The Weekly Update

Updated 8/31/25

Chief on Call: Victoria, Rachel

Chief’s Phone: 917-410-1056

If you need to contact the Chiefs for an urgent matter such as a call out or operational issue, please call. Do not text or email so we can address issues promptly.


Announcements

General Announcements:

Faculty Evaluations - New Process

  • Link Here - Residents will be responsible for TWO evaluations each month as we pilot this new process. Once you do an eval in Medhub, fill out this google form with the attending you have evaluated. Attendings will only be able to get 2 evals before their name cant be clicked any more. The goal is for us as a residency to evaluate each attending at Cornell or Columbia so this will help you understand which attendings still need evaluations. ONLY chiefs can see your answers. Maria Yioupis and Christie Lech will ONLY have access to your name (to track which residents do the evals) and NOT who you chose to evaluate.

Stroke Workflow:

  • Acute Stroke Order Set

    • Stroke symptoms with LKW < 6 hours.

    • Stroke symptoms with signs of large vessel occlusion (LVO) (C-STAT Score ≥ 2) and LKW 6–24 hours.

    • TIA symptoms with onset < 6 hours from LKW.

  • Subacute Stroke Order Set

    • Patients who do not meet acute stroke criteria.

  • Adult ED atraumatic Brain Bleed SH/ICH Order Set

    • >6 hours since onset.

    • **If symptoms started <6 hours ago then use the Acute Stroke Order Set to expedite care.

  • ED provider should stay with the patient as they are getting their scans and getting evaluated by neurology. In case you need to attend to another patient emergently, ensure that neurology is aware you are part of the care team and the best way to reach you.

New Columbia ED to CPEP Workflow Starting next week, patients will be automatically moved over to CPEP once they are medically cleared rather than waiting for the psychiatrist to seem them in D and accept. See workflow below.

Important Dates:

  • Annual Residency Retreat - 10/22/2025

  • In Training Exam - 2/25/2026

Shout Outs

Submit a shout-out for a resident here to be featured! Submit your own accomplishments here for saving to your file and faculty awareness.

I’ve worked with Ken Murillo a few times in Columbia B. He always offers advice to help me be more efficient and improve patient care. He is always so positive and creates a positive environment so I know I can ask him anything at any time and I know I am not a bother. He has also helped me on numerous occasions with USIVs taking a 30 mins to an hour out of his shift just for my learning. Additionally, he motivated me to take procedures I felt nervous about and pushed me to stay confident. He is a gem of a resident and I don’t think I’d be able to manage my first Columbia month without him!

Submit a Resident Shout-Out!

Nominate a co-resident for a shoutout in the Weekly Update