The Lower Esophageal Vestibular ComplexThe Lower Esophageal Vestibular Complex. By ZainoCostantino, M.D., F.A.C.R., Associate Clinical Professor Radiology, New York University Medical Center, Associate Roentgenologist, Montefiore, Lincoln, Bellevue and Union Hospitals, Roentgenologist, St. Anthony's Hospital and Francis Shervier Hospital and Home; PoppelMaxwell H., M.D., F.A.C.R., Professor and Chairman, Department of Radiology, New York University Medical Center, Director of Radiology, Bellevue and University Hospitals, Consulting Radiologist, U. S. Naval Hospital, National Naval Medical Center, Bethesda, Md.; JacobsonHarold G., M.D., F.A. CR., Professor of Clinical Radiology, New York University Medical Center, Chief of Diagnostic Roentgenology, Montefiore Hospital, New York; LepowHarold, M.D., F.C.A.P., Visiting Assistant Professor of Pathology, Albert Einstein College of Medicine, New York, Pathologist and Director of Laboratories, Lincoln Hospital and Mother Cabrini Memorial Hospital. A monograph of 272 pages, with 138 figures. Published by Charles C Thomas, Springfield, Ill., 1963. Price $12.75.

Background: In many facilities, the coronavirus disease (COVID-19) pandemic caused suspension of elective surgery. We therefore sought to determine the impact of this on the surgical experience of vascular trainees. Methods: Surgical case volume, breadth, and the participating trainee post-graduate level from 3 large New York City Hospitals with integrated residency and fellowship programs (Mount Sinai, Montefiore Medical Center/Albert Einstein College of Medicine, and New York University) were reviewed. Procedures performed between February 26 to March 25, 2020 (pre-pandemic month) and March 26 to April 25, 2020 (peak pandemic period) were compared to those performed during the same time period in 2019. The trainees from these programs were also sent surveys to evaluate their subjective experience during this time. Results: The total number of cases during the month leading into the peak pandemic period was 635 cases in 2019 and 560 cases in 2020 (12% decrease). During the peak pandemic period, case volume decreased from 445 in 2019 to 114 in 2020 (74% reduction). The highest volume procedures during the peak pandemic month in 2020 were amputations and peripheral cases for acute limb ischemia; during the 2019 period, the most common cases were therapeutic endovascular procedures. There was a decrease in case volume for vascular senior residents of 77% and vascular junior and midlevel residents of 75%. There was a 77% survey response rate with 50% of respondents in the senior years of training. Overall, 20% of respondents expressed concern about completing ACGME requirements due to the COVID-19 pandemic. Conclusions: Vascular surgery-specific clinical educational and operative experiences during redeployment efforts have been limited. Further efforts should be directed to quantify the impact on training and to evaluate the efficacy of training supplements such as teleconferences and simulation.

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Rapid Mobilization of Medical Student Volunteers to Administer Vaccines During the COVID-19 Pandemic

Journal of Medical Education and Curricular Development ◽

10.1177/23821205211073092 ◽

2022 ◽

Vol 9 ◽

pp. 238212052110730

Author(s):

Taneisha Sinclair ◽

Brett I. Bell ◽

Karol Perez ◽

Daniel Klyde ◽

Mitchell Veith ◽

...

Keyword(s):

New York ◽

Medical Students ◽

Medical Center ◽

New York State ◽

Clinical Skill ◽

Albert Einstein College ◽

Albert Einstein ◽

Frontline Workers ◽

Professional Activities ◽

Medical Scientist

In December 2020, the first COVID-19 vaccines were approved for emergency use by the U.S. Food and Drug Administration, and vaccination efforts rapidly launched across the country. Concurrently, New York City experienced an increase in COVID-19 hospitalizations. This created an immediate need to inoculate frontline workers in a strained health system that lacked sufficient personnel to meet the demand. In response, New York State permitted medical students with appropriate clinical experience to administer vaccinations. Albert Einstein College of Medicine students rapidly stepped in to administer vaccines and serve as clinic navigators. Student leaders at Einstein collaborated with Montefiore Medical Center to rapidly implement a student vaccination initiative. Medical students underwent virtual and on-site training regarding COVID-19 vaccines and their administration. In January 2021, students began to staff vaccine clinics across the Bronx. By July 2021, 291 out of 830 eligible medical and Medical Scientist Training Program (MSTP) students (35.1%) had volunteered >2400 h. Of the 291 volunteers, 77 (26.5%) worked as vaccinators and administered approximately 2929 COVID-19 vaccines from January to May 2021. We demonstrate success using the concept of Entrustable Professional Activities (EPAs) in the context of training medical students in a specific clinical skill. Our framework resulted in the administration of approximately 2929 COVID-19 vaccines from January to May 2021. The authors believe that this framework can be implemented at peer institutions to alleviate the burden on hospital systems and outpatient clinics vaccinating their communities against COVID-19, or to meet future clinical needs.

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Lecciones desde el epicentro occidental de la pandemia: la experiencia de Montefiore Health System en el manejo de pacientes infectados con COVID-19 en la ciudad de Nueva York

Revista Médica de Panamá - ISSN 2412-642X ◽

10.37980/im.journal.rmdp.2020881 ◽

2020 ◽

Vol 40 (2) ◽

Author(s):

Roberto Christian Cerrud-Rodriguez ◽

Gerardo Victoria ◽

Julio Sandoval ◽

Cesar Cuero ◽

Fernando Alfaro ◽

...

Keyword(s):

New York ◽

New York City ◽

Health System ◽

Albert Einstein College ◽

Albert Einstein ◽

Trial And Error ◽

University Hospitals ◽

Initial Management ◽

System A ◽

Evidence Based Guidelines

ResumenMontefiore Health System, red de hospitales universitarios afiliados al Albert Einstein College of Medicine, ha sido uno de los principales frentes de batalla contra el COVID-19 en la ciudad de Nueva York, epicentro occidental de la pandemia. Con múltiples campuses localizados principalmente en el Bronx, donde la tasa de infección por COVID-19 es de 2,048/100,000 habitantes, ha tenido que enfrentar la pandemia desde sus inicios. La experiencia acumulada a lo largo de estos meses es invaluable, aunque desafortunadamente gran parte de ella ha sido adquirida en base a ensayo y error, dada la novedad de este virus y la ausencia de guías de manejo basadas en la evidencia. Nuestra experiencia es también relevante ya que el 35% de nuestra población es de raza Hispana. En las siguientes páginas repasamos aquello que sabemos sobre los inicios del SARS-CoV-2, las tesis más aceptadas acerca de su fisiopatología, su curso clínico, el manejo inicial una vez el paciente es admitido a nuestra institución con el diagnóstico de COVID-19. También exponemos nuestras experiencias en el manejo terapéutico de las complicaciones multiorgánicas que provoca esta entidad. AbstractMontefiore Health System, a network of university hospitals affiliated with the Albert Einstein College of Medicine, has been one of the main fronts in the battle against COVID-19 in New York City, western epicenter of the pandemic. With multiple campuses located mainly in The Bronx, where the rate of infection is of 2,048/100,000 inhabitants, it had to fight the pandemic since its very beginning. The experience gained during these past months is invaluable, although unfortunately most of it had to be learned by trial and error, given the novelty of this coronavirus and the complete lack of evidence-based guidelines. Our experience is particularly relevant given that 35% of our patient population is of Hispanic heritage. In the next few pages, we’ll go over what we currently know about the beginnings of SARS-CoV-2, the currently accepted hypothesis about its pathogenesis, its clinical course, and its initial management once a COVID+ patient is admitted to our institution. We also share our experiences with the clinical management of the multiorgan complications caused by this disease.********

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The Way It Was

Annual Review of Microbiology ◽

10.1146/annurev-micro-020518-115834 ◽

2019 ◽

Vol 73 (1) ◽

pp. 1-15 ◽

Cited By ~ 1

Author(s):

M.J. Osborn

Keyword(s):

New York ◽

Cell Envelope ◽

National Research Council ◽

Albert Einstein College ◽

Albert Einstein ◽

New York University ◽

Space Biology ◽

Postdoctoral Training ◽

Scientific Organizations ◽

The University

Mary Osborn was a native Californian. She was an undergraduate at the University of California, Berkeley, where she worked in the laboratory of I.L. Chaikoff. She received her PhD at the University of Washington, where her work on the role of folic acid coenzymes in one-carbon metabolism revealed the mechanism of action of methotrexate. After postdoctoral training with Bernard Horecker in the Department of Microbiology at New York University (NYU), she embarked on her research career as a faculty member in the NYU Department of Microbiology and in the Department of Molecular Biology at Albert Einstein College of Medicine. In 1968 she moved as one of the founding faculty of the new medical school of the University of Connecticut, where she remained until her retirement in 2014. Her research was focused on the biosynthesis of the endotoxin lipopolysaccharide (LPS) of gram-negative bacteria and on the assembly of the bacterial cell envelope. She made seminal contributions in these areas. She was the recipient of numerous honors and served as president of several important scientific organizations. Later in her career she served as chair of the National Research Council Committee on Space Biology and Medicine, advisory to the National Aeronautics and Space Administration (NASA), which produced an influential report that plotted the path for NASA's space biology research program in the first decade of the twenty-first century. Dr. Osborn died on Jan. 17, 2019.

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