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Introduction by the column editors: This column demonstrates the use of an electronic mailing list (e-list) to generate a collaborative problem-solving process. The process is modeled on key features of the academic curriculum of the Columbia University Public Psychiatry Fellowship (PPF) (ppf.hs.columbia.edu). PPF alumni who encounter management problems at their worksite may present these concerns to current PPF fellows and faculty and lead a discussion aimed at identifying potential solutions. This column describes one such solution that involves information sharing among psychiatrists working in busy psychiatric emergency rooms in New York City. It describes variations in management approaches and the sharing of promising practices as informed by the e-list discussion. Ravi N. Shah,M.D.,M.B.A., a Columbia psychiatry resident, and Kendra Campbell, M.D., a PPF fellow and emergency psychiatry fellow, established the e-list and communicatedwith psychiatric emergency roomdirectors and attending physicians in New York City to facilitate discussion of management approaches. Readers are invited to submit suggestions for e-list discussions of management problems to column editor Jules Ranz, M.D. (e-mail: jmr1@columbia.edu).

Information Sharing Across Institutions to Enhance Operations of Psychiatric Emergency Rooms in New York City