers to effective emergency care. You can read the paper here.
Mesiwala A, Suleman S, Sundararajan R, Kowalsky R, Morton K, Uy V, Platt S, Alfonzo MJ. Recognition and Management of Pediatric Sepsis in a Resource-Limited Emergency Department in Mwanza, Tanzania: A Qualitative Study. Pediatr Emerg Care. 2022 Feb 1;38(2):e900-e905. doi: 10.1097/PEC.0000000000002471. PMID: 34101688.

Heravian A, Fortenko A, Olsen E, Greenwald P, Chang BP, Gutierrez CM, Kessler D. Virtual powers of observation: A telemedicine approach for the suspected COVID-19 patient. J Emerg Manag. 2021 Special Issue on COVID-19;18(7):45-48. doi: 10.5055/jem.200044. PMID: 34723346.

Gerber NL, Fawcett KJ, Weber EG, Patel R, Glick AF, Farkas JS, Mojica MA. Brief Resolved Unexplained Event: Not Just a New Name for Apparent Life-Threatening Event. Pediatr Emerg Care. 2021 Dec 1;37(12):e1439-e1443. doi: 10.1097/PEC.0000000000002069. PMID: 32472924.

Han G, Bohmart A, Shaaban H, Mages K, Jedlicka C, Zhang Y, Steel P. Emergency Department Utilization Among Maintenance Hemodialysis Patients: A Systematic Review. Kidney Medicine. 2022, Feb 1. doi: 10.1016/j.xkme.2021.09.007.

Tran J, Haussner W, Shah K. Traumatic Pneumothorax: A Review of Current Diagnostic Practices And Evolving Management. J Emerg Med. 2021 Nov;61(5):517-528. doi: 10.1016/j.jemermed.2021.07.006. Epub 2021 Aug 29. PMID: 34470716.

Kondrich JE, Han R, Clark S, Platt SL. Burnout in Pediatric Emergency Medicine Physicians: A Predictive Model. Pediatr Emerg Care. 2022 Feb 1;38(2):e1003-e1008. doi: 10.1097/PEC.0000000000002425. PMID: 35100790.

Lowe J T, Patel S R, Hao W D, et al. (December 02, 2021) Teaching From Afar: Development of a Telemedicine Curriculum for Healthcare Workers in Global Settings. Cureus 13(12): e20123. doi:10.7759/cureus.20123.

Chipendo PI, Shawar YR, Shiffman J, Razzak JA. Understanding factors impacting global priority of emergency care: a qualitative policy analysis. BMJ Glob Health. 2021 Dec;6(12):e006681. doi: 10.1136/bmjgh-2021-006681. PMID: 34969680; PMCID: PMC8718415.
Dr. Rachel Kowalsky published a short story titled "The Pianist" on Atticus Review, a daily online journal that publishes fiction, poems, and creative nonfiction, as well as graphic art and mixed media.

Waseem, M.; Garg, N.; Chang, B. P; Acosta, J.; DeAngelis, J.; McLean, M. E, Shah, K. et al. (2022). Impact of COVID-19 on Emergency Medicine Residency Programs: A Cross-Sectional Study in New York State. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health. Retrieved from https://escholarship.org/uc/item/5s11g49s

Lambert VJ, Kisigo GA, Nzali A, Laizer E, Paul N, Walshe L, Kalokola F, Okello ES, Sundararajan R, Mwakisole AH, Downs JA, Peck RN. Religious Leaders as Trusted Messengers in Combatting Hypertension in Rural Tanzanian Communities. Am J Hypertens. 2021 Oct 27;34(10):1042-1048. doi: 10.1093/ajh/hpab080. PMID: 34022044.

Magleby R, Westblade LF, Trzebucki A, Simon MS, Rajan M, Park J, Goyal P, Safford MM, Satlin MJ. Impact of Severe Acute Respiratory Syndrome Coronavirus 2 Viral Load on Risk of Intubation and Mortality Among Hospitalized Patients With Coronavirus Disease 2019. Clin Infect Dis. 2021 Dec 6;73(11):e4197-e4205. doi: 10.1093/cid/ciaa851. PMID: 32603425; PMCID: PMC7337625.

Gerber N, Vella A, Racine-Brzostek S, Platt SL. Rapid Absolute Neutrophil Count Testing Guides Targeted Antimicrobial Therapy in Febrile Pediatric Oncology Patients. Pediatr Emerg Care. 2022 Feb 1;38(2):e743-e745. doi: 10.1097/PEC.0000000000002354. PMID: 35100772.

Kawa N, Abisaab J, Abiad F, Badr K, El-Kak F, Alameddine M, Balsari S. The toll of cascading crises on Lebanon's health workforce. Lancet Glob Health. 2022 Feb;10(2):e177-e178. doi: 10.1016/S2214-109X(21)00493-9. Epub 2021 Nov 17. PMID: 34800375.

Steel PAD, Siegal J, Zhang Y, Cato K, Greenwald P, Melville LD, Gogia K, Smith Z, Sharma R, Romney M. Telehealth follow up in emergency department patients discharged with COVID-like illness and exertional hypoxia. Am J Emerg Med. 2021 Nov;49:426-430. doi: 10.1016/j.ajem.2021.02.052. Epub 2021 Mar 1. PMID: 33722432; PMCID: PMC7919584.

Platts-Mills TF, Encarnacion JA, Bin Shams R, Hurka-Richardson K, Rosen T, Cannell B. Reliability of the longitudinal experts all data (LEAD) methodology for determining the presence of elder mistreatment. J Elder Abuse Negl. 2021 Nov-Dec;33(5):385-397. doi: 10.1080/08946566.2021.2003278. Epub 2021 Dec 8. PMID: 34878355.

Dr. Flavio Gaudio was the lead author on the Wilderness Medical Society's (WMS) Clinical Practice Guidelines on Anaphylaxis. The current evidence-based guidelines expand the focus from the administration of epinephrine by trained nonmedical professionals to the broader field treatment and prevention of anaphylaxis, with consideration for hospital-based treatment. You can find the guidelines here.
Sundararajan R, et al. Use, cost-effectiveness, and end user perspectives of a home solar lighting intervention in rural Uganda: a mixed methods, randomized controlled trial. 2022 Environ. Res. Lett. 17 015002. doi: doi.org/10.1088/1748-9326/ac3f05.

Sundararajan, R., Wyatt, M.A., Muwonge, T.R. et al. Understanding PrEP Acceptability Among Priority Populations: Results from a Qualitative Study of Potential Users in Central UgandaAIDS Behav (2022). https://doi.org/10.1007/s10461-022-03606-8.

Tanouye R, Nghiem J, Cohan K, Torres-Lavoro J, Schullstrom K, Mulcare M, Sharma R. Virtual Clinical Shadowing for Pre-Clinical Medical Students in an Emergency Medicine-Based Leadership Course. Telemedicine Reports. Dec 2021.233-238. doi: 10.1089/tmr.2021.0019.

Tanouye R, Shan, G. Recruitment and Retention in Emergency Medicine. Empire State EPIC. Vol. 39-02:21. November 2021.

Zaidi, S, Shah, K. Keeping Hindsight 20/20: Methodologic Improvements for Retrospective Studies. Empire State EPIC. Vol. 39-02:21. November 2021.

Fraymovich, S. Pediatric Diabetic Ketoacidosis. Empire State EPIC. Vol. 39-02:21. November 2021.

Lachs D, Stern ME, Elman A, Gogia K, Clark S, Mulcare M, Greenway A, Golden D, Sharma R, Bessey PQ, Rosen T. Geriatric burn injuries presenting to the Emergency Department of a major Burn Center: Clinical characteristics and outcomes. J Emerg Med, In press.

Rosen T, Safford MM, Sterling MR, Goyal P, Patterson M, Al Malouf C, Ballin M, Del Carmen T, LoFaso VM, Raik BL, Custodio I, Elman A, Clark S, Lachs MS. Development of the Verbal Autopsy Instrument for COVID-19 (VAIC). J Gen Intern Med. 2021 Nov;36(11):3522-3529. doi: 10.1007/s11606-021-06842-1. Epub 2021 Jun 25. PMID: 34173194; PMCID: PMC8231744.
Presentations
Dr. Neel Naik
Intro to Telemedicine, Transition to Clerkship Course, Weill Cornell Medical College, December 2021

Essentials of Telemedicine, NYP Queens Graduate Medical Education Faculty Development Session, December 2021

Debriefing Strategies for the Difficult Learner, International Meeting on Simulation in Healthcare 2022, January 2022
Dr. Rachel Kowalsky
Deconstructing A Race-Based Clinical Guideline, Kirk Kerkorian School of Medicine at UNLV, Children's Hospital of Nevada at UMC: Pediatric Emergency Medicine Grand Rounds, January 2022

Racial Disparities in Atopic Dermatitis and Food Allergy, American Academy of Pediatrics at the American College of Allergy, Asthma, and Immunology's Roundtable Discussion, February 2022
Dr. Peter Steel & Dr. Yiye Zhang
Challenges of the COVID-19 Pandemic, 2021 Cornell-YCU Joint Workshop on Data Science, November 2021

Investing in Collaboration - Architectural Concepts for Machine Learning in Healthcare, UK Government's Office of National Statistics, January 2022
Dr. Shweta Iyer
Risk factors for physician burnout: A perspective from Tanzania, Keynote Address, Tanzanian Conference on Emergency Medicine
Dr. Shari Platt, Dr. Deborah Levine, Dr. Rachel Kowalsky, Dr. Maria Lame & Jane Torres-Lavoro, MPH
COVID-19 in Children, Webinar at Public Prep
Dr. Sophia Lin
P is for POCUS and Pediatric Emergency Medicine, Rocky Mountain Winter Conference on Emergency Medicine
Dr. Kaushal Shah
Wake Up to the Science of Sleep & Education, Grand Rounds, Department of Emergency Medicine, Rutgers Robert Wood Johnson Medical Center, March 2022

Mentoring vs. Coaching, Metropolitan Hospital Faculty Development, March 2022

How to Develop a Career in Academics, Metropolitan Hospital Faculty Development, March 2022
Dr. Rahul Sharma
The Lightning Talks: Exploring Virtual Care Models & Trends, Weill Cornell Medicine/Cornell SC Johnson College of Business, Executive MBA/MS in Healthcare Leadership Program
Faculty & Staff Updates
New Faculty & Staff
Katherine Charles, MD
Assistant Professor of
Clinical Emergency Medicine
Matthew Nguyen, MD
Assistant Professor of
Clinical Emergency Medicine
Patrick Rumble
Senior Data and Research Analyst
Denzil Coleman, MHIT
Denzil Coleman was recently appointed Administrative Director for the Weill Cornell Medicine Center for Virtual Care. Denzil is a leader in healthcare and human services with an impressive background in the fields of technology, education, and quality control.

Denzil oversees the administrative activities and operations of the Center for Virtual Care (CVC) and the telemedicine and innovation activities of the Department of Emergency Medicine. He will also work with leadership to develop strategic goals and plans for the CVC, including the launch of new educational, clinical and research activities.

Prior to joining the CVC, Denzil was the telehealth coordinator for the Medical University of South Carolina, where he oversaw the implementation and ongoing delivery of telemedicine programs at a HRSA-designated National Center of Excellence. Additionally, he managed partnerships with external healthcare enterprises, contributed to telehealth research literature and mentored graduate students.
Retirement
Donna Kostulas Retires from WCM & NYP After Nearly 40 Years of Service
Donna Kostulas retired from the WCM Department of Emergency Medicine on January 31, 2022. Donna worked in the Department of Emergency Medicine and at NewYork-Presbyterian for almost 40 years. In that time, she wore many hats, including finance supervisor, materials management manager, and financial operations analyst. She handled department operations, monitored compliance, managed budgets and supervised and directed interdepartmental team projects. Donna’s hard work, commitment and congeniality made her the Department’s go-to person.
 
We are hoping to hold an in-person retirement celebration for Donna this spring.
New Fellows
We are pleased to introduce our new fellows who will be joining us in the summer of 2022. Learn more about each of them here.
Janelle Lambert, MD
MedEd Fellow


Residency:
NYU Langone Health–Bellevue Hospital Center
Emily Chien, MD
Global Emergency Medicine Research Fellow

Residency:
SUNY Downstate Health Sciences University/Kings County Hospital
Alexandra Wang, MD
Emergency Medicine Simulation Fellow

Residency:
NewYork-Presbyterian/Weill Cornell-Columbia
Sowmya Sanapala, MD
Healthcare Leadership & Management Fellow

Residency:
Jacobi Medical Center/Montefiore Medical Center
Eli Madden, MD
Healthcare Leadership & Management Fellow

Residency:
SUNY Downstate Health Sciences University/Kings County Hospital
News from NewYork-Presbyterian Queens &
NewYork-Presbyterian Brooklyn Methodist
NewYork-Presbyterian Brooklyn Methodist Hospital
New Attendings
Brenna Farmer, MD, MBA
Vice Chief of Clinical Operations
Kent Li, MD
Director of Simulation Medicine Fellowship
Michelle Gaba, MD, MPH
Pediatric Emergency Medicine
New Fellows
Yonathan Estrella, MD
Emergency Medicine Ultrasound Fellow

Residency:
NYP Brooklyn Methodist Hospital
Timothy Fong, DO, MPH
Emergency Medicine Ultrasound Fellow

Residency:
NYP Brooklyn Methodist Hospital 
Jackie Jian, DO
Emergency Medicine Ultrasound Fellow

Residency:
St. Barnabas Hospital
Thomas Rhodes, DO
Emergency Medicine Ultrasound Fellow

Residency:
NYP Brooklyn Methodist Hospital
Nessy Dahan, MD
Emergency Medicine Ultrasound Fellow

Residency:
NYP Brooklyn Methodist Hospital
Amal Frances Ayoub, DO
Pediatric Emergency Medicine Fellow

Residency:
Palms West Hospital HCA East Florida Division 
Gerard Nicholas Pellegrini, DO
Pediatric Emergency Medicine Fellow

Residency:
Staten Island University Hospital
Jeremy Torrisi, MD
Emergency Department Administration & Leadership Fellow

Residency:
NYP Brooklyn Methodist Hospital
Kevin Vinokur, DO
Medical Education & Research Fellow

Residency:
NYP Brooklyn Methodist Hospital
Presentations
Annual Integrative Ultrasound Meeting (AIUM) 2022
Retrospective LOS Comparison of ED POCUS DVT vs. Comprehensive Venous Duplex
Luke Fey, MD

Ultrasound Guided Peripheral IV Starter Kit Efficiency and Usability in the ED
Aluko Gift, MD

A Curious Case of Abdominal Pain- Impact of POCUS
Joseph Heiney, MD

The Geriatric Abdominal Pain (GAP) Protocol
Camila Trinadad Green, MD
NewYork-Presbyterian Queens
Department Highlights
Dr. Richard Shin was appointed Adult ED Medical Director at NewYork-Presbyterian Queens.
Dr. Kallie Combs was appointed Adult ED Associate Medical Director at NewYork-Presbyterian Queens.
Dr. Anita Lui was promoted to Clinical Assistant Professor of Emergency Medicine.
New Faculty
Sheetal Sheth, DO
Assistant Professor of
Clinical Emergency Medicine
Nazey Gulec, MD
Assistant Professor of
Clinical Emergency Medicine
New Fellows
William Chan, MD
Emergency Medicine Ultrasound Fellow

Residency:
NYP Queens Hospital
William Perkins, MD
Emergency Medicine Ultrasound Fellow

Residency:
NYP Queens Hospital
Justin Wang, MD
Medical Simulation Fellow

Residency:
NYP Queens Hospital
Catherine DeGuzman, MD
Medical Simulation Fellow

Residency:
Maimonides Medical Center
Presentations
International Meeting on Simulation in Healthcare (IMSH) 2022
Research Study Development & Presentation Program: Interdisciplinary Trauma Simulation: Collaborative Approach to Improving Patient Care Metrics
Justin Wang MD, Kallie Combs DO, Richard Shin, MD, Kent Li MD, Anita Lui DO, Anika Nichlany MD, David Simon DO

Hot Topics: AURA Sim: Better ACLS Training for Healthcare Providers
Rozalyn Hesse MD, Kallie Combs DO, Richard Shin, MD, Kent Li MD, Anita Lui DO, Anika Nichlany MD, David Simon DO

SimVentors - New Innovation: High Fidelity 3-D Printed TMJ Dislocation Reduction Task Trainer
Justin Wang MD, Jeremy Reikena MD, Richard Shin MD, Kent Li MD, Victor Huang MD
Annual Integrative Ultrasound Meeting (AIUM) 2022
Pneumoperitoneum Diagnosed by Point-of-Care Ultrasound
Jeffrey Greco MD, Nathan Zarider MD, Jeremy Riekena MD

Endophthalmitis Diagnosis Supported by Bedside Ultrasound
Jeffrey Greco MD, Jerry Frenkel MD, Kallie Combs DO, Jing Jing Gong MD, William Perkins MD

Refractory Hypoxemia and Persistent Cyanosis After Cardiac Arrest: A Case of Eisenmenger Syndrome in an Elderly Adult Diagnosed by Point-of-Care Ultrasound
Jeffrey Greco MD, Nathan Zarider MD, Patrick Monahan MD
American Academy of Emergency Medicine (AAEM) 2022 Scientific Assembly
All Unmoderated Posters

Paint Injection
Patrick Monahan MD, Marion-Vincent Mempin MD

Jefferson Fracture
William Chan MD, Marion-Vincent Mempin MD

Snap, Crackle, Pop: Geriatric Polytrauma
JP Kwak, Saumil Patel DO, Marion-Vincent Mempin MD

Versed in the Danger of Versed
JP Kwak, Saumil Patel DO, Marion-Vincent Mempin, MD

Renal Laceration
Brian Smith DO, Marion-Vincent Mempin MD

Blakemore Tube
Jing Jong Gong MD, Marion-Vincent Mempin MD

DeWinters
Suji Cha DO, Marion-Vincent Mempin MD

Black Tongue
Barry Chong, Marion-Vincent Mempin MD
Upcoming Events
Council of Residency Directors in Emergency Medicine (CORD) 2022 Academic Assembly
March 27-30, 2022
San Diego, CA
Society for Academic Emergency Medicine (SAEM) 2022 Annual Meeting
May 10-13, 2022
New Orleans, LA
Faculty Wellness
Dr. Rachel Kowalsky, Dr. Lucy Willis, and Dr. Renu C. Mital were co-authors on “A Grassroots Approach to Protecting Physicians Against Burnout and Building an Engaging Practice Environment,” which was published in the December issue of the New England Journal of Medicine (NEJM) Catalyst Innovations in Care Delivery.

Drs. Kowalsky, Willis and Mital were part of a collaborative team of faculty from across Weill Cornell Medicine who authored the paper on ways hospitals can protect attending physicians from burnout by building a more nurturing and engaging environment capable of supporting clinical care teams. The authors conducted focus groups and surveyed WCM academic faculty engaged in clinical care of patients and used the responses to develop a list of solutions and an action plan.

Read the article here.