SUNY Downstate Surgery Residency

Please congratulate our own Priyanka Parmar, Jodi-Ann Edwards and Igal Breitman, as well as the other authors, on this paper!

COVID-19 Clinical Course and Outcomes in a Predominantly Black, Vulnerable Patient Population in New York City

Priyanka Parmar1, Alecia James MA1, Sabrina Rosengarten MPH1, Michael A. Joseph PhD MPH1, Mohamed Nakeshbandi MD1, Jodi-Ann Edwards MD1, Clara Wilson1, Alvin Oommen1, Rohan Maini1, Max Mecklenburg MPH1, Julie Kim1, Igal Breitman MD1, Bonnie Arquilla DO1, Pia Daniel MD MPH1

1 SUNY Downstate Health Sciences University
450 Clarkson Ave
Brooklyn, NY 11203

Abstract

Objective: To describe the epidemiological and clinical characteristics of a patient population highly impacted by COVID-19 and situate the findings within the broader context of health determinants.

Methods: The study took place at an academic, state-designated COVID-only, medical center serving a low-income Black community in Kings County, New York. This descriptive study of 527 laboratory-confirmed COVID-19 patients hospitalized from March 12 - April 13, 2020 evaluated patient demographics, comorbidities, presentation, and outcomes.

Results: Compared to previous studies, we report a higher median age of 70 (IQR 59 – 80), a higher percentage of Blacks (91%), a higher prevalence of comorbidities (cardiovascular disease [86%], hypertension [83%], diabetes [53%], and obesity [42%]), a higher prevalence of abnormal findings on presentation (altered mental status [30%], qSOFA score 2 [27%], elevated random-glucose [77%], elevated creatinine [57%]), and a higher incidence of negative in-hospital outcomes (intensive care unit admission [21%], mechanical ventilation [21%], acute kidney injury [31%], acute respiratory distress syndrome [17%], acute cardiac injury [18%], and age-adjusted fatality rate [40%]).

Conclusion/Implications: This study shows the characteristics of a patient population disproportionately impacted by COVID-19 in the county with the second-highest death rate in the US to date. COVID-19 has seriously magnified the impact of long-standing health disparities in underserved populations. The intersectionality of the Black race, older age, a high prevalence of comorbidities, and residency in a locale severely affected by COVID-19, deserves further consideration to better address health outcomes in vulnerable patient groups. This will help to guide polices and ensure better health outcomes.

https://www.kevinmd.com/blog/2020/07/an-immigrants-gift-to-america.html

Please join me in congratulating Dr. Jodi-Ann Edwards for this intimate and inspiring essay.

An immigrant's gift to America I once thought of how my family had very little with them on the airplane here back in 1995. Yet, they indeed brought with them a gift from an island in the Caribbean.

Alexander Schwartzman on Twitter “SUNY Downstate Department of Surgery is delighted to welcome Dr. Borgen, as a Grand Rounds guest speaker. All are welcome!”

Happy holidays from the Downstate Surgery community!

DECEMBER 5, 2019 was a day of residency interviews and Grand Rounds presentation by Dr. Ram Raju, Professor of Surgery at Northwell.

Medical students! Check out below!
Residents - tell your med students!

"HOW TO DO WELL IN THE CLERKSHIP YEARS and AS A SUB-I"

Medical Student Hang-out
Monday, July 2, 2018
8:00 pm Central

a. Define your goals for the clerkship, what are you trying to get out of it??
b. How to ask for letters of recommendations
c. What kind of relationship should you have with the residents and medical students
d. Pearls and pitfalls

Presenters:
Raphael Sun, MD
Madeline Torres, MD
Nehe Lad, MD
Yewande Alimi, MD

Dial In: 1-888-585-9008
Room: 549-2412-585 #
No need to preregister, just phone in!

Join us this Saturday at the Leadership and Advocacy Conference - no need to preregister, we will see you soon!

RAS-ACS Leadership Exploration and Development Workshop
Saturday, May 19
3:00-5:00 pm
Penn Quarter Room, Renaissance Washington DC

Come to experience:

Finding Your Leadership Voice – presented by Robert Winfield, MD, FACS -- an interactive presentation where you can identify your style and explore how to adapt to other styles while remaining true to your natural style

Leading from the Middle – presented by Amy Liepert, MD, FACS -- how to find your voice and authority in this challenging leadership position
Leaders Leading Leaders – presented by Diana Farmer, MD, FACS -- navigating how to lead other leader

RAS-ACS Social Hour to celebrate the opening of the 2018 Leadership & Advocacy Summit
Saturday, May 19
7:00-8:30 pm
Gordon Biersch of Washington DC, 900 F Street NW, Washington DC

Come to experience:

International line of wonderful craft beers
Wings, pizza, and other nibbles (complimentary food and your first drink on us!)
Pre-registration is not required for either (above) event. Questions? Contact [email protected]

RAS E-News: May 2018 The May 2018 issue of RAS E-News highlights opportunities for Resident Members and Associate Fellows to get involved in College activities.

RAS-ACS Symposium Clinical Congress 2018 Survey Web survey powered by SurveyMonkey.com. Create your own online survey now with SurveyMonkey's expert certified FREE templates.

Deadline This Sunday
RAS-ACS Essay Contest Submissions Are Due April 1
The RAS-ACS Communications Committee has opened its annual essay contest for submissions. The topic is, “When Being Well Conflicts with Being a Surgeon.”

Personal wellness is a topic of increased interest among surgeons today. Wellness may be a key component of having a long and successful career in surgery, but many times, taking care of one's self often seems at odds with the very idea of what it means to be a surgeon. For instance, you may feel compelled to continue taking care of a sick patient that you admitted overnight, but your program director tells you to go home because you have been at the hospital for more than 24 hours. We want to hear about a time where the need to promote personal wellness has come in conflict with the idea of what it means to be a surgeon. How did you reconcile this conflict? How do you prioritize these two fundamentally important values.

Submit your essay by 5:00 pm (CDT). If you have questions, email [email protected].