An Academic Emergency Department Without Residents? A Panel Discussion on Resident Union Labor Action (Disaster Medicine Interest Group Sponsored)

Could your local academic emergency department function without any resident physicians? Resident union labor action events, commonly referred to as “strikes,” have become increasingly frequent in recent times, both across the US and internationally. With multiple new residency programs unionizing annually, labor action events have occurred more often and will likely continue to expand. From a preparedness perspective, emergency departments staffed by residents would benefit from developing contingency plans to address local labor action. The SAEM Disaster Medicine Interest Group invites you to come hear from leaders from three different institutions who helped mitigate and manage labor action events at their respective facilities across the country. This session will educate participants on proven mitigation, preparedness, response, and recovery tactics to keep your local emergency department functioning should this threat ever reach your institution! Department leaders and preparedness specialists especially welcome.

Presenters:

  • Samuel Sondheim, MD MBA
  • Michael Redlener, MD, FAEMS
  • Laura G. Iavicoli, MD, MBA, FACEP, CHEP
  • Bradley Chappell, DO, MHA, FACOEP
Authors
  • Samuel Sondheim, MD MBA

    Mount Sinai Morningside

    Samuel Sondheim, MD MBA, is the Assistant Medical Director at Mount Sinai Morningside. He is an Assistant Professor of Emergency Medicine at the Icahn School of Medicine. He works clinically as an attending physician at Mount Sinai Morningside and Mount Sinai West hospitals. Dr. Sondheim completed a dual degree MD/MBA at Quinnipiac University in Connecticut followed by residency training at Mount Sinai Morningside/West where he served as Chief Resident, after which he completed Mount Sinai's Disaster Preparedness and Healthcare Leadership fellowship. With over a decade of experience in the prehospital space, his academic interests lie at the intersection of disaster preparedness and healthcare leadership/administration and operations.

  • Michael Redlener, MD, FAEMS

    Icahn School of Medicine

    Michael Redlener, M.D. FAEMS, is an Associate Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai and currently serves as the Medical Director of the Mount Sinai West Emergency Department, the Division Director for EMS and Disaster Preparedness and the Deputy Director for the Center for Healthcare Readiness. Additionally, he serves as the President for the National EMS Quality Alliance (NEMSQA), an organization dedicated to the development of evidence-based quality measures in EMS as well as numerous regional and state committees dedicated to disaster preparedness and EMS systems of care. He has an operational and academic focus on systems of care, health system readiness, clinical emergency management and quality improvement and measurement in EMS. He is double Board-Certified in Emergency Medicine and EMS Medicine.

  • Laura G. Iavicoli, MD, MBA, FACEP, CHEP

    NYC Health + Hospitals/Elmhurst

    Laura Iavicoli offers two decades of extraordinary service at New York City Health+Hospitals, Elmhurst, as a Professor at the Icahn School of Medicine at Mount Sinai.
    With a forte for successfully building strong teams and holding a key role leading all facets of healthcare and strategy, Dr. Iavicoli has successfully positioned New York City Health+Hospitals as a leading expert in its field with respect to the application of best business and finance practices contributing to the following successes:

    ● Navigated the Health System through the COVID-19 pandemic response, leveraging expertise in disaster management to innovate and implement new procedures and treatment protocols.
    ● Led the organization to reduce health disparities while directing safety event reporting, root cause analysis, national patient safety goals, and the evolution of a culture of safety.
    ● New York Academic Emergency Medicine Award 2022 - Awarded to a member who has made a significant contribution to advancing emergency care in New York State. Presented at the New York Academic Emergency Medicine Scientific Assembly July 7, 2022.

    Dr. Iavicoli’s contributions to public health are immeasurable and anchored by leadership experiences with Elmhurst Hospital, NYC Health + Hospitals, and through initiatives that have had broad-ranging local, regional, and national impacts.

    As the Chief Medical Officer at Elmhurst Hospital, Dr. Iavicoli plans and executes strategies to position the facility as a High Reliability Organization through hospital wide assessments, visioning workshops, and action plan development. In this position, she has led Elmhurst Hospital through 17 successful regulatory surveys, including a Joint Commission Triennial survey that produced the best survey results in the history of the organization.

    In the role of Senior Vice President of Emergency Management for NYC Health + Hospitals, Dr. Iavicoli established the Central Office Incident Management team encompassing section chiefs, unit leaders, a safety officer, a liaison officer, a public information officer, and an incident commander. She has been credited with building a formal crisis communication system that leverages mass email communications, live webinars, an alert blog, Intranet hub, and software applications to coordinate information distribution throughout the organization.

  • Bradley Chappell, DO, MHA, FACOEP

    Harbor-UCLA Medical Center

    Bradley, Chappell, DO, MHA, FACOEP is the Vice Chair of Clinical Operations at Harbor-UCLA Medical Center and an Associate Professor of Clinical Emergency Medicine at the David Geffen School of Medicine at UCLA. In this role, he excels at innovative approaches to complex issues, focusing on throughput, operational efficiency, transitions of care, patient communication, and patient satisfaction. Additionally, he serves as the Chair of the Board of Directors for the American Osteopathic Board of Emergency Medicine, also chairing multiple sub-committees including Written Exam Construction, Primary Certification, and Continuous Certification. As a reviewer for the American College of Surgeons, Committee on Trauma Verification Review Committee, he surveys level 1 and 2 trauma centers across the county to ensure compliance with expected practice and makes operational recommendations for best practices. He is currently participating in the California Healthcare Foundation Leadership Fellowship, previously completed a Master’s in Health Administration, engaged in the USACS Physician Scholars Program, and participated in the ACEP ED Director’s Academy. He spearheaded the transformative changes that resulted in receiving the LA County Quality and Productivity Commissions Mega Million Dollar and coveted Golden Eagle awards. He has been awarded multiple patient care improvement grants and has authored numerous articles, chapters, and books. He is also actively involved in year-round youth sports, coaching (and reffing) soccer, basketball, and baseball.