Congratulations Dr. Goldberg!

Dear UCSD IM Family,

Please congratulate our very own Dr. Charlie Goldberg!!! He has been appointed the new Associate Dean of Graduate Medical Education. He is an amazing physician, teacher, mentor, and leader; he will be an incredible advocate for residents and fellows. We are SO LUCKY to have him leading ALL of GME efforts at UCSD!!!

If you haven’t done so recently, please check out Dr. Goldberg’s amazing website–a comprehensive physical exam and clinical medicine guide: https://meded.ucsd.edu/clinicalmed/introduction.html

N95 Mask fittings at UCSD 5/28 and 5/29!

Please check your UCSD badges! If you have not been fitting for the 8210 (you should have a sticker with these numbers on it) or the Gerson, please go get fitted through Infection Control at UCSD. They are at both sites today, 5/28 and tomorrow 5/29, at  Hillcrest in the 8th floor tower link conference room 8-309 and in La Jolla in JMC 6-708 conference room from 6am-10pm.

COVID Updates from your PD!

UCSD is planning to offer testing to all asymptomatic healthcare workers. This testing is optional. Employee health has the names and contact info for all our residents and they will be reaching out to you in the upcoming weeks, starting with those who have rotated in MICU and HC ED in the past 3 weeks. For more details, attend this informational Zoom Tue, 5/5/20 at 7am: https://uchealth.zoom.us/j/97836351561 or see this FAQs document (login with your ucsd email and password, e.g. sjassal):


For additional ear loop masks for use with non-COVID patients and while in public parts of the hospital, see the VA chief Residents!

The schedule for next academic year will be available at the continuing resident Zoom meeting on Friday, 6/5/2020 3-5pm. Stay tuned for more details.

Also coming soon, details about intern awards, and graduation!

Thanks for ALL you do! You are ESSENTIAL!

Parking Onsite at the VA with Black Decal

Due to the COVID-19 pandemic there is a significant decrease in the number of patients, visitors, and employees who are parking onsite at the Medical Center. This gives us the flexibility and capability to allow more employees to park onsite.  Those employees with a valid black VA parking decal may enter through the employee lot closest to building #27 (Administration Building) where the contract security guard is posted.  This will be the only authorized entry location to park during normal business hours.

As a reminder, in compliance with MCM 07-03 -Vehicle and Parking Regulation, no employees are permitted to park in designated patient parking areas.

If you do not already have a valid black VA parking decal, you may obtain one by bringing your driver’s license, vehicle registration and proof of insurance to the VA Police Office.

COVID-19 Program Update

Dear UCSD IM Family,

I want to reach out to you regarding the COVID-19 situation.

I realize this is a stressful time and that there is a lot of confusing information. We have been in constant communication with leadership in infection control at both of our hospital systems (UCSD and VA) regarding the evolving recommendations.  We are gathering information and will share everything with you as we know more!

I want to reassure you that our most important goals remain, as always:

  1. Your safety and wellness
  2. Patient safety and wellness
  3. Providing you with the best education possible to prepare you for anything that may come next!

I want to briefly address each of these.

  1. Your safety and wellness

A. Please watch this video on how to put on and take off Personal Protective Equipment:

COVID-19 PPE Guidelines Video

  • After you have viewed it, please email chiefucsd@gmail.com so we can make sure that you get credit for your video training!
  • Both UCSD and the VA have ordered substantial supplies of N95 masks, so the acute shortage caused by hoarding should soon be relieved!
  • Eye protection (face shield or goggles), N95 mask or PAPR, gown and gloves are required for care of all patients suspected to have COVID-19

B. FIT testing for N-95 masks and PAPR (for those with facial hair) is ongoing at all sites; this should continue to be worn for patients with known or suspected TB, and those with known or suspected COVID-19.  The chiefs will be in touch with you and will be posting on WordPress as these fittings come to your worksite (VA, Hillcrest, Jacobs). Here are some upcoming FIT testing sessions:

  • Tuesday, 3/10, 1pm, JMC 7-744 workroom: residents on rotations at any La Jolla campuses (Jacobs, Thornton, CVC, VA) are welcome and encouraged to come
  • Thursday, 3/12/20, 8am-2pm: ACTRI, Room LL-1E-111
  • Thursday, 3/19/20, 8am-2pm: ACTRI, Room LL-1E-111
  • Nearly all residents at Hillcrest have been fit tested; if you have not, please contact Gary Ma
  • We are setting up testing at the VA; stay tuned for more details from Sean Kenmore

C. Please strongly consider avoiding travel to Level 2 or 3 countries for your own safety, and because you will have to remain in quarantine for 14 days after returning; plus you run the risk of being stuck in the country you are visiting if a “lockdown” is instated. The situation is fluid; please see this CDC travel website for guidance before you travel!

https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.htm

2. Patient safety and wellness

I have included below UCSD’s Ill-Worker Policy

If you have a fever >100F:

  • Do not come to work
  • Do not take fever-reducing medication in order to come to work  
  • You may return to work after 24 hours of being fever-free without fever-reducing medications

If you have mild Illness without fever:

  • Wear a mask to work if you feel well enough to work but you have cough or cold symptoms
  • Do not interact with immunosuppressed patients
  • Disinfect your hands before touching items others may touch
  • Do not shake hands with (or hug—this is my recommendation to myself, not UCSD policy) others

How to stay healthy:

  • Caring for sick patients is part of what we all signed up to do when we decided to be doctors!
  • The ACGME has explicitly stated that residents may care for COVID-19 patients, with the appropriate supervision and training. It is our goal to provide this always!
  • Clean your hands often with soap and water or an alcohol-based hand sanitizer, especially after touching shared objects
  • Avoid touching your face without clean hands
  • We remind all staff and faculty that PPE should be preserved for appropriate use
  • Encourage sick colleagues to go home or stay home, if possible
  • 3. Providing you with the best education possible to prepare you for anything that may come next!

https://acgme.org/Newsroom/Newsroom-Details/ArticleID/9962/ACGME-Guidance-Statement-on-Coronavirus-COVID-19-and-Resident-Fellow-Education-and-Training-in-the-United-States

  • During this time of unusual need, when many may be out due to symptoms or quarantine, we may have cross-cover needs that exceed those of our current bench of residents on VIQ, XC14, XC60; we will exercise our best judgment but may need to ask you to help cover for critical duties, even if you are not on a cross-cover rotation (will possibly need to pull from consults or outpatient rotations, for ICU and ward coverage); if this happens, please be the awesome members of our UCSD family who I know you are and pull together to cover for our family members.

For more information, you may refer to this UCSD website:

https://pulse.ucsd.edu/Pages/coronavirus.aspx

And this CDC website:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html

And this powerpoint!

COVID-19_Inservice_v5 2-27-20_fm

I realize this is a difficult time for all, and you may be worried about the well-being of your loved ones, our patients, and yourselves. We are here to support you. If you have any questions or concerns, please do not hesitate to reach out to me directly or to any member of the leadership team—PD or CMR.

love you and I will miss hugging you until this is all over! 😉

Sincerely,

simerjot (on behalf of UCSD IM Residency Program Leadership)

Register for your Board Exam!!

ABIM Certification Exam (Initial Certification):

Are you an R3? Then you need to register for the boards, ASAP! Registration opened this month, so register now and don’t wait! Prices go up if you wait to long! See below for dates!

https://www.abim.org/certification/exam-information/internal-medicine/exam-dates.aspx 

Exam DatesRegistration DatesLate Registration Dates
2020: Aug. 17,18,20,26,28, or 31, 2020Dec. 1, 2019 – Apr. 15, 2020Apr. 16, 2020 – Apr. 28, 2020

See the attached ABIM Blueprint for more information about what is on the test!

ABIM Blueprint 2019

UCSD Library Resources

The UC San Diego Library supports medical residents through the following resources: Clinical Essentials Guide →  ucsd.libguides.com/clinical This guide helps you: Find essential information sources for clinical care Set up apps on your phone for clinical guides and drug information Search for health research efficiently Set up automatic alerts for new clinical recommendations and publications Organize your personal library Get started with the online library of UC San Diego Consultations Email medical-librarian@ucsd.edu for advanced library guidance Recommend a Purchase Suggest books or resources to be added to Library collections.